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#466
10.08.2006, 18:50
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The correct answer is B. This patient has complex partial seizures, which are characterized by automatisms ("picking" movements with hands, chewing, swallowing), that are preceded by an aura. The sequence of events is as follows: aura, behavioral arrest or a motionless stare, automatisms, and postictal confusion. The patient has an impairment of consciousness. These seizures occur in a focal region of the brain, often the temporal lobe.
Absence seizures (choice A), also called petit mal seizures, are generalized seizures that consist of a brief loss of consciousness and automatisms. Postural control is maintained. There is no postictal confusion. Generalized tonic-clonic seizures (choice C) are characterized by a sudden contraction of the muscles followed by periods of contraction and relaxation, and finally, relaxation. There is postictal unresponsiveness, excess salivation, and bowel and bladder incontinence. Myoclonic seizures (choice D) consist of the sudden contraction of one part of the body or may involve the entire body. It is caused by cortical dysfunction. Simple partial seizures (choice E) are characterized by motor, autonomic, sensory, or psychic symptoms. An aura may precede the seizure. Consciousness is maintained. 
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#467
10.08.2006, 18:52
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A 27-year-old woman comes to the office for a periodic health maintenance examination. She is healthy and has no specific complaints. She works at an advertising agency, has a "live-in" boyfriend, exercises a few times a week, eats a low-fat diet, and rarely drinks alcohol. She smokes a pack of cigarettes every 3 days. Her Pap smears have always been normal. The last one was 2 years ago. She currently uses condoms for birth control, but lately her boyfriend has been "nagging" her to "go on the pill." She is 157 cm (5 ft 2 in) tall and weighs 54 kg (119 lb). Her blood pressure is 120/80 mm Hg and pulse is 60/min. Physical and pelvic examinations are unremarkable. In discussing oral contraceptive pills (OCPs) with this patient, you should inform her that:
A. Condoms do not need to be used to prevent chlamydial infections B. Her menstrual periods will become longer and heavier C. She must stop smoking before you prescribe oral contraceptive pills D. Oral contraceptive pills decrease the risk for gonococcal pelvic inflammatory disease E. Oral contraceptive pills increase the risk for ovarian cancer
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#472
10.08.2006, 19:48
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C - õîòÿ áû ïîòîìó, ÷òî íè÷òî äðóãîå íå ïîäõîäèò. È âîîáùå, ýòî õîðîøåå äåëî - ïîáóäèòü äåâóøêó áðîñèòü êóðèòü.
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#474
10.08.2006, 20:15
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À. Ýòà èíôîðìàöèÿ íåîáõîäèìà ïàöèåíòêå ïðè ïðèíÿòèè ðåøåíèÿ îá îðàëüíîé êîíòðàöåïöèè. Îòíîñèòåëüíî êóðåíèÿ: ïàöèåíòêà îòíîñèòñÿ êî 2-é ãðóïïå ðèñêà ïî ïîâûøåíèþ òðîìáîîáðàçîâàíèÿ (ìåíüøå 20 ñèãàðåò â äåíü, âîçðàñò äî 35 ëåò, îòñóòñòâèå îæèðåíèÿ), ãäå ïîòåíöèàëüíàÿ ïîëüçà ïðåâûøàåò ðèñê ëå÷åíèÿ.  è Å íå ñîòâåòñòâóþò èñòèíå, ýôôåêò îò ÎÑÐ îáðàòíûé. D - åñëè è ñîîòâåòñòâóåò, âñå ðàâíî âðÿä ëè ýòà èíôîðìàöèÿ áóäåò ïîëåçíà ïàöèåíòêå.
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#475
10.08.2006, 20:18
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A. Condoms do not need to be used to prevent chlamydial infections?
Are you sure?  ß òîæå âñå âðåìÿ ïîïàäàëà â ýòó ëîâóøêó - çàáûâàëà ïðî÷èòàòü "not".
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#477
10.08.2006, 20:41
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Êñòàòè íàì ïî íîâûì ìåòîäè÷åñêèì ðåêîìåíäàöèÿì çàïðåòèëè èñïîëüçîâàòü îòðèöàíèå â ñòðóêòóðå âîïðîñà èëè îòâåòà
Òåñò íå äîëæåí áûòü "íà âíèìàòåëüíîñòü ÷òåíèÿ". Ïðîåõàëè Åñëè íå áðîñèò, ïóñòü ïîëüçóåòñÿ ðåçåðâàòè.. ïðåçåðâóà... êîðî÷å, âû ïîíÿëè 
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#478
10.08.2006, 20:48
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À - íåïðàâäà,  - íåïðàâäà, Ñ - ìàëî êóðèò, äåéñòâèòåëüíî (õîòÿ â äóøå ÿ ñîãëàñåí ñ Àíòîíîì Âëàäèìèðîâè÷åì), D - òîæå åðóíäà êàêàÿ-òî, Å - íåïðàâäà.
Çàãàäî÷íàÿ çàãàäêà. Âñå-òàêè, Ñ. Ïðèñîåäèíÿþñü ê êîëëåãàì-ïðîòèâíèêàì êóðåíèÿ.
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#480
10.08.2006, 21:43
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>>C<<
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Ëèíåéíûé âèä
