Recent questions in general principle

by admin (2.6k points) in general principle asked Sep 9

A 45-year-old man presents to a psychiatrist at his wife’s prompting. He is an English profes- sor at the University of Virginia and regularly wins accolades for his well-organized and ar- ticulate lectures. In the past three months, he has become convinced that his wife is having an affair with a co-worker, despite her protests to the contrary. His wife recently discovered that he hired a private investigator to track her whereabouts. He is very defensive when the counselor questions his suspicions about his wife. Mental status examination reveals a well- dressed, middle-aged man without hallucina- tions or other mood disturbances. His speech is normal and displays an appropriate affec- tive range. Which of the following is the most likely diagnosis?

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by admin (2.6k points) in general principle asked Sep 9

A retrospective cohort study is examining birth complications in women with diabetes. The study determines that babies are more likely to be born large for gestational age (LGA) if the mother has diabetes. The relative risk for the study is calculated to be 4. Which of the fol- lowing accurately describes this relative risk?

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by admin (2.6k points) in general principle asked Sep 9

A 3-year-old girl presents for her regular check- up. Her mother reports that she is fully toilet trained, and that she can dress and undress with minor assistance. She speaks in full sen- tences, can name four colors, and can copy a simple circle drawing. What other milestone would this child most likely have reached since her last visit one year ago?

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by admin (2.6k points) in general principle asked Sep 9

A 54-year-old man with a history of poorly con- trolled hypertension complains of new-onset headaches. His mother passed away at an early age due to a stroke, and his father died of a myocardial infarction. When asked why he does not take better care of his blood pressure, he states that he is so busy with work and with the church that, by the end of the day, he often forgets to take his pills. He states that he “feels fine, anyway.” What ego defense mechanism is this patient using?

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by admin (2.6k points) in general principle asked Sep 9

A 70-year-old man comes into his doctor’s of- fice for a routine check-up. His past medi- cal history is significant for a heart attack, for which he takes a daily baby aspirin and a b-blocker. He practices safe habits and always wears his seat belt while driving. His health has been “great” for the past few years, al- though he is concerned about his wife because she recently suffered a mild stroke. He denies any visual loss or motor or sensory weakness. The patient’s physical examination is unre- markable. Which of the following is the lead- ing cause of death among people age 65 years or older?

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by admin (2.6k points) in general principle asked Sep 9

A 10-year-old Hispanic boy is admitted for bone marrow transplantation as treatment for acute myelogenous leukemia. The doctor wants to enroll the patient in a clinical trial for a new pain medication, but both the par- ents speak only Spanish. The consent form is in English, and the physician has a limited knowledge of Spanish. What is the physician’s best option for obtaining consent from this pa- tient?

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by admin (2.6k points) in general principle asked Sep 9

An 11-year-old girl is brought to the pediatri- cian with complaints of back pain. On physical examination, a right thoracic scoliotic curve is noted. The pediatrician mentions to the parent that the development of adolescent idiopathic scoliosis is due to the girl being at peak height growth velocity. Peak height velocity is associ- ated with a certain Tanner stage; what other physical attributes would one expect to occur in this girl at the same time?

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