10-24-2010, 04:54 AM
A healthy 8-year-old girl is brought to the physician in July for a well-child examination. Her mother says that her daughter is spending the summer at a nearby lake. Over the past month, she has had two episodes of painful sunburn despite her mother's efforts, including SPF 25 sunblock just before she goes swimming and urging her to wear a hat and long-sleeved garments. The child takes no medications. She has blond hair, blue eyes, and a fair complexion. The mother seeks advice about preventing further sun damage to her child's skin. Which of the following is the most appropriate recommendation?
A) Prohibit swimming on cloudless days
B) Apply the sunblock lotion 45 minutes before
swimming
C ) Change to a higher-level SPF lotion
D ) Apply Burrow's solution compresses after each
overexposure
E ) Daily use of antioxidant vitamin supplement
F ) Early treatment of any sun overexposure with
topical corticosteroids
2- An 82-year-old man comes to the physician because of a 3-day history of low back pain that radiates to the right leg. He also has had a lesion over the right shin and weakness of the right foot. He began taking prednisone 2 weeks ago for acute bronchitis.
He has chronic obstructive pulmonary disease, benign prostatic hypertrophy, and glaucoma. Examination shows numerous papular and vesicular lesions over the right anterior and posterior shin. There is weakness of right knee flexion, ankle dorsiflexion, plantar flexion, eversion, and inversion; the right ankle reflex is absent. Sensation to pinprick and
cold is decreased over the right lower extremity. Which of the following is the most
likely causal organism?
A) Borrelia burgdorferi
B) Epstein-Barr virus
C) Herpes simplex virus 1
D) Poliovirus
E) Treponema pallidum
F) Varicella-zoster virus
A) Prohibit swimming on cloudless days
B) Apply the sunblock lotion 45 minutes before
swimming
C ) Change to a higher-level SPF lotion
D ) Apply Burrow's solution compresses after each
overexposure
E ) Daily use of antioxidant vitamin supplement
F ) Early treatment of any sun overexposure with
topical corticosteroids
2- An 82-year-old man comes to the physician because of a 3-day history of low back pain that radiates to the right leg. He also has had a lesion over the right shin and weakness of the right foot. He began taking prednisone 2 weeks ago for acute bronchitis.
He has chronic obstructive pulmonary disease, benign prostatic hypertrophy, and glaucoma. Examination shows numerous papular and vesicular lesions over the right anterior and posterior shin. There is weakness of right knee flexion, ankle dorsiflexion, plantar flexion, eversion, and inversion; the right ankle reflex is absent. Sensation to pinprick and
cold is decreased over the right lower extremity. Which of the following is the most
likely causal organism?
A) Borrelia burgdorferi
B) Epstein-Barr virus
C) Herpes simplex virus 1
D) Poliovirus
E) Treponema pallidum
F) Varicella-zoster virus