Case Study: Endocarditis Prophylaxis

NOW F OR AN ORIGINAL PAPER ASSIGNMENT: Case Study: Endocarditis Prophylaxis

Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:

a. Severe asthma.

b. A common valvular lesion.

c. Severe hypertension.

d. A previous coronary artery bypass graft (CABG).

Question 17: A 34-year-old patient was treated for a urinary tract infection (UTI) and has not responded to antibiotic therapy. Which of the following actions should be taken next?

a. Send a urine specimen for microscopy looking for fungal colonies.

b. Increase the dose of antibiotic.

c. Order a cytoscopy.

d. Order a different antibiotic.

Question 18: Which statement best describes a carotid bruit?

a. It is felt with the middle three fingers over the carotid artery.

b. A bruit becomes audible when the lumen is narrowed to 1 mm or less.

c. A low-pitched bruit is a medical emergency.

d. The higher the pitch of the bruit, the higher the degree of stenosis.

Question 19: Which statement is true regarding chloasma, the ‘mask of pregnancy’?

a. It is caused by a decrease in the melanocyte-stimulating hormone duringpregnancy.

b. This condition only occurs on the face.

c. Exposure to sunlight will even out the discoloration.

d. It is caused by increased levels of estrogen and progesterone.

Question 20: Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?

a. “You must be under a lot of stress lately.”

b. “It is hereditary. Did your father experience this also?”

c. “The cause is unknown, but we suspect it is due to an immunologic mechanism.”

d. “We’ll have to do some tests.”

Question 21: A blood pressure (BP) of 150/90 is considered:

a. Stage 2 hypertension

b. Hypertensive

c. Normal in healthy older adults

d. Acceptable if the patient has DM

Question 22: When teaching post MI patients about their NTG tablets, theclinician should stress that the tablets should remain in thelight-resistant bottle in which they are packaged and shouldnot be put in another pill box or remain in areas that are orcould become warm and humid. Once opened, the bottlemust be dated and discarded after how many months?

a. 1 month

b. 3 months

c. 6 months

d. As long as the tablets are kept in this special bottle, they will last forever

Question 23: Your patient has decided to try to quit smoking with Chantix. You are discussing his quit date, and he will begin taking the medicine tomorrow. When should he plan to quit smoking?

a. He should stop smoking today.

b. He should stop smoking tomorrow.

c. His quit date should be in 1 week.

d. He will be ready to quit after the Frst 30 days

Question 24: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?

a. Spores

c. Pseudohyphae

b. Leukocytes

d. Epithelial cells

Question 25: The hallmark of an absence seizure is:

a. No activity at all.

b. A blank stare.

c. Urine is usually voided involuntarily.

d. The attack usually lasts several minutes.

Question 26: Which medication used for scabies is safe for children 2 months and older?

a. Permethrin cream

b. Lindane

c. Crotamiton lotion and cream

d. Ivermectin

Question 27: The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of mucopurulent discharge suggests which type of conjunctivitis?

a. Viral conjunctivitis

b. Keratoconjunctivitis

c. Bacterial conjunctivitis

d. Allergic conjunctivitis