12.07.2015 Views

NMS Q&A Family Medicine

NMS Q&A Family Medicine

NMS Q&A Family Medicine

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264 <strong>NMS</strong> Q&A <strong>Family</strong> <strong>Medicine</strong>(D) Pulmonary sputum culture(E) Throat culture8 Parents, both 30 years old, are together in a familyphysician’s office to support their 6-year-old boy athis well child visit. They ask what rate of growth canbe expected over the years, between now and theboy’s adolescence. What is the general rate of growththey can anticipate throughout this period?(A) 0.5 to 1 in. (1.27 to 2.54 cm) per year(B) 1 to 2 in. (2.54 to 5.08 cm) per year(C) 2 to 2.5 in. (5.08 to 6.35 cm) per year(D) 3 to 3.5 in. (7.62 to 8.89 cm) per year(E) 4 to 5 in. (10.16 to 12.70 cm) per year9 A 19-year-old young woman exhibits scoliosis of20 degrees in the thoracic spine (convexity) withcompensating lumbar curvature. What is the bestapproach for following this patient?(A) Follow with x-rays for the next several years(B) Refer to a spine surgeon(C) Evaluate for bracing(D) Evaluate for spinal fusion(E) Reassure the patient that the degree of curvatureis benign and bears no further attention10 Which of the following may be constitutionally associatedwith scoliosis (part of the primary syndromeas opposed to being secondary to the disease)?(A) Cerebral palsy(B) Poliomyelitis(C) Slipped femoral capital epiphysis(D) Neurofibromatosis(E) Constrictive lung disease

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