NMS Q&A Family Medicine

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240 NMS Q&A Family MedicineReferencesAmerican Society of Bariatric Surgery Web site: www.asbs.org/html/rationale/rationale.htmlFamily Medicine Review . Kansas City, Missouri; May 3–10;2009 .McPhee SJ , Papadakis MA . Current Medical Diagnosis and Treatment2010, 49th ed. New York/Chicago : Lange; McGraw-Hill ;2010 .Smith PO , Noble SL , Johnson WG . Obesity and dyslipidemias .In: Rudy DR , Kurowski K , eds. Family Medicine: House OfficerSeries . Baltimore : Williams & Wilkins ; 1997 : 637 – 648 .
chapter 39Smoking CessationExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 A 45-year-old two-pack-per-day cigarette smokingwoman with diabetes and taking metformin 500 mgtwice daily obtained a prescription for varenicline(Chantix) to assist her in smoking cessation. Her dosagewas 0.5 mg daily for 3 days followed by 0.5 mgdaily for the balance of 1 week; after the first week shefollowed the instructions to increase dosing to 1 mgtwice daily. After a week of the definitive dosing, sherequested a visit and complained of a side effect sufficientto cause the drug to be discontinued. Which ofthe following is the most likely side effect that forcedthe discontinuation of the prescription?(A) Hypoglycemia(B) Uncontrolled diabetes(C) Nausea(D) Disturbance in attention span(E) Anxiety and depression2 A 35-year-old male worker who was employed for thepast 3 years in the field for a company that specializesin asbestos abatement in structures built 60 to80 years ago is now complaining of dyspnea andcough. He is atopic, subject to allergic rhinitis, and hehas smoked cigarettes for 20 pack-years. As smokingis known to increase asbestosis and asbestosis multipliesthe risk of lung cancer, which of the following isthe least likely cause of the recent onset of dyspnea inthis patient?(A) Asthma(B) Mesothelioma(C) Carcinoma of the lung(D) Chronic bronchitis(E) Emphysema3 A 25-year-old woman in her first trimester of pregnancyis seeing you for a prenatal visit. She smokesone pack of cigarettes per day. In advising her to stopsmoking, you tell her that her baby will be at increasedrisk for which of the following, if she continues tosmoke?(A) Preterm birth(B) Macrosomia(C) Transient tachypnea of newborn(D) Spinal cord defects(E) Neonatal hypoglycemia4 You are designing a program for your office to encouragepatients to stop smoking. Which of the followingis correct with respect to physician office efforts toencourage smoking cessation?(A) It may be assumed that smokers have alreadybeen told of the adverse effects of smoking ifthey have seen other physicians recently.(B) Smoking in the physician’s office should only beallowed in partitioned, ventilated smoking areas.(C) Counseling to cease smoking should await atime when a detailed, lengthier discussion ofsmoking cessation can occur.(D) Smoking should be listed on the problem list ofanyone who smokes and on the child’s chart ofany child in a smoking household.(E) If the dangers of smoking are pointed outvigorously, cessation can usually beaccomplished in one office visit.5 A family consisting of mother, father, a 1-year-oldboy, and a 3.5-year-old girl are under your care. Bothparents smoke. The incidence of which of the followingchildhood diseases is increased in householdswith smokers present?(A) Reactive airway disease(B) Epiglotitis(C) Sudden infant death syndrome(D) Lymphatic leukemia(E) Wilms tumor6 A 33-year-old man who has smoked a pack per dayfor 15 years since his first year in college (15 packyears)has discovered that his uncle who smoked30 pack-years has been diagnosed with lung cancer.He is seriously considering quitting but asks youradvice as to whether it is too late to reduce his risk oflung cancer. Which of the following is the bestresponse to this patient in answer to the question?241
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NMS Q&AFamily Medicine3rd EDITION
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Acquisitions Editor: Susan RhynerPr
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Foreword to the First EditionFamily
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AcknowledgmentsFor the contribution
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xivContentsChapter 15 Surgical Issu
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SECTION IUrgent Carechapter 1Urgent
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Urgent Care in Family Practice 3(A)
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Urgent Care in Family Practice 5Exa
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Urgent Care in Family Practice 7rem
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12 NMS Q&A Family MedicineExaminati
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chapter 3Otolaryngology inPrimary C
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Otolaryngology in Primary Care 17tr
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Otolaryngology in Primary Care 1924
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Otolaryngology in Primary Care 21of
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Otolaryngology in Primary Care 23co
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30 NMS Q&A Family MedicineQuestions
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36 NMS Q&A Family Medicine80 mm Hg.
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SECTION IIICardiovascular Diseasesi
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Cardiology 41(A) Systolic crescendo
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Cardiology 43Examination Answers1.
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Cardiology 4516. The answer is C. T
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chapter 7Peripheral Vascular Diseas
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Peripheral Vascular Disease 49would
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Peripheral Vascular Disease 51Exami
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Peripheral Vascular Disease 53right
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chap ter 8Cerebrovascular DiseaseEx
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Cerebrovascular Disease 57(A) A non
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Cerebrovascular Disease 59ventricul
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chap ter 9Pediatric CardiologyExami
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Pediatric Cardiology 6315 You hear
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Pediatric Cardiology 65by placing o
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chap ter 10HypertensionExamination
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Hypertension 6915 In hypertensive p
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Hypertension 71systolic hypertensio
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74 NMS Q&A Family Medicine(A) Right
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Neurology 778. The answer is A. The
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SECTION VRespiratory Diseasesin Pri
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Pneumonia and Bronchitides 81(C) Co
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Pneumonia and Bronchitides 836. The
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chapter 13Respiratory Diseasesin Ch
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Respiratory Diseases in Children 87
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SECTION VIThe Gastrointestinal Trac
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Medical Problems of the Gastrointes
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Medical Problems of the Gastrointes
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chap ter 15Surgical Issues of theGa
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Surgical Issues of the Gastrointest
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Surgical Issues of the Gastrointest
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chap ter 16Problems of the LiverExa
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Problems of the Liver 103level, whe
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Problems of the Liver 105been inves
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SECTION VIIUrology and Nephrologyin
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Problems of the Urinary Tract 10913
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Problems of the Urinary Tract 11110
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114 NMS Q&A Family Medicine7 Which
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116 NMS Q&A Family MedicineExaminat
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118 NMS Q&A Family Medicineof malig
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120 NMS Q&A Family Medicine(D) Sulf
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124 NMS Q&A Family MedicineReferenc
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126 NMS Q&A Family Medicinecycle. H
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chapter 21Gynecology in Mature Adul
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Gynecology in Mature Adults 133amen
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Gynecology in Mature Adults 1357. T
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chapter 22Diseases of the Female Br
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Diseases of the Female Breast 139Ex
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Diseases of the Female Breast 141Re
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144 NMS Q&A Family Medicine(B) Long
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146 NMS Q&A Family Medicine(D) PIP
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148 NMS Q&A Family Medicine6. The a
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chapter 24Musculoskeletal Problemso
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Musculoskeletal Problems of the Nec
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Musculoskeletal Problems of the Nec
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chapter 25Musculoskeletal Problemso
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Musculoskeletal Problems of the Low
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Musculoskeletal Problems of the Low
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chapter 26Rheumatology in Primary C
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Rheumatology in Primary Care 165(D)
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Rheumatology in Primary Care 16710.
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170 NMS Q&A Family Medicineof 5 ft,
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172 NMS Q&A Family Medicinepresent.
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174 NMS Q&A Family Medicinenodules.
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184 NMS Q&A Family Medicine(D) Pneu
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Page 207 and 208: chap ter 31Other Infectious Disease
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Page 213 and 214: SECTION XIEndocrinology inPrimary C
Page 215 and 216: Diabetes Mellitus 197normal saline
Page 217 and 218: Diabetes Mellitus 199Examination An
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Page 239 and 240: SECTION XIIAllergieschapter 36Atopi
Page 241 and 242: Atopic, Food, and Contact Allergies
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Page 253 and 254: chap ter 38Obesity and Dyslipidemia
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Page 261 and 262: Smoking Cessation 243Examination An
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Page 265 and 266: Exercise and Health 247Examination
Page 267 and 268: chapter 41Concepts in Epidemiologya
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290 NMS Q&A Family Medicinewithout
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chapter 51Anxiety and PhobiasExamin
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Anxiety and Phobias 297Examination
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chapter 52Somatic Symptoms withoutO
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Somatic Symptoms without Organic Ba
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Somatic Symptoms without Organic Ba
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308 NMS Q&A Family Medicineperiorbi
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310 NMS Q&A Family Medicineand loti
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chapter 54GeriatricsExamination que
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Geriatrics 315Examination Answers1.
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chapter 55HematologyExamination que
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Hematology 31915 A 45-year-old busy
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Hematology 321Mean cell hemoglobin
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Hematology 323whereas in multiple m
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326 NMS Q&A Family Medicine7 A 45-y
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