NMS Q&A Family Medicine

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266 NMS Q&A Family Medicinemay occur secondary to the scoliosis because of impedanceof expansion of the lung fields. Slipped femoral capitalepiphysis is not known to be associated with scoliosis.ReferencesFamily Medicine Board Review, 2009 . Kansas City, MO ; May3–10, 2009 .Hay WW , Levin MJ , Sondheimer JM , Deterding RR , eds. CurrentDiagnosis & Treatment Pediatrics , 19th ed . New York, Chicago :McGraw-Hill/Lange ; 2009 .Welker MJ . Preventive care of the child through the latent years(5–12). In: Rudy DR , Kurowski K , eds. Family Medicine:House Officer Series . Baltimore, MD : Williams & Wilkins ;1997 : 703 – 712 .
chapter 45Care and Prevention,Ages 13 to 20 YearsExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 In growing children, there are unique issues attendantto trauma to the growth plates (physes) of thegrowth plates of long bones. Which of the followingis most likely to result in growth deformity, even withcorrect treatment?(A) Psalter(B) Psalter II(C) Psalter III(D) Psalter IV(E) Psalter V2 A 16-year-old male suffers a fracture of her right tibiaas she steps down off her deck that entailed an 18-in.drop. She admits that previously she had had pain inthe limb and that others had noticed a limping gaitfavoring the right leg. Without initial studies, whichof the following is the most likely diagnosis?(A) Fibrous dysplasia(B) Osteomyelitis(C) Ewing tumor(D) Osteosarcoma(E) Enchondroma3 A family physician is concerned that a thin 17-yearoldfemale may be anorectic (nervosa). Each of thefollowing is compatible with that diagnosis except forwhich one?(A) Elevated Follicle stimulating hormone (FSH)(B) Refusal to allow weight to go above barelyminimal for height(C) Unreasonable and intense fear of obesity(D) Distorted body image(E) Secondary amenorrhea4 Parents visit a family doctor with their 15-year-oldson who is unhappy because he feels he is not astall as his classmates. Which of following wouldconstitute an indication for proceeding with an endocrinologicalevaluation?(A) Growth 4 cm (2 in.) per year(B) Bone age delayed 1 year behind the meannormal for his age(C) Disproportionate lower segment length(D) Decreased sense of smell(E) Elevated alkaline phosphatase5 Members of which of the following groups are mostlikely to attempt suicide (without succeeding)?(A) Black men who are 20 to 30 years old(B) White boys or men who are 15 to 24 years old(C) White girls or women who are 15 to 24 years old(D) Black women who are 20 to 30 years old(E) White women who are 20 to 30 years old6 Members of which of the following groups are mostlikely to commit suicide?(A) Black men who are 20 to 30 years old(B) White boys or men who are 15 to 24 years old(C) White girls or women who are 15 to 24 years old(D) Black women who are 20 to 30 years old(E) White women who are 20 to 30 years old7 Parents of a 13-year-old boy believe their son, who isdemonstrating a growth spurt, is not drinkingenough milk and ask you about calcium-intakerequirements. What do you tell them are the currentdaily recommendations for calcium intake?(A) Between 300 and 500 mg/day(B) Between 600 and 1,000 mg/day(C) Between 1,200 and 1,500 mg/day(D) Between 1,500 and 2,000 mg/day(E) Between 2,000 and 2,500 mg/day8 You are deciding on preventive screening for a youngwoman who began menarche at age 13. Her cycles areevery 30 days, with 4 days of moderate flow. Her lastmenstrual period was 2 weeks ago. She denies ever267
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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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10 NMS Q&A Family Medicine(A) To pl
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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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26 NMS Q&A Family Medicine(A) Migra
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30 NMS Q&A Family MedicineQuestions
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32 NMS Q&A Family Medicine(A) Distu
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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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178 NMS Q&A Family MedicineReferenc
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180 NMS Q&A Family Medicineperipher
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182 NMS Q&A Family Medicineconditio
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184 NMS Q&A Family Medicine(D) Pneu
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chap ter 31Other Infectious Disease
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Other Infectious Diseases in Primar
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Other Infectious Diseases in Primar
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SECTION XIEndocrinology inPrimary C
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Diabetes Mellitus 197normal saline
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Diabetes Mellitus 199Examination An
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Diabetes Mellitus 20116. The answer
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204 NMS Q&A Family Medicine(A) Seru
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208 NMS Q&A Family Medicine16. The
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210 NMS Q&A Family Medicine(E) Hypo
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214 NMS Q&A Family Medicinelikeliho
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Page 249 and 250: Preoperative Clearance 23121 Prophy
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Page 253 and 254: chap ter 38Obesity and Dyslipidemia
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Page 259 and 260: chapter 39Smoking CessationExaminat
Page 261 and 262: Smoking Cessation 243Examination An
Page 263 and 264: chapter 40Exercise and HealthExamin
Page 265 and 266: Exercise and Health 247Examination
Page 267 and 268: chapter 41Concepts in Epidemiologya
Page 269 and 270: Concepts in Epidemiology and Resear
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Page 331 and 332: chapter 54GeriatricsExamination que
Page 333 and 334: 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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