поиграем?

[elfy]

по-моему тут собрались самые умные девочки форума :lol:
(сам себя не похвалишь... :grum:

[FOLEY]

A 34-year-old, white, married business executive who is a patient in your practice comes to the office because of low back pain. After you
enter the examining room and establish rapport, he appears embarrassed and says that back pain is not why he is here. Upon further
questioning, he admits to a sexual encounter on a recent business trip and says he now has a greenish urethral discharge. Tests for

gonorrhea are positive. He admits to having exposed his wife since returning from the trip. He does not want his wife told about this.

14. Because his wife is also a patient in your practice, which of the following is the most ethical approach?


(A) Report the case to the state health department and let them handle contacting his wife
(B) Request that he inform his wife of her exposure and the need for treatment and offer to assist as necessary
(C) Suggest that he bring his wife to the office tomorrow so that you can explain the situation and the need for treatment
for both of them
(D) Telephone his wife after he leaves, inform her of the problem and request that she come to the office for treatment

(E) Treat him now and treat his wife when she comes to the office for her next annual Pap smear 2 weeks from now

15. The patient decides he will personally tell his wife that night. He calls you the next day stating that his wife is angry and distraught,
and she is contemplating divorce. She is so upset she cannot even come to the office for treatment. He wants to know what to do
now. Which of the following is the most appropriate next step?

(A) Call the wife to ask her to come to the office to be treated and to talk about her reaction to this situation
(B) Have a member of your nursing staff call the wife to stress the importance of coming to the office for treatment
(C) Make a house call to treat her and assess the situation
(D) Refer them to a marriage counselor and ask her to come to the office next week for treatment
(E) Refer them to a psychiatrist skilled in crisis intervention and give her an antidepressant medication until the next

available appointment in 3 weeks

[FOLEY]

16. A 28-year-old man comes to the office because he is concerned about his relationship with his 9-year-old son. He is a single father
who has full custody of his son. The father says that they always have been very close, but recently he has not had much energy to
spend quality time with his son. He does not understand why he has had this change in behavior. He says he feels well, and to his
knowledge, is healthy. He says that he works daily in a job he likes and has had no occupational problems. History and physical
examination lead you to suspect substance abuse. Abuse of which of the following substances would most likely explain his
behavior?


(A) Amphetamine
(B) Cocaine
(C) Marijuana
(D) Phencyclidine

(E) Psilocybin

[FOLEY]

17. A 22-year-old college student calls your evening answering service because of an itchy, spreading rash over her right wrist and
lower arm for the past 2 days. You return her call, and she reports that she just returned from a weekend camping trip in the
mountains. She denies any fever, chest pain, dyspnea or red streaks up her arm. She states, "I'm feeling miserable and the itch is
killing me. I don't know if I was bitten by some insect or a tick. What should I do?" In counseling the patient over the telephone,
which of the following is the most appropriate response?

(A) "From what you describe I think you should go directly to a dermatologist. Please come to my office in the morning for
a referral."
(B) "Go to your pharmacist and ask for an over-the-counter antihistamine and Burow's solution, which you should apply
with wet compresses, and please come to my office in the morning."
(C) "I will call in antibiotics to the pharmacy so that you can begin treatment tonight. I would like to see you in my office
tomorrow."
(D) "Unfortunately I cannot prescribe any treatment without first examining you. Please call my office in the morning for
an appointment."
(E) "You should go to the nearest emergency department immediately for treatment and come to my office tomorrow

morning for follow-up."

[Lakomka]

14c
15a

[FOLEY]

18. During a sports physical examination, a 13-year-old boy expresses concern about his height. He was in the 10th percentile for
height throughout childhood and now is just above the 5th percentile. His sexual maturation rating is Tanner stage 2 for both
genitalia and pubic hair. He should be told which of the following?


(A) He is near his final height
(B) He probably has a slight deficiency of growth hormone
(C) He should increase his daily caloric intake
(D) He will grow several more inches

(E) He will need testosterone injections for several months

[FOLEY]

14c
15a

you're half right ;)

[Lakomka]

17. obvious posoin Ivy
b

[elfy]

#17 - b for sure

[FOLEY]

по-моему тут собрались самые умные девочки форума :lol:
(сам себя не похвалишь... :grum:

I'm proud of you!

(I will start to gently introduce some actual medical questions, if you don't mind...I have faith in you!)