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What further diagnostic steps are required for the seven patients receiving atypical antipsychotics?
- A. All patients should receive 1 week of actigraphy monitoring both on and off their current antipsychotic.
- B. All patients should be immediately referred for cognitive behavioral therapy for insomnia (CBTI).
- C. All patients should receive referral to both psychiatry and neurology, neuroimaging, and screening polysomnography to identify underlying sleep disorder.
- D. Unless there is an underlying suspicion of obstructive sleep apnea (OSA) or other sleep disorder, these patients already meet criteria for irregular sleep-wake phase disorder, and no further diagnostic steps are required.
Correct Answer: C
Rationale: Comprehensive diagnostic steps involving psychiatry, neurology, and neuroimaging are necessary to assess underlying conditions and ensure proper management.
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Prostate pain is usually located in the:
- A. Supra pubic area
- B. Back
- C. Perineum
- D. In the glans penis
Correct Answer: C
Rationale: Prostate pain is typically felt in the perineum, lower abdomen, or groin.
The lymphatic ducts drain into the:
- A. Arterial system
- B. Venous system
- C. Vertebral bodies of the spine
- D. Shoulder
Correct Answer: B
Rationale: The lymphatic ducts drain into the venous system, specifically at the junction of the subclavian and internal jugular veins.
A Hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between meals.
- A. Have the patient checked for diabetes
- B. Assess the patient for iron deficiency anemia
- C. Encourage the patient to eat more at meal times
- D. Tell the patient that this cultural practice can be harmful
Correct Answer: B
Rationale: Craving ice chips (pica) can be a sign of iron deficiency anemia.
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status:
- A. Gravida 4 para 1114
- B. Gravida 4, para 1314
- C. Gravida 3, para 1114
- D. Gravida 3, para 1112
Correct Answer: A
Rationale: TPAL system: Gravida (pregnancies), Para (full-term, preterm, abortions, living children).
Which of the following is NOT a safety issue commonly faced by older adults?
- A. Falls
- B. Medication safety
- C. Cognitive impairment
- D. Increased physical activity
Correct Answer: D
Rationale: Older adults face safety issues related to falls, medication safety, and cognitive impairment, but increased physical activity is generally a benefit.