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Old 05-10-2014
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Default nbme pediatric self assessment qs

6)A previously healthy 16yo girl emigrated from sun saharan africa comes to the physician because of a painless lesion on her vulva for 4 days.she is sexually active with one male partner and does not use contraception.P/E show a10mm nontender ,sharply demarcated elevated round lesion on right labium magus.the base of the lesion is smooth and non purulent .which of the following is the most likely causal organism?
A)Chlamydia trachomitis
B)Gardenerella vaginilis
C)h ducreyi
D)HPV
E)N gonorrhoeae
F)t pallidum
G)t.vaginalis
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Old 05-10-2014
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q)A 15 y/o boy is brought to the physician for examination prior to the participation in school basketball.he has 5 yrs h/o well controlled type 1 DM.medications include 25U of immediate acting insulin and 12U of short acting insulin each morning and 15U of intermediate acting insulin and 7U of short acting insulin each afternoon.his HB A1C was 6.5%2 weeks ago.examnination today shows no abnormalities.he requesra advice about how to decrease his risk of diabetes related complications during intense basketball practices.which of the following is the most appropriate recommendations?
A)decrease the insulin dosage by 10% to 15% only on practice days
B)Limit exercise to 30 mins at one time.
C)measure urine glucose concentration every 30 min during exercise
D)participate only in non contact sports
E)switch to short acting insulin only.
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Old 05-10-2014
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Please guys help me with these qs..
Thanks in advanced..
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Old 05-10-2014
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first one : syphilis

the second one : short acting insulin
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api77 (05-10-2014)
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Old 05-10-2014
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Quote:
Originally Posted by EMMY24 View Post
first one : syphilis

the second one : short acting insulin
thanks a lot..but for the second one I picked up short acting insulin but it is wrong.
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Old 05-10-2014
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Quote:
Originally Posted by api77 View Post
thanks a lot..but for the second one I picked up short acting insulin but it is wrong.
you are right it is reducing the dose on exercise days

sorry for the mistake
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