Nr 511 Midterm Question From Dunphy Book Chapters 11, 9, 8, 7 Week 4

Which of the following is not a risk factor for cholecystitis? 1.Female gender. 2.Obesity. 3.Sickle cell anemia. 4.Younger age {Ans: Younger age rationale: The risk of cholecystitis actually increases with age}Which of the following has/have not been linked to the use of isotretinoin? 1.Elevated liver transaminases. 2.Depression, psychosis, and suicidality. 3.Benign intracranial hypertension. 4.Pancreatitis. {Ans: pancreatitis rationale: This is not an adverse effect of isotretinoin}Samantha, age 12, presents with ear pain. When you begin to assess her ear, you tug on her normal-appearing auricle, eliciting severe pain. This leads you to suspect: 1.Otitis media. 2.Otitis media with effusion. 3.Otitis externa. 4.Primary otalgia. {Ans: otitis externa rationale: When severe pain is elicited by tugging on a normal-appearing auricle, an acute infection of the external ear canal (otitis externa) is suspected}A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 located in the web spaces between his fingers.