Question 5

September 9, 2015

Question:

Based on the patient's clinical presentation, what should you do initially in terms of medical management? [Select the one best answer]

Answers

Answer:

Reassure her that her medical problems are probably the result of stress associated with domestic violence and that since she has now left her husband, these issues should resolve promptly without the need for medication or further follow up.

Correct Answer?

Explanation:

A. Incorrect Although both her asthma and hypertension may improve somewhat as her safety and stability improve, this choice minimizes the health impact of the abuse she is experiencing. In addition, these medical problems may be unrelated to the abuse that she is now fleeing. Finally, even though Clara has left her husband, she is still living in significant, legitimate fear, which may exacerbate her medical problems.

Answers

Answer:

Reassure her that since she is young and otherwise healthy, she can probably get by just fine with moderately elevated blood pressure for a few months until she sorts out what she wants to do. In addition, advise her to practice mindfulness meditation, to avoid places where there is cigarette smoke, and to present to the emergency room if her wheezing becomes problematic.

Correct Answer?

Explanation:

B. Incorrect Elevated blood pressure should never be ignored or minimized. With regular medical follow-up, her blood pressure will be monitored and treatment adjusted as appropriate.

Answers

Answer:

Contact the social worker or pharmacist associated with your practice to arrange for a supply of no-cost medications.

Correct Answer?

Explanation:

C. CORRECT The patient is experiencing serious difficulty making ends meet. She clearly wants to be compliant with her medical regimen, as evidenced by the reason for her visit. If she cannot get her prescribed medications at low or no cost, she may suffer untoward and perhaps serious health effects. She may also be at risk of returning to her husband, which is likely to pose danger for her and her children.

Answers

Answer:

Refer for evaluation of potential hyperthyroidism or renal disease.

Correct Answer?

Explanation:

D. Incorrect There is no clear indication for specialty referral at this time.

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