Discuss management of rape victims 171. Child sex abuse: A. Cannot take place in children under 3 years of age. B. Includes exposure. C. Can be managed solely by the gynaecologist who diagnoses the problem. D. Can be diagnosed confidently after discovering that a 13-year-old is not virgo intacta. See Chapter 63.3, Child sex abuse. 172. The following may be adult sequelae of child sex […]

Discuss acute appendicitis assessment 35. Regarding methadone use in pregnancy: A. Methadone has a shorter half-life than heroin. B. Naloxone should not be given to opiate-dependent mothers or their offspring. C. NAS presents within 24 hours of delivery. D. Breastfeeding is contraindicated. See Chapter 6.12, Drug and alcohol misuse. 36. Smoking in pregnancy is associated with increased risks of: A. Premature labour. B. Long-term respiratory […]

Order postoperative mortality discussion To assess cardiac risk several tests can be performed. Which of the following explorations should be performed first? A. None, ECG is sufficient. B. Cardiac scintigraphy. C. Cardiac echography. D. Cardiac echography with dobutamine test. E. Coronarography. Question 4 Without treatment this patient is at risk of rupture. Which of the following factors have been proved to be associated with an […]

Assess thoracoabdominal aortic aneurysms Which of the following is the single most likely diagnosis causing this man’s pain? A. Acute MI. B. Acute aortic dissection. C. Thoracic aortic aneurysm. D. Lung cancer. E. Pneumonia. Question 2 Which of the following studies should be performed in this patient in order to plan therapy? A. Aortography. B. Computed tomography (CT) scan of chest. C. Carotid duplex studies. […]

Discuss the aortic dissection assignment How would you classify the aortic dissection? A. Stanford A dissection. B. Stanford B dissection. C. de Bakey I dissection. D. de Bakey II dissection. E. de Bakey III dissection On the same day, she underwent an emergency operation. The dissected ascending aorta with the entry of dissection was incised in a cardiopulmonary bypass and replaced by a graft using […]

Order the diagnosis of intellectual disability Which of the following statements about intellectual disability (intellectual developmental disorder) is false? A. Individuals with intellectual disability have deficits in general mental abilities and impairment in everyday adaptive functioning compared with ageand gender-matched peers from the same linguistic and sociocultural group. B. For individuals with intellectual disability, the full-scale IQ score is a valid assessment of overall mental […]

Order Prodromal schizophreniform symptoms A 15-year-old boy has a long history of nonverbal communication deficits. As an infant he was unable to follow someone else directing his attention by pointing. As a toddler he was not interested in sharing events, feelings, or games with his parents. From school age into adolescence, his speech was odd in tonality and phrasing, and his body language was awkward. […]

Order Tourette’s disorder assessment Which of the following statements about the developmental course of stereotypic movement disorder is false? A. The presence of stereotypic movements may indicate an undetected neurodevelopmental problem, especially in children ages 1–3 years. B. Among typically developing children, the repetitive movements may be stopped when attention is directed to them or when the child is distracted from performing them. C. In […]

Assess symptoms of schizophrenia questions Criterion A for schizoaffective disorder requires an uninterrupted period of illness during which Criterion A for schizophrenia is met. Which of the following additional symptoms must be present to fulfill diagnostic criteria for schizoaffective disorder? A. An anxiety episode—either panic or general anxiety. B. Rapid eye movement (REM) sleep behavior disorder. C. A major depressive or manic episode. D. Hypomania. […]

Assess Bipolar and depressive disorders Which of the following patient presentations would not be classified as psychotic for the purpose of diagnosing schizophrenia? A. A patient is hearing a voice that tells him he is a special person. B. A patient believes he is being followed by a secret police organization that is focused exclusively on him. C. A patient has a flashback to a […]