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+--- Thread: nbme block 1 Q 16 and 17 - matching2009 (/showthread.php?tid=462371)
nbme block 1 Q 16 and 17 - matching2009 - ArchivalUser - 11-06-2009
16. A 58-year-old white store manager comes to the office for a periodic health evaluation. You have been treating both the patient and his wife for the past 15 years. Today the patient is tearful and agitated. He says that he is having difficulty with his son, who is age 32 years and has schizophrenia. The son has been living intermittently in a group home or on the streets. The patient says that his son is noncompliant with his antipsychotic medications. Recently, the son has been calling the patient's house asking for money, which the patient suspects his son uses to buy alcohol and illicit drugs. It is most appropriate to advise the patient to do which of the following?
?A) Arrange an involuntary commitment to a psychiatric hospital for his son
B) Ask his son's psychiatrist to adjust his medication
C) Change his phone number
[D) Contact the local chapter of the National Alliance for the Mentally Ill for support and advice]
E) Obtain a restraining order against his son
17. A 20-year-old man comes to the health center because of ankle pain. Two days ago he sustained an inversion injury of his left ankle in a basketball game. He has been able to walk unassisted since the injury. Today he has pain and moderate swelling and discoloration over the lateral malleolus. Physical examination shows tenderness on palpation over the anterolateral corner of the ankle joint. He has had two similar injuries in the past. Which of the following is the most appropriate initial management?
A) An ankle-strengthening exercise program
B) Application of a long-leg cast for 3 weeks
C) Application of a short-leg cast for 3 weeks
D) Protected weight bearing
[E) Surgical repair of the ankle ligaments]
please can u give the reasoning behind the answers please, thanks
0 - ArchivalUser - 11-06-2009
sorry this is step 3
0 - ArchivalUser - 11-07-2009
16-D
17-E