Question bank

For each of the following scenarios, select the gas exposure responsible for the signs and symptoms. A man has been pulled unconscious from a mine. No odors are noted, but an experienced miner says there was coal damp in the mine.

Which of the following has a carrier state that is not considered contagious?

You are working in the emergency department and are called to perform a lumbar puncture on a 3- month-old infant who presented with fever and lethargy. The spinal fluid that you obtain is turbid. The laboratory reports that there are 200 WBCs and 5 RBCs per high-power field (HPF). Ninety-five percent of the WBCs in the spinal fluid are neutrophils. Which of the following is the most probable cause of this illness?

For each of the following scenarios, select the gas exposure responsible for the signs and symptoms. Aworker drilling for oil experiences acute tearing, mucous membrane irritation, and onset of a cough while repairing machinery.

You are working in the emergency department and are called to perform a lumbar puncture on a 3-month-old infant who presented with fever and lethargy. The spinal fluid that you obtain is turbid. The laboratory reports that there are 200 WBCs and 5 RBCs per high-power field (HPF). Ninety-five percent of the WBCs in the spinal fluid are neutrophils If the laboratory result showed that 98% of the WBCs in the spinal fluid were lymphocytes, what would be the most likely etiology of the infection?

For the screening tests listed below, select the screening schedule that is appropriate for women (as per the U.S. Preventive Services Task Force [USPSTF], The Guide to Clinical Preventive Services, 2006) Mammography with or without clinical breast examination do not routinely screen yearly over age 50

You are working in a community clinic on a Native American reservation. A mother brings in her 8- year-old son for an ophthalmic evaluation. On examination, you find bilateral corneal ulceration and decreased visual acuity. What is the most common infectious cause of blindness in the world?

For the screening tests listed below, select the screening schedule that is appropriate for women (as per the U.S. Preventive Services Task Force [USPSTF], The Guide to Clinical Preventive Services, 2006) Screening for hepatitis B do not routinely screen yearly over age 50

For the screening tests listed below, select the screening schedule that is appropriate for women (as per the U.S. Preventive Services Task Force [USPSTF], The Guide to Clinical Preventive Services, 2006) Palpation, ultrasound, or serologic testing of the abdomen to screen for cancer of the pancreas do not routinely screen yearly over age 50

A well-appearing 6-year-old presents to your office with a chief complaint of bruising. The parents report that the child had a cold 2 weeks ago but completely recovered. The child is sitting on the examining table, in no distress, discussing her favorite cartoons. On examination, you find mucosal bleeding and bruises on the child's arms and chest. You order a complete blood count (CBC) that has the following results: WBC 12,000, hemoglobin 11 g/dL, and a platelet count of 45,000. What is the most likely cause of this child's bleeding and bruising?

From the below the clinical indications, choose an option for use of immune globulin (IG) in Hepatitis A prophylaxis

A well-appearing 6-year-old presents to your office with a chief complaint of bruising. The parents report that the child had a cold 2 weeks ago but completely recovered. The child is sitting on the examining table, in no distress, discussing her favorite cartoons. On examination, you find mucosal bleeding and bruises on the child's arms and chest. You order a complete blood count (CBC) that has the following results: WBC 12,000, hemoglobin 11 g/dL, and a platelet count of 45,000. After discussing various options with a regional pediatric hematologist and the patient's parents, your most appropriate initial management would be which of the following?

From the below the clinical indications, choose an option for use of immune globulin (IG) in Hepatitis B prophylaxis

A well-appearing 6-year-old presents to your office with a chief complaint of bruising. The parents report that the child had a cold 2 weeks ago but completely recovered. The child is sitting on the examining table, in no distress, discussing her favorite cartoons. On examination, you find mucosal bleeding and bruises on the child's arms and chest. You order a complete blood count (CBC) that has the following results: WBC 12,000, hemoglobin 11 g/dL, and a platelet count of 45,000. Following your initial evaluation and treatment, you see the child for follow-up in 1 week. She continues to appear well but still has obvious purpura and her platelet count is now 17,000. All other cell lines are normal. Of the options listed below, what is your most appropriate management at this time?

From the below the clinical indications, choose an option for use of immune globulin (IG) in Hepatitis C prophylaxis indicated

A 4-year-old child is brought to your office because of a sudden onset of irritability, weakness, and pallor. The mother tells you that both of her children have been experiencing episodes of vomiting and diarrhea. Your physical examination reveals a blood pressure of 115/80, dry mucus membranes, petechiae, and diffuse abdominal pain. The following laboratory work is obtained: Urinalysis: microscopic hematuria and proteinuria Blood urea nitrogen (BUN)/creatinine (Cr): 20/1.0 mg/dL Hemoglobin: 7 g/dL Peripheral blood smear: fragmented RBCs Prothrombin time (PT), partial thromboplastin time (PTT): normal Coombs' test: negative What is the most likely diagnosis?

From the below the clinical indications, choose an option for use of immune globulin (IG) in Measles prophylaxis

A mildly mentally retarded 9-year-old girl is brought to your office for acne. On examination, she does not actually have acne but has small flesh colored papules along her nasolabial fold. Her past history is significant for having had a first (afebrile) seizure last year. The mother reminds you that she has a faint birthmark on her hip that is pale and becomes more prominent in the summer, when the child's skin tans. Examination of this area reveals a 5-cm oval patch that is hypopigmented. Which condition would she most likely have?

From the below clinical indications, choose an option for use of immune globulin (IG) in Rubella prophylaxis

Select the appropriate incubation period of the Diphtheria infectious disease of childhood. 16 days 78 days