Men with an initial PSA level below 2.5 ng/ml can reduce their screening frequency to what intervals?
A. Every 6 months
B. Yearly
C. Every 2 years
D. Every 2 to 4 years
Question 2Which ethnic group has the highest incidence of prostate cancer?
A. Asians
B. Hispanics
C. African Americans
D. American Indians
Question 3Which of the following is not a contributing factor to the development of esophagitis in older adults?
A. Increased gastric emptying time
B. Regular ingestion of NSAIDs
C. Decreased salivation
D. Fungal infections such as Candida
Question 4In differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with distinct signs and symptoms.
Which of the following pieces of information from the patient's history is the least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
Question 5A 74-year-old obese female presents complaining of persistent right upper quadrant pain. She reports that she has not had any prior abdominal surgeries. Which of the following laboratory studies would be most indicative of acute cholecystitis?
A. C-reactive protein level of 3 mg
B. White blood cell count of 11,000
C. Direct serum bilirubin level of 0.3 mg/dL
D. Serum amylase level of 145 U/L
Question 6Which of the following findings would indicate a need for another endoscopy in clients with peptic ulcer disease?
A. Cases of dyspepsia with constipation
B. Symptoms persisting after 6-8 weeks of therapy
C. All clients with dyspepsia who smoke and drink alcohol
D. When a therapeutic response to empiric treatment is obtained
Question 7A careful history of a female client with a chief complaint of intermittent diarrhea reveals that she also experiences bouts of constipation. She has no known allergies and experienced no unintentional weight loss. What is the most likely condition?
A. Inflammatory bowel disease
B. Irritable bowel syndrome
C. Giardiasis
D. Lactose intolerance
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