-
,- reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for
melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
- answer- A
- A 15-year-old high school sophomore and her mother come to your clinic because the
mother is concerned about her daughter's weight. You measure her daughter's height and
weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the following is
appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet
because she is obese.
- answer- B
- A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10
weeks pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134
lbs (60.9 kg). Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine
tests are unremarkable. The fetal heart tone is difficult to find but is located and is 150.
While you give her first trimester education, you tell her how much weight you expect her
to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds (12.5 to 18 kg)
, - answer- C
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- A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a
rash; she also denies recent travel or camping activities. She has a family history significant
for rheumatoid arthritis. Based on this information, which of the following pathologic
processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
- answer- B
- A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular
skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for
melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
- answer- A