Nokea
Which of the following is an accurate statement about the Educational Commission for Foreign Medical Graduates (ECFMG)?
- A. ECFMG assists with learning English as a second language
- B. ECFMG fully prepares foreign graduates to discuss medical decision-making
- C. Completion of the ECFMG is comparable to an immersion experience
- D. Completion of the ECFMG may mask genuine problems with English fluency, which may affect doctor-patient communication
Correct Answer: D
Rationale: ECFMG certification may not fully address language barriers.
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Which of the following is common among indigent, rural Appalachian patients?
- A. Perceived socioeconomic discrimination
- B. Lack of knowledge about preventive health care
- C. Sexually transmitted infections
- D. Willingness to adhere to prescribed medications
Correct Answer: A
Rationale: Perceived discrimination is prevalent due to socioeconomic disparities.
Moxibustion (or moxa), through heat generated by the burning of mugwort (a spongy herb), is used by traditional Chinese practitioners to treat many conditions. Which of the following Western treatments is most likely to be impacted by concurrent moxibustion?
- A. Oral medications
- B. Topical medications
- C. Inhaled medications
- D. Surgical interventions
Correct Answer: B
Rationale: Topical medications may interact with moxibustion due to skin application and heat effects.
Why are tricyclic antidepressants infrequently used?
- A. Have many side effects
- B. Have many interactions with other medications
- C. Can cause cardiac problems
- D. Lethal in overdose
Correct Answer: A
Rationale: The correct answer is A because tricyclic antidepressants have numerous side effects such as dry mouth, constipation, weight gain, and sedation. These side effects can be intolerable for patients, leading to poor adherence. Choices B, C, and D are incorrect because while tricyclic antidepressants can have interactions with other medications, cause cardiac problems, and be lethal in overdose, these factors alone do not fully explain why they are infrequently used compared to other antidepressant options. The primary reason for their limited use lies in their significant side effect profile.
A health care worker is exposed to blood from a patient who has HIV. What action should the worker take after the exposure?
- A. Apply alcohol to the site.
- B. Cleanse the site with soap and water.
- C. Flush the site with hot running water.
- D. Apply a topical antibiotic to the site.
Correct Answer: B
Rationale: The correct answer is B: Cleanse the site with soap and water. This is because soap and water effectively clean and disinfect the wound, reducing the risk of infection. Alcohol may not be as effective in removing bloodborne pathogens like HIV. Flushing with hot water can cause tissue damage and is not recommended. Applying a topical antibiotic is not necessary for blood exposure and may not prevent HIV transmission. Proper cleansing with soap and water is crucial to minimize the risk of infection following exposure to bloodborne pathogens like HIV.
Which level of Maslows hierarchy of need pyramid is necessary for survival?
- A. Love and belonging
- B. Physiological needs
- C. Self-actualization
- D. Safety and security
Correct Answer: B
Rationale: Physiological needs are the foundation of the pyramid; they must be met before any other needs can be addressed.