Which condition is caused by an insufficient production of intrinsic factor by gastric mucosa and vitamin B insufficiency?- Skildor

Question 1 of 5

Which condition is caused by an insufficient production of intrinsic factor by gastric mucosa and vitamin B insufficiency?

A. Diarrhea B. Pernicious anemia C. Osteoporosis D. Muscle weakness

Correct Answer: B

Rationale: Pernicious anemia is caused by a lack of intrinsic factor, leading to vitamin B12 deficiency.

Question 2 of 5

Which agent is NOT useful in prophylactic treatment of migraine headaches?

A. Sumatriptan (Imitrex) B. Amitriptyline (Elavil) C. Verapamil (Verelan) D. Metoprolol (Lopressor)

Correct Answer: A

Rationale: Sumatriptan is used to treat acute migraines, not for prevention.

Question 3 of 5

When a Medicare beneficiary with only traditional Part A and Part B coverage is admitted to the hospital, what will he or she have to pay out of pocket?

A. Nothing B. $500 deductible C. 20% of the hospital and physician fees D. More than $1000 deductible and 20% of all physician fees

Correct Answer: C

Rationale: Medicare Part B requires the patient to pay 20% of hospital and physician fees.

Question 4 of 5

What common clinical finding is present in a patient who has croup?

A. Barking cough B. Sudden onset of symptoms C. Nighttime symptoms D. Shortness of breath

Correct Answer: A

Rationale: Barking cough is characteristic of croup, often described as sounding like a seal.

Question 5 of 5

An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once weekly. Medical problems include poorly controlled hypertension, diastolic heart failure, hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pre-tibial edema.

A. Stop hydrocodone-acetaminophen and add naproxen. B. Stop amlodipine and increase lisinopril. C. Add afternoon furosemide. D. Add tamsulosin.

Correct Answer: D

Rationale: Tamsulosin is an alpha-1 blocker that helps relieve urinary symptoms associated with BPH.