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1. A 39-year-old man presents to a psychiatrist. He says, " It often seems to me that I am not part of this world.
My voice sounds strange to me, and other people seem like figures in a dream. " He has had these feelings intermittently for about 2 years. There is no history of hallucinations, and there are no current indications of disorganized thinking. Which one of the following is the most likely diagnosis?
A) Depersonalization/derealization disorder.
B) Conversion disorder.
C) Delusional disorder.
D) Schizophrenia.
E) Persistent depressive disorder.
2. A 94-year-old woman with severe dementia is referred for vaginal bleeding and a persistent foul odour from the vagina. She lives in a long-term care facility. She has been using a ring pessary for the past 15 years. Her current pessary has not been replaced in 2 years. On examination, there is moderate vaginal atrophy. After removing the pessary, which one of the following is the best next step?
A) Arrange for a hysteroscopy and endometrial biopsy.
B) Wash the pessary and recommend a daily saline douche.
C) Start vaginal estrogen.
D) Perform a vaginal biopsy.
E) Prescribe vaginal metronidazole gel.
3. A patient ' s mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution?
A) Recruitment of study families at an autism seminar
B) Parental recall of vaccine administration
C) Vaccine company sponsorship of study
D) Reporting standard error with point estimates of difference
E) Not accounting for all potential confounders during recruitment
4. A 12-year-old girl is brought to your clinic by her parents 6 weeks after experiencing a minimally displaced buckle fracture of her distal radius. It was immobilized in a cast for 3 weeks. On examination, she supports her forearm with the opposite hand. She is unwilling to move her elbow, wrist, and fingers. The findings of her neurovascular examination are normal, and the soft tissue is supple. A repeat radiograph shows bony union. Which one of the following is the most likely diagnosis?
A) Ischemic contracture of forearm.
B) Complex regional pain syndrome.
C) Unrecognized scaphoid fracture.
D) Unwillingness to return to school.
E) Median nerve compression.
5. A 26-year-old man presents to your office with fever, chills, and malaise. Aside from an episode of dysuria 8 weeks ago, which spontaneously resolved, he has been healthy. On examination, his left wrist and right ankle are tender. There is a cluster of vesiculopustular lesions on his right hand. Which one of the following is the most likely diagnosis?
A) Varicella
B) Primary HIV infection syndrome
C) Rheumatoid arthritis
D) Reactive arthritis
E) Disseminated gonococcemia
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: E |
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