When children are exposed to uncertainty and stress early in their lives they may experience a range of emotions, including rejection, fear, confusion, anger, hatred, and misery. Consequently the individual may become withdrawn and inward-looking. This is known as:
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Question 2 of 57
Which of the following is the 5th millennium development goals (MDG's)
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Question 3 of 57
Environmental impact assessment
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Question 4 of 57
A 76-year-old male patient of yours is undergoing a left knee replacement for severe arthritis, and you are asked to perform his presurgical clearance. His past medical history is significant for episodic rate-controlled atrial fibrillation, a stroke at age 72 (from which he recovered fully), and uncontrolled hypertension. Last year, an echocardiogram showed he had severe aortic stenosis, but he has elected not to undergo surgical repair. He reports that he is sedentary, and is not able to walk up one flight of steps carrying his groceries without stopping to rest. His blood pressure upon evaluation is 168/92. Which of the following is the strongest clinical predictor of increased perioperative cardiovascular risk for this surgery?
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Question 5 of 57
Terrestrial biomes has a rapid exchange of
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Question 6 of 57
Which one of the following is not included under in situ conservation?
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Question 7 of 57
An aquarium is an ecosystem
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Question 8 of 57
What are the two main hazards for a child of 6 months?
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Question 9 of 57
You are evaluating a 26-year-old female smoker who developed chest pain several hours ago. Her past history is unremarkable, and she takes no medications regularly. She reports the abrupt onset of nonexertional chest pain, associated with shortness of breath and cough. It seems to be worse when she is lying down. It was not brought on by trauma. Which of the following is the most likely origin of her pain?
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Question 10 of 57
Outline TWO (2) goals of emergency risk communication
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Question 11 of 57
A 19-year-old presented to your office with a 3-day history of fatigue, sore throat, and low-grade fevers. On examination, his temperature was 100.3°F, and you noted an exudative pharyngitis with cervical adenopathy. You sent a throat culture and started him on amoxicillin prophylactically. Two days later, he presents for follow up with continued symptoms and a diffuse, symmetrical erythematous maculopapular rash. What is the most likely cause of his symptoms?
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Question 12 of 57
Which of the following are important biotic factors that can affect the structure and organization of biological communities?
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Question 13 of 57
What type of program is offering weight control and exercise programs an example of?
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Question 14 of 57
The two major impacts expected as a result of rising global temperatures are
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Question 15 of 57
According to the CWLA fact sheet of 2004 what percentage of poor children had a working parent?
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Question 16 of 57
Which features would be more consistent with dementia as opposed to delirium?
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Question 17 of 57
A 48-year-old man with type 2 diabetes talks to you at a routine appointment about a drug he heard discussed on the news. This patient currently takes gliplizide, pioglitazone, and acarbose. He wants to know more about sitagliptin (Januvia). Which of the following best explains its mechanism of action?
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Question 18 of 57
Which of the following statements is true about the Air Quality Index?
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Question 19 of 57
What is the best method of delivering advice to a patient who has a new diagnosis of a long-term condition? Choose the correct answer.
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Question 20 of 57
One of your patients is dying of end stage breast cancer. She is complaining of dyspnea. Which of the following treatment options would be most beneficial?
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Question 21 of 57
Diseases that spread from one person to another are called _______.
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Question 22 of 57
A 25-year-old woman is trying to stop smoking. She has difficulty with sudden cravings for nicotine and wonders which nicotine replacement system offers the fastest delivery of nicotine. Which of the following methods of nicotine replacement delivers nicotine fastest?
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Question 23 of 57
Which of the following activity is incorrect about the impact of human activities on the ecosystem?
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Question 24 of 57
You are discussing migraine management with a 30-year-old woman. She wants to use prophylactic medications, but had debilitating fatigue and symptoms of depression on beta-blockers. Which of the following medications is an acceptable alternative?
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Question 25 of 57
You are seeing an 18-year-old college athlete complaining of ear pain. His pain has been present for 4 days, and seems to be worsening. He has no fever or symptoms of upper respiratory infection. On examination, his ear canal is tender, erythematous, and swollen. His tympanic membrane is obscured by discharge and debris. What is the treatment of choice for this patient?
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Question 26 of 57
You are caring for a 65-year-old man with lung cancer. He was diagnosed 4 months ago, and is not expected to live for more than 2 months. He is experiencing dyspnea. His chest x-ray shows progression of his cancer, and his pulse oximetry shows a room air oxygen saturation of 94%. Which of the following is most likely to relieve his symptoms?
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Question 27 of 57
A 28-year-old monogamous married woman comes to you for emergency contraception. She and her husband typically use condoms to prevent pregnancy, but when they had sex 2 evenings ago, the condom broke. She does not want to start a family at this time. Which of the following statements is true regarding the use of emergency contraception pills (ECPs)?
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Question 28 of 57
You are talking with a patient who recently found out that a coworker has Hepatitis C. Which of the following is true about hepatitis C?
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Question 29 of 57
Global warming can be controlled by
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Question 30 of 57
Plague is caused by
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Question 31 of 57
First International Conference on 'Wetland Conservation' was held in
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Question 32 of 57
You are concerned that a 66-year-old man is developing signs of Alzheimer's disease. His mother suffered from it, and he has an older brother currently battling dementia. Which of the following is considered a routine laboratory test used in the evaluation of dementia?
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Question 33 of 57
While you are working in the emergency room, a 17-year-old patient presents with a cat bite. He was helping a neighbor get his cat out of a tree 3 hours ago, and was bitten on the forearm. On examination, you note erythema, a puncture wound with a jagged laceration, mild purulent discharge, but no tendon involvement. You irrigate the wound thoroughly. What additional therapy is indicated?
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Question 34 of 57
A nursing support worker is tipping a patient back to feed them, despite being told that this is dangerous practice. What would be a nurse's first action? Choose the correct answer.
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Question 35 of 57
What is the most appropriate treatment?
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Question 36 of 57
What would be the best treatment?
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Question 37 of 57
The most common characteristic of diarrhea in Cholera is
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Question 38 of 57
What is the treatment?
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Question 39 of 57
Despite several months of conservative therapy including physical therapy, one of your 44-year-old male patients has had persistent low back pain. Which of the following interventions has been shown to be effective in the short term?
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Question 40 of 57
Define climate change
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Question 41 of 57
How many women worldwide have an unmet need for family planning?
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Question 42 of 57
You are seeing a new patient. His history of alcohol use is significant, and he has several physical examination findings that are consistent with a potential diagnosis of cirrhosis. Which of the following is the best diagnostic test to confirm cirrhosis?
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Question 43 of 57
Which is a list of renewable resources?
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Question 44 of 57
You have diagnosed travelers' diarrhea in a 30-year-old otherwise healthy man who has recently returned from an African safari. Which of the following is the best empiric treatment option?
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Question 45 of 57
The market, the consumer needs to know how to choose products
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Question 46 of 57
You are considering treatment for a 19-year-old female patient with primary dysmenorrhea. What should be your first-line therapy?
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Question 47 of 57
You have recently determined that a patient in your office has rheumatoid arthritis. Which of the following is the most appropriate next step?
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Question 48 of 57
Which of the following terms BEST describes waste matter that is wholly or nearly edible and has food value for animals?
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Question 49 of 57
COD stands for
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Question 50 of 57
Which of the following options is FALSE?
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Question 51 of 57
Energy is returned to the atmosphere in the form of
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Question 52 of 57
You are working at a medical office whose population includes a large proportion of Native American patients. Which of the following health issues has a higher prevalence in this population than in other American population groups?
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Question 53 of 57
You are caring for a 40-year-old obese woman with mild hypertension. She is sexually active with her husband of 16 years, and had a tubal ligation after her son was born 5 years ago. One year ago, her Pap smear reported 'atypical squamous cells of undetermined significance.' Human papillomavirus testing at your institution was unavailable. You repeated the Pap smear at 4 months and 8 months after the initial sample was taken. Both of those samples were normal. Which of the following is the most appropriate next step?
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Question 54 of 57
You are discussing varicella-zoster vaccination with an adult who does not ever remember having chicken pox. Which of the following statements is true?
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Question 55 of 57
A fundamental truth or law as the basis of reasoning or action is also known as;
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Question 56 of 57
The uses of CFCs are
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Question 57 of 57
Mosquitoes do not spread
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