NBME 12 questions open discussion part 1
hi all again ,
here are some some wrong qs that i need ur help to answer them if u dont mind plz .
1) 79 year old woman with osteoarthritis comes to the physician for examination when the physitian enter the room he detects urine odor , its more appropriate for the physician to approach the topic of urinary incontinence with this patient by which of the following?
a- r u having problems that u may bee too embarrassed to talk about? would u welling to talk about them today .
b- i couldnt help but notice an odor when i came into room r u having any problem holding urine .
c- i understand this can be difficult to talk about but do u find urself having fecal incont also.
d- i know this can be an embarrassing topic but ppl sometimes have difficulty to hold their urine as they get older , is this ever aproplem for u .
e- its not surprising that someone ur age is having urinary incont , how many accident do u have aday .
a was wrong
2) ask about the synovial fluid content at rh arthritis ( increase, decrease, same ) for c3 , neutrophils, Il-1 and TNF .
3)16 year old female with worsening acne over forehead for past month , consumed vegetarian food for last 6 month and eating large amount of chocolate , currently work as flag person at road construction wearing helmet , her brother received chinchilla for pasr 2 month, physical exam reveal erthematous papules and pustules at forehead what is the most likely of exacerbation of the patients codition ?
a- allergic reaction to material use in road construction .
b- allergy to family pet
c- choclate consumption
d- excessive sun exposure
e- vegetarian diet
f wearing helmet .
4) 70 year old woman wants to donate 1,000,000 $ to small city department of public health to decrease the number of sudden cardiac death , and she wants to see the results at the next 1-2 years ,best accomplish by what of the following ?
a- creation of an antismoking campain .was wrong
b- creation of city wide aerobic exercise program
c-fortification of water supply by aspirin
d- placement of external automatic defibrillators in public spaces through out the city .
e- provision of free hmg-coa reductase inhibitors to everyone above 50
f provision of free relaxation and stress management program for all adults .
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