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#767
12.09.2006, 18:46
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>>D<<
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#768
12.09.2006, 18:48
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Мне кажется, Е. По крайней мере, "sexually active with a few different girls" - звучит многообещающе.
Конечно, Д тоже подходит, но сначала я бы сделала анализ.
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#769
12.09.2006, 19:45
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D. recommend the hepatitis B virus vaccine. Пациент не защищен от этой инфекции. Риск заражения существенный и если сейчас у него few different girls, то после избавления от прыщей будет гораздо больше...
Нет оснований думать, что пациент ВИЧ-инфицирован. Персистирование varicella-zoster virus не вызывает угревую сыпь.
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#770
12.09.2006, 21:05
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Пока ехал домой, подумал. Теперь тоже считаю, что, наверное, правильный ответ тут D. Просто мне первоначально в голову не пришло, что пациенту-то 19 лет, то есть родился он еще до введения обязательной HBV-вакцинации младенцев. А коль скоро в подростковом возрасте его не прививали, значит, надо привить.
Но на ВИЧ я бы такого пациента проверил. Показания у него есть - все-таки, беспорядочные половые связи налицо. По хорошему, ему бы и anti-HBcor надо было бы взять, может, и D уже ни к чему...
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#771
12.09.2006, 21:41
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Цитата:
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#772
12.09.2006, 22:11
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На мой взгляд, D. Промискуитет опасен... Что касается согласия, уважаемый Тимофей Александрович, то оно все больше виртуальное. Например, при ежегодных профилактических осмотрах сотрудников может сотрудник не согласиться на это исследование? И если он откажется, какие могут быть приняты меры?
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#773
12.09.2006, 22:54
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Э, нет. Ничего виртуального я не вижу. Есть обследование пациента, и есть обследование проф. контингентов. Разные ситуации:
1) Пациент может отказаться - тогда он рискует быть неправильно леченным и соотв., например, помереть. 2) Сотрудник тоже может отказаться, и тогда он рискует оказаться проф. непригодным (вот Вам и меры - отказался от обследования, значит, проф.непригоден, и никакого нарушения прав здесь нет). Информированное согласие спрашивать всегда надо, но в информированном согласии надо писать, чем чреват отказ. В этом и есть ИНФОРМИРОВАННОЕ согласие - присутствует информация о тех рисках, которые сопутствуют согласию, равно как и о тех рисках, которые сопутствуют отказу.
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#774
13.09.2006, 03:19
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The correct answer is D. The hepatitis B virus vaccine is recommended for all sexually active adolescents and college students. It is necessary to check vaccination histories on all college students to try to protect against vaccine-preventable diseases. Multiple sexual partners, injection drug use, and any other activities with exposures to blood or bodily fluids increase the risk of hepatitis B virus.
Since he is sexually active with multiple partners, he should be given the hepatitis B vaccine and should be offered HIV counseling and testing. It is inappropriate to do nothing (choice A). Even though he admits to drinking a lot of alcohol, there is no indication to order liver function tests (choice B). Heavy drinking in an asymptomatic individual does not warrant any investigation. Since he remembers having the chicken pox virus at age 7, there is no reason to doubt his history and to order serologic testing for varicella-zoster virus (choice C). If he does not recall if he had the virus, serologic testing is indicated, and if seronegative, he should be immunized. HIV counseling and testing should be offered to sexually active adolescents and college students. However, consent must be obtained before testing and therefore sending HIV serologic testing (choice E) without first obtaining consent is incorrect.
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#775
13.09.2006, 04:58
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:)
1. Which one of the five choices makes the best comparison? LIVED is to DEVIL as 6323 is to:
2336 6232 3236 3326 6332 2. Which one of these is least like the four? Horse Kangaroo Goat Deer Donkey 3. Which number should come next? 144 121 100 81 64 ? 17 19 36 49 50 4. Even the most ___________ rose has thorns. Ugly Weathered Elusive Noxious Tempting 5. HAND is to Glove as HEAD is to Hair Hat Neck Earring Hairpin 6. John likes 400 but not 300; he likes 100 but not 99; he likes 3600 but not 3700. Which does he like: 900 1000 1100 1200 7. A fallacious argument is: Disturbing Valid False Necessary 8. If you rearrange the letters "ANLDEGN," you would have the name of a(n): Ocean Country State City Animal 9. NASA received three messages in a strange language from a distant planet. The scientists studied the messages and found that "Necor Buldon Slock" means "Danger Rocket Explosion" and "Edwan Mynor Necor" means "Danger Spaceship Fire" and "Buldon Gimilzor Gondor" means "Bad Gas Explosion". What does "Slock" mean? Danger Explosion Nothing Rocket Gas 10. If some Wicks are Slicks, and some Slicks are Snicks, then some Wicks are definitely Snicks. The statement is: True False Neither 11. Ann is taller than Jill, and Kelly is shorter than Ann. Which of the following statements would be most accurate? Kelly is taller than Jill Kelly is shorter than Jill Kelly is as tall as Jill It's impossible to tell 12. A boy is 4 years old and his sister is three times as old as he is. When the boy is 12 years old, how old will his sister be? 16 20 24 28 32 13. Assume that these two statements are true: All brown-haired men have bad tempers. Larry is a brown-haired man. The statement Larry has a bad temper is: True False Unable to determine 14. Two girls caught 25 frogs. Lisa caught four times as many as Jen did. How many frogs did Jen catch? 4 5 8 10 15 15. Inept is the opposite of: Healthy Deep Skillful Sad Happy 16. If all Zips are Zoodles, and all Zoodles are Zonkers, then all Zips are definitely Zonkers. The above sentence is logically: True False Neither 17. Sue is both the 50th best and the 50th worst student at her school. How many students attend her school? 50 75 99 100 101 18. In a race from point X to point Y and back, Jack averages 30 miles per hour to point Y and 10 miles per hour back to point X. Sandy averages 20 miles per hour in both directions. If Jack and Sandy begin the race at the same time, who will finish first? Jack Sandy They tie Neither Impossible to tell 19. Ten people can paint 60 houses in 120 days, so five people can paint 30 houses in: 15 days 30 days 60 days 120 days 20. The pure and simple truth is rarely pure and never ________. Complete Accurate Complex Simple Wise 21. Which number should come next? 64, 16, 4, 1, 1/4? 1/16 1/12 1/8 1/2 1 22. What number is one half of one quarter of one tenth of 800? 2 5 8 10 40 23. A cynic is one who knows the price of everything and the ________ of nothing. Emotion Value Meaning Color Quality 24. Which one of these five things is least like the other four? Plum Grape Apricot Peach Cherry 25. Wisdom is knowing what to do next; __________ is doing it. Virtue Luck Happiness Sanity Nostalgia 26. It is easier to _______________ than to offer a helping hand. Raise a flag Be on the ball Lay down Point the finger Sing praises 27. True knowledge exists in knowing that you know ___________. Everything Nothing The truth The weather The meaning of life
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#776
13.09.2006, 05:05
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My official IQ is 51.
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#777
13.09.2006, 07:08
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1. 3236
2. Kangaroo 3. 49 4. Even the most Tempting rose has thorns. 5. HAND is to Glove as HEAD is to Hat 6. 1200 7. A fallacious argument is: False 8. If you rearrange the letters "ANLDEGN," you would have the name of a(n): Country (England) 9. Rocket 10. True 11. Kelly is shorter than Jill 12. 20 13. True 14. 5 15. Skillful 16. False 17. 101? 18. They tie 19. 15 20. The pure and simple truth is rarely pure and never Complete 21. 1/16 22. 10 23. A cynic is one who knows the price of everything and the Value of nothing 24. Grape 25. Wisdom is knowing what to do next; Virtue is doing it. 26. It is easier to Point the finger than to offer a helping hand 27. True knowledge exists in knowing that you know Nothing.
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#779
13.09.2006, 14:43
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 Ну теперь, когда все убедились в своем высоком официальном и неофициальном IQ можно продолжить:A 21-year-old man comes to the clinic for a follow-up visit. He has been found to be hypertensive with bilateral arm blood pressures in the 140-160/100-110 mm Hg range on several visits. The patient has no past medical history and has no complaints. Review of systems is significant for occasional “band-like headaches". Physical examination is normal including a normal retinal examination. Urinalysis is normal. An electrocardiogram demonstrates normal sinus rhythms at a rate of 75/min, with mild left ventricular hypertrophy. His blood pressure is now 150/100 mm Hg after treatment with maximal doses of atenolol, hydrochlorothiazide, and captopril. The next step in the evaluation of this patient's hypertension is to A. order a duplex ultrasound of the renal arteries B. order an echocardiogram C. prescribe triamterene D. repeat the electrocardiogram E. repeat the ophthalmoscopic examination
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#780
13.09.2006, 15:06
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Неэффективность комбинированной терапии тремя антигипертензивными препаратами в адекватной дозе дает основание констатировать рефрактерную гипертонию и начинать поиск симптоматической АГ.
Из перечисленных мероприятий шагом вперед будет пункт А - УЗД-сканирование почечных артерий. В реальной жизни я бы параллельно проводил обследование на надпочечниковые АГ.
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Линейный вид
