Braton's Family Medicine by Board Review R. Bratton

By Board Review R. Bratton

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16. Of the following conditions, which is related to the development of osteoporosis in men? A) Prolactinoma B) Hypogonadism C) Prostate cancer D) Renal stones E) Inguinal hernia Answer and Discussion Men, like women, are at risk of developing osteoporosis that may lead to increased risk of fractures. According to bone density studies in men with low levels of testosterone, hypogonadism is an independent risk factor for osteoporosis. When testosterone is replaced, bone density has been shown to increase.

These findings resulted in the recommendation that diuretics be the first line drug of choice and a part of any multidrug antihypertensive regimen. Although the rates of primary outcomes, including fatal CHD and nonfatal myocardial infarction, were the same in the chlorthalidone, amlodipine, and lisinopril groups, the study's secondary endpoints such as heart failure showed the superiority of diuretics, specifically chlorthalidone. The diuretic users had a small increase in serum glucose levels, but this increase did not affect adverse outcomes.

B) Visual acuity can be assessed by the Random Dot E test. C) Stereopsis can be measured by the Tumbling E test. D) Strabismus can be assessed with the cover test during the first year of life. E) Visual screening can be reliably assessed at age 2. S. Preventive Services Task Force (USPSTF) recommends screening to detect amblyopia, strabismus, and defects in visual acuity in children younger than age 5 years. The USPSTF found no evidence of harm associated with screening, and concluded that the benefits of screening are likely to outweigh any potential harms.

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