Patients who have diabetes mellitus should have dilated eye exams at which of the following frequencies?
Biannually
Every 5 years
Annually
Every 10 years
The Correct Answer is C
A. Biannually: Biannual exams may not be frequent enough to monitor for diabetic retinopathy or other eye complications associated with diabetes. Annual exams are recommended.
B. Every 5 years: Waiting 5 years between exams is too long, as eye complications from diabetes can develop rapidly.
C. Annually: Annual dilated eye exams are recommended for patients with diabetes mellitus to monitor for diabetic retinopathy and other complications, allowing for early detection and treatment.
D. Every 10 years: A 10-year interval is far too long and could result in the progression of untreated eye disease, which could lead to blindness.
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Correct Answer is C
Explanation
A. Exposure to a mosquito bite: Hepatitis B is not transmitted through mosquito bites. It is primarily transmitted through contact with infected body fluids, particularly blood.
B. Consumption of raw shellfish: Hepatitis A, not Hepatitis B, can be contracted through the consumption of contaminated food or water, including raw shellfish.
C. Blood splashes to the mucous membranes: Hepatitis B can be transmitted through exposure to infected blood or body fluids, including splashes to mucous membranes (e.g., eyes, mouth).
D. Direct skin contact with a patient who is infected: Hepatitis B is not transmitted through casual skin contact. It requires contact with infected body fluids.
Correct Answer is B
Explanation
A. Sweating: Sweating is a normal physiological response to exercise and is not an indication to terminate the test.
B. Bradycardia: Bradycardia (abnormally slow heart rate) during an exercise stress test can indicate a serious problem and may require premature termination of the test.
C. Palpitations: Palpitations can occur during exercise, but they are not necessarily a reason to terminate the test unless accompanied by other symptoms or abnormalities.
D. Thirst: Thirst is not a contraindication for continuing an exercise stress test.