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3,531 questions
A 60-year-old Asian male presents with early satiety and 40-lb weight loss over 3 months.Upper endoscopy shows an irregular mass in the antrum of the stomach. What can you tell him and his family about his situation?
Food-borne illness has been a recurrent problem in your community over the past year. As a result of this, you ask that the health department's registered sanitarian pay particular attention to which of the following during his inspection of restaurants?
A 60-year-old Asian male presents with early satiety and 40-lb weight loss over 3 months.Upper endoscopy shows an irregular mass in the antrum of the stomach. He follows up in the clinic a few days later, and you see that the results of the endoscopic biopsies are suggestive of a gastric lymphoma. Which of the following is true regarding this condition?
It is 2007. You are planning allocation of health department resources to meet the needs of a typical S. community over the next 10 years. You decide to allocate funding for each opulation group based on anticipated percent of population growth in each age group. The largest proportional increase in funding will go toward which age group? 0- through 10-year olds
You perform an upper endoscopy on a patient and find changes suggestive of Barrett's esophagus. How do you explain this to the patient and his family?
It is reported that an alarming number of fractures are occurring among the elderly in your community. You are contacted by a local radio station for an interview on this subject. You explain that which of the following is the most likely cause of the high number of fractures?
On your surgery rotation you are assisting in a gastric surgical procedure. The attending surgeon asks you to describe the vascular supply to the stomach. You reply with which of the following?
You counsel a 47-year-old smoker who says that she does not intend to quit smoking because she is not worried about the health risks of smoking. All of her relatives smoke, and none have developed lung cancer. You point out that the Framingham studies have indicated that disease of other organ systems is also associated with smoking, and her relatives have had such disease. The Framingham study found smoking to be associated with disease of which of the following?
A patient with dyspepsia has a positive serologic test for Helicobacter pylori and is concerned that he could have an ulcer. Which of the following statements about H. pylori and ulcer disease would be most accurate?
A young woman who works full time doing manual work in a factory, but who also has secretarial skills, is making her first prenatal visit to your office. Her work involves climbing high ladders, with the risk of falling. Which of the following is the best recommendation regarding this patient's job?
A study finds that the incidence of asthma in your community is higher than expected, and that 40% of the homes in your community are heated with forced air. Which of the following best describes this study design?
Ahealth insurance company decides to market its services to a population that will not incur high charges. The use of health services in the United States is most strongly associated with which of the following characteristics?
A 19-year-old female presents to the ED complaining of swelling in her left lower extremity. She reports that she had arthroscopy of the right knee about a week ago for a torn meniscus. The swelling started last night and is uncomfortable. Which of the following statements most accurately describes the situation?
A particular community is found to have high rates of dental caries. The health commissioner is attempting to institute a program to prevent further dental caries in his community. Which of the following is the most cost-effective method of preventing dental caries within a community?
A 72-year-old woman undergoes a sigmoid colectomy for diverticulitis. Postoperatively, she develops a wound infection for which she is transferred to the ICU for 2 days because of hypotension. Which of the following would have had the most effect on reducing her risk of developing complications?
A40-year-old man presents with chronic diarrhea and peptic ulcer disease refractory to medical management with proton pump inhibitors. An octreotide scan is shown in Figure which corresponds to an area near the head of the pancreas. Which of the following factors directly results in the release of the hormone produced by this tumor?
An 18-year-old male is brought to the ED after sustaining a stab wound to the left chest that is medial and superior to the nipple. He was unresponsive at the scene and intubated by the emergency medical technician (EMT) team. His pulse is 140 and BP is 60/30 after receiving 1 L of lactated Ringers solution and 2 units of blood during his transport. On auscultation there are no breath sounds on the left. His trachea is midline. He has no evidence of neck vein distention. Which of the following statements is true?
A23-year-old male is brought by ambulance to the ER after being found in a house fire. He was in a closed room with a large amount of smoke and has sustained burns to his face, torso, arms, and legs. His pulse is 120, BP 110/55, and SpO2 92% on 2 L of oxygen by nasal cannula. Which of the following statements is true?
A hurricane devastates your community. You decide to devote your attention to the aspect of disaster response that is most likely to be inadequate in coping with the disaster. Which of the following is most likely to hamper disaster response?
Repeated thunderstorms have resulted in overflow of municipal wastewater treatment plants by floodwaters. Volunteer sandbaggers downstream from the plants developed health concerns when the overflow became evident. As a public health officer you are asked to evaluate the situation. Which of the following is your most important recommendation to workers in order to prevent illness from exposure to the contaminated water?