Nokea
Which of the following statements is true?
- A. Decision-making capacity can be determined only by a psychiatrist.
- B. A diagnosis of dementia precludes competent decision making.
- C. Lack of decision-making capacity should not be presumed if the patient goes against medical advice.
- D. Expression of a choice is sufficient to indicate decision-making capacity.
Correct Answer: C
Rationale: A patient's decision-making capacity cannot be assumed to be absent solely based on their refusal of medical advice.
You may also like to solve these questions
During a physical examination, a patient presents with swollen lymph nodes. How should you adjust your palpation technique based on the findings?
- A. Increase the pressure to assess for tenderness
- B. Use a firmer grip to ensure you can feel the nodes
- C. Continue using soft finger pads but apply a more vigorous motion
- D. Maintain the light circular motion but focus on the areas of swelling
Correct Answer: A
Rationale: Increased pressure helps assess tenderness and the degree of swelling or possible infection in swollen lymph nodes.
Which of the following is true about tolterodine?
- A. It should be avoided in men with prostatic hypertrophy.
- B. It increases the risk of constipation compared with oral oxybutynin.
- C. It acts by ablating detrusor spasms.
- D. It has greater risk of adverse effects with its twice-daily formulation.
Correct Answer: C
Rationale: Tolterodine is an anticholinergic that reduces detrusor spasms to alleviate symptoms of overactive bladder.
An 80-year-old man is being evaluated for recent episodes of incontinence and confusion. His family states that he is usually independent with no altered mental issues but has become forgetful within the last 2 weeks. Which medication is most likely associated with these symptoms?
- A. Cimetidine (Tagamet)
- B. Warfarin (Coumadin)
- C. Ramipril (Altace)
- D. Vitamin B12
Correct Answer: A
Rationale: Cimetidine can cause confusion and altered mental status in the elderly.
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her medical history includes type 2 diabetes, hypertension, and osteoarthritis. Medications are glyburide, chlorthalidone, and acetaminophen. What would be your first step in therapy?
- A. Stop glyburide
- B. Stop chlorthalidone
- C. Stop acetaminophen
- D. Start topical vaginal lubricant
Correct Answer: D
Rationale: Topical vaginal lubricants can help alleviate vaginal dryness and improve sexual function.
On examination, a patient is noted to have a "mask-like" face with decreased blinking and a characteristic stare. These features may be characteristic of:
- A. Nephrotic syndrome
- B. Myxedema
- C. Cushing’s syndrome
- D. Parkinson disease
Correct Answer: D
Rationale: A "mask-like" face is a classic feature of Parkinson’s disease.