Multiple Choice Questions (MCQ)

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Category: Prometric--->PMCH
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Question 1# Print Question

If the threshold of a screening test is increased.

How it will affect sensitivity and specificity?  

A. Sensitivity increase & specificity decrease
B. Sensitivity decrease and specificity increase
C. Both sensitivity and specificity increase
D. Both sensitivity and specificity decrease

Question 2# Print Question

A man suspects that he may have gonorrhea. Tests confirm it. He tells you that his wife works at the hospital and he wishes to keep this a secret to avoid possible conflicts and embarrassment.

What is the appropriate way to handle this situation at this point? 

A. Inform the patient about the nature and implications of the infection and importance of treating his wife as well
B. You must call his wife and let her know
C. Don’t listen to him
D. Send his wife a letter
E. Suggest relationship counselling

Question 3# Print Question

Screening for Chlamydia trachomatis infection should be performed on which one of the following asymptomatic patients who present for routine evaluation? 

A. A 16-year-old female who states that she is not sexually active
B. A 20-year-old female who uses birth control pills for contraception and has a new sexual partner
C. A 26-year-old male with multiple sexual partners with no STD history who uses condoms consistently
D. A 28-year-old female who is married, has no history of sexually transmitted disease, and uses the rhythm method to avoid pregnancy

Question 4# Print Question

A 31-year-old female presents with her first outbreak of genital herpes. She has been married for 4 years and says she has not had sexual relations with anyone other than her husband since they started dating. 

When counseling this patient, which one of the following would be appropriate advice?

A. Because the average incubation period for herpes is 3 months, her husband has most likely had another sexual partner in the past few months
B. Suppressive therapy can decrease transmission to sexual partners
C. If type-specific serologies are negative, genital herpes can be ruled out
D. Daily application of topical acyclovir (Zovirax) is effective for suppressant therapy

Question 5# Print Question

A 70-year-old white female presents with a pruritic rash on her sacrum that has occurred intermittently over the last 6 years. She reports that the area is always very tender just before the blister-like lesions erupt. She is otherwise in good health, and takes no medications. Her past medical history is unremarkable. You provide appropriate treatment for the condition.

You should advise the patient to avoid which one of the following during future outbreaks? 

A. Excessive intake of green, leafy vegetables
B. Sexual contact
C. Perfumed soaps or body lotions
D. Sun exposure
E. Prolonged sitting

Category: Prometric--->PMCH
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