06-20-2007, 05:30 AM
22. An 8-year-old girl with asthma is brought to
the physician 1
week after an acute exacerbation treated with a 5-day
taper course of oral
prednisone. This was her first asthma attack of the
fall season.
Medications include an inhaled corticosteroid daily
and a bronchodilator
metered-dose inhaler as needed. Her last
immunizations were at the age
of 5 years prior to entering kindergarten. Her
temperature is 37 C
(98.6 F), pulse is 92/min, and respirations are
28/min. Examination shows
end-expiratory wheezing with forced expiration.
Administration of
which of the following vaccines is most appropriate at
this visit?
A
) Haemophilus influenzae type b
B
) Influenza virus
C
) Meningococcal
D
) 23-Valent pneumococcal
E
) Varicella
23. A 27-year-old man is brought to the hospital by
family members
because he has remained in his room for 3 days. He
has refused to go to
work or eat with the family, and he expresses concern
that family or
friends may try to kill him. One week ago, he was
despondent when his
girlfriend of 5 years abruptly ended their
relationship. He has no
history of psychiatric illness. Which of the following
is the most likely
diagnosis?
A
) Adjustment disorder with depressed mood
B
) Bipolar disorder
C
) Brief psychotic disorder
D
) Dysthymic disorder
E
) Schizoaffective disorder
24. A 35-year-old primigravid woman at 20 weeks'
gestation comes to
the physician because of vaginal pressure and a
watery, pink vaginal
discharge for 1 day. Her temperature is 37.5 C (99.5
F). The uterus is
palpated at the umbilicus. Fetal heart rate is
140/min. Speculum
examination shows that the upper vagina is filled with
bulging, shiny,
smooth membranes. The cervix cannot be palpated.
Which of the following is
the most likely mechanism for these findings?
A
) Abruptio placentae
B
) Cervical incompetence
C
) Premature labor
D
) Uterine anomaly
E
) Uterine infection
the physician 1
week after an acute exacerbation treated with a 5-day
taper course of oral
prednisone. This was her first asthma attack of the
fall season.
Medications include an inhaled corticosteroid daily
and a bronchodilator
metered-dose inhaler as needed. Her last
immunizations were at the age
of 5 years prior to entering kindergarten. Her
temperature is 37 C
(98.6 F), pulse is 92/min, and respirations are
28/min. Examination shows
end-expiratory wheezing with forced expiration.
Administration of
which of the following vaccines is most appropriate at
this visit?
A
) Haemophilus influenzae type b
B
) Influenza virus
C
) Meningococcal
D
) 23-Valent pneumococcal
E
) Varicella
23. A 27-year-old man is brought to the hospital by
family members
because he has remained in his room for 3 days. He
has refused to go to
work or eat with the family, and he expresses concern
that family or
friends may try to kill him. One week ago, he was
despondent when his
girlfriend of 5 years abruptly ended their
relationship. He has no
history of psychiatric illness. Which of the following
is the most likely
diagnosis?
A
) Adjustment disorder with depressed mood
B
) Bipolar disorder
C
) Brief psychotic disorder
D
) Dysthymic disorder
E
) Schizoaffective disorder
24. A 35-year-old primigravid woman at 20 weeks'
gestation comes to
the physician because of vaginal pressure and a
watery, pink vaginal
discharge for 1 day. Her temperature is 37.5 C (99.5
F). The uterus is
palpated at the umbilicus. Fetal heart rate is
140/min. Speculum
examination shows that the upper vagina is filled with
bulging, shiny,
smooth membranes. The cervix cannot be palpated.
Which of the following is
the most likely mechanism for these findings?
A
) Abruptio placentae
B
) Cervical incompetence
C
) Premature labor
D
) Uterine anomaly
E
) Uterine infection