Nokea
Which of the following is the most appropriate treatment for trichomoniasis in a non-pregnant woman?
- A. Metronidazole (Flagyl)
- B. Doxycycline (Vibramycin)
- C. Clindamycin (Cleocin)
- D. Clotrimazole (Lotrimin)
Correct Answer: A
Rationale: Metronidazole is the first-line treatment for trichomoniasis.
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A 70-year-old man has bothersome lower urinary tract syndrome (LUTS) associated with benign prostatic hyperplasia (BPH). His symptoms are no longer well managed with lifestyle modifications. He is interested in medication to reduce his urinary symptoms but is concerned about possible side effects. He notes that he is recently married and sexual activity is very important to him. Which of the following medications would be most appropriate for this patient?
- A. Alfuzosin
- B. Ditropan
- C. Dutasteride
- D. Tamsulosin
Correct Answer: D
Rationale: Tamsulosin is an alpha-1 blocker that helps alleviate urinary symptoms without significantly impacting sexual function.
Papilledema is a cause for concern because it is suggestive of:
- A. Optic atrophy
- B. Microaneurysms
- C. Increased intracranial pressure
- D. Retinal hemorrhage
Correct Answer: C
Rationale: Papilledema is caused by increased intracranial pressure, leading to swelling of the optic disc.
Which of the following findings could indicate a need for further evaluation of the cardiac patient?
- A. Hematocrit 42%
- B. Potassium 4.2 mg/dl
- C. Sodium 140 mEq/dl
- D. Low-density lipoprotein of 190 mg/dl
Correct Answer: D
Rationale: LDL levels over 160 mg/dl warrant further evaluation for cardiovascular risk.
Which immunization reduces a patient’s risk for infection with the virus that causes painful localized blistering rash?
- A. Smallpox vaccine
- B. Varicella vaccine (chicken pox)
- C. Shingles (herpes zoster) vaccine
- D. Meningococcal vaccine
Correct Answer: C
Rationale: Shingles vaccine reduces the risk of herpes zoster, which causes painful rash.
Which cranial nerves are responsible for eye movement?
- A. CN II, III, IV
- B. CN III, IV, VI
- C. CN II, IV, VI
- D. CN III, IV, VII
Correct Answer: B
Rationale: Cranial nerves III, IV, and VI control eye movements.