ACCREDITATION
|
1.
|
Which of the following is true regarding the symptoms of crack dependence and abstinence?
|
| |
a. |
They are usually less intense in the first seven days. |
| |
b. |
They are more intense when the patient is in a protected environment. |
| |
c. |
Depressive symptoms are common. |
| |
d. |
Anxiety symptoms are rare. |
| |
|
2.
|
Which of the following is true regarding the start of treatment of these patients?
|
| |
a. |
Topiramate is not beneficial. |
| |
b. |
Disulfiram is not beneficial. |
| |
c. |
Modafinil is not beneficial. |
| |
d. |
The dose of modafinil is 200-400 mg/day. |
| |
|
3.
|
Which of the following is not true about the effects of crack use during pregnancy and on the newborn?
|
| |
a. |
Increased risk of premature birth. |
| |
b. |
Low birth weight. |
| |
c. |
Behavioral alterations beyond school age. |
| |
d. |
Children born to mothers who are crack users have autonomic instability. |
| |
|
4.
|
Which of the following is true regarding the diagnosis of crack dependence?
|
| |
a. |
Hair analysis can help in the monitoring of abstinence. |
| |
b. |
Neuroimaging is useful in the diagnosis of dependence. |
| |
c. |
The measurement of cocaine metabolites in urine identifies use within the last ten days. |
| |
d. |
The diagnosis of use within the last six months can be performed through body fluids. |
| |
|
5.
|
Which of the following is not a risk factor for crack use?
|
| |
a. |
Alcohol. |
| |
b. |
Cigarettes. |
| |
c. |
Belonging to marginalized groups. |
| |
d. |
Religiousness. |
RESPONSES TO CLINICAL SCENARIO: UPDATE ON GASTROESOPHAGEAL REFLUX DISEASE (GERD): NON-PHARMACOLOGICAL TREATMENT
1. Elevating the head of the bed at night reduces esophageal acid exposure (Alternative A).
2. Hiatal hernia > 2 cm and fixed (Alternative B).
3. Surgical treatment in patients refractory to acid suppression (Alternative D).
4. Nissen produces more dysphagia (Alternative C).
5. Fruit and fiber consumption is a protective factor (Alternative D).
[PUBLISHED IN RAMB 2012; 58(2)]
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