D118 OA STUDY GUIDE EXAM WITH VERIFIED ANSWERS WITH RATIONALES. // GRADED A+. // NEW!!! NEW!!!
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Course
D118 OA
Institution
D118 OA
D118 OA STUDY GUIDE EXAM WITH
VERIFIED ANSWERS WITH RATIONALES. //
GRADED A+. //
NEW!!! NEW!!!
Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
ANS: B
The ...
D118 OA STUDY GUIDE EXAM WITH
VERIFIED ANSWERS WITH RATIONALES. //
GRADED A+. //
NEW!!! NEW!!!
Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study. Epidemiological
studies are appropriate for level II studies. Qualitative designs are useful for Level I studies.
Randomized clinical trials are used for Level IV studies.
A patient with chronic seborrheic dermatitis reports having difficulty remembering to use the
twice-daily ketoconazole cream prescribed by the provider. What will the provider order for
this patient?
a. Burrow's solution soaks once daily b. Oral corticosteroids
c. Oral itraconazole (Sporanox)
d. Selenium sulfide shampoo 2.5% as a daily rinse
ANS: C
,Itraconazole is effective for moderate to severe symptoms and is an alternative for those
who do not wish to use topical treatment. Burrow's solution and selenium shampoo rinses
are not indicated. Oral corticosteroids are usually not given.
A patient who has never had an outbreak of oral lesions reports a burning sensation on the
oral mucosa and then develops multiple painful round vesicles at the site. A Tzanck culture
confirms HSV-1 infection. What will the provider tell the patient about this condition?
a. Antiviral medications are curative for oral herpes.
b. The initial episode is usually the most severe.
c. There are no specific triggers for this type of herpesvirus.
d. Transmission to others occurs only when lesions are present.
ANS: B
In herpes virus outbreaks, the initial episode is generally the most severe. Antiviral
medications may prevent outbreaks, but do not cure the disease. HSV-1 has several specific
triggers. Transmission to others may occur even when lesions are not present.
A patient who has had lesions for several days is diagnosed with primary herpes labialis and
asks about using a topical medication. What will the provider tell this patient?
a. Oral antivirals are necessary to treat this type of herpes.
b. Preparations containing salicylic acid are most helpful.
c. Topical medications can have an impact on pain and discomfort.
d. Topical medications will significantly shorten the healing time.
,ANS: C
Topical medications may alleviate discomfort, but do not shorten healing time. Oral antivirals
may help shorten healing, but are not necessary as treatment, since the disease is usually
self-limiting. Salicylic acid should not be used because it can erode the skin.
A patient who has recurrent, frequent genital herpes outbreaks asks about therapy to
minimize the episodes.
What will the primary care provider recommend as first-line treatment?
a. Acyclovir
b. Famciclovir
c. Topical medications
d. Valacyclovir
ANS: A
All three oral antiviral medications help reduce the number of occurrences and the frequency
of asymptomatic shedding. Famciclovir and valacyclovir are more costly and no more
effective, so should not be first-line therapy. Topical medications are not useful with
recurrent, frequent genital herpes.
A patient reports severe back pain located in the lumbar spine. To evaluate whether the
patient has axial pain or radicular pain, which assessment is necessary?
a. Asking the patient to perform the Valsalva maneuver
b. Assessing reflexes and asking about tingling or numbness
c. Determining whether the pain is present with prolonged sitting
d. Noting whether pain is mitigated with frequent position shifts
ANS: A
, Associated neurological signs are present with radicular pain and include numbness,
tingling, weakness, and reflex changes. The other symptoms occur with both axial and
radicular pain.
A patient has an acute onset of lower back pain associated with lifting heavy objects at work.
A physical examination reveals no loss of lower extremity function or neurological symptoms.
What is the initial intervention for this patient?
a. Magnetic resonance imaging (MRI) to evaluate soft tissue involvement
b. Plain radiographs to evaluate the extent of the injury
c. Traction therapy to minimize complications
d. Treatment with a nonsteroidal anti-inflammatory drug (NSAID)
ANS: D
NSAIDs are appropriate as first-line treatment in patients without potential complications.
Radiologic studies are performed if improvement does not occur in 4 to 6 weeks. Traction
may be used for patients with radicular symptoms to help resolve neurological deficits,
although systematic review of research has not clearly identified a benefit to this therapy.
A patient has recurrent lumbar pain which is sometimes severe. The patient reports that
prescription of nonsteroidal anti-inflammatory drugs (NSAIDs) is no longer effective for pain
relief. What will the provider recommend?
a. Adjunctive treatment with physical therapy
b. Beginning treatment with opioid analgesics
c. Complementary and alternative therapies
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