CME Quiz

摘要

Which one of the following patients should be screened for Mycobacterium tuberculosis infection? * A. A 45-year-old woman who immigrated to the United States from China 20 years ago. * B. A healthy five-year-old girl born in the United States. * C. A 50-year-old man starting adalimumab (Humira) therapy for rheumatoid arthritis. * D. A 16-year-old boy living at home with his parents who have health insurance and a moderate income. Which one of the following effects has been noted in patients with moderate to severe asthma and reflux symptoms who are on high-dose proton pump inhibitor (PPI) therapy? * A. Reduced asthma symptoms. * B. Improved pulmonary function. * C. Reduced albuterol (Ventolin) use. * D. Reduced asthma exacerbations. Which of the following statements about nasopharyngeal and laryngeal symptoms of gastroesophageal reflux disease is/are correct? * A. Abnormal laryngoscopic findings are common in patients with and without reflux symptoms. * B. Upper endoscopy and 24-hour pH monitoring are often normal in persons with reflux-induced nasopharyngeal symptoms. * C. Use of a proton pump inhibitor twice daily significantly improves laryngeal symptoms. * D. The presence of ulcers and granulomas predicts a better response to acid reduction.