Family Medicine PreTest Self-Assessment And Rvw by D. Knutson

By D. Knutson

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89. Your patient has terminal cancer with a life expectancy of less than 3 months. You are managing her chronic cancer pain with morphine sulfate. She has been stable and on the same dosage of medication for weeks, but is now requiring increasing amounts of opiates to maintain pain control. Which of the following statements is true regarding this situation? a. The patient’s disease is progressing and you should increase her medication dosage. b. The patient’s disease is progressing and you should change medications.

Which of the following statements is most correct regarding the use of placebos in this situation? a. Placebo use is never ethical. b. Placebo use is not ethical in this case. c. Placebo use is ethical in this case because the patient’s diagnosis is likely depression, and depression has a high response rate to placebos. d. Placebo use is ethical in this case because the alternative to placebo use is unacceptable. e. Placebo use is ethical in this case because the patient is demanding treatment.

B. c. d. e. African Americans Hispanic Americans Native Americans Asian Americans Non-Hispanic white 66. You are evaluating a Hispanic patient with multiple somatic complaints and suspect a mental health disorder. Which of the following is true regarding mental health disparities in the United States today? a. Mental health disorders are diagnosed less frequently in minority populations than in non-Hispanic white patients. b. It is uncommon for minority groups to express mental health disorders via somatization.

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