United State Medical Licensing Examination (Step 2) Set 15

A study finds that the relative risk of stomach cancer after the consumption of a new sugar substitute is 3.5 with a 95% confidence interval of 1.15.3. Which of the following best describes the true relative risk?

You provide health services for employers in your community. The employers explain to you that they appreciate efforts to contain costs because their insurance premiums are experience rated. Which of the following describes why employers are concerned?

You assume care of a 28-year-old nursing home aide, who recently had a positive tuberculin skin test (TST). In the past, her tests have always been read as negative; this year, she developed a 20. 25 mm induration. She feels well and has no cough. Abaseline white blood cell count and liver function test is normal, and a recent HIV antibody test is negative. You order a chest x-ray, which is normal. Which of the following is the best next step in management?

You see a young mother whose child is in need of medical care. She has an income below the federal poverty level. She is eligible to receive cash payments under the Supplemental Security Income Program (SSI). As she has no health insurance, you ask a social worker to help her enroll in a program funded with state and federal tax dollars, which provides complete medical care for her child. You ask that she be enrolled in which of the following programs?

A young child finds a bat lying on the floor of his room. The child picks it up to show it to his mother, and it bites him on the hand. The bat then escapes, flying out of an open window. Which of the following diseases poses the most serious threat to the child's health?

An outbreak of influenza occurs across the United States in the early winter. Of individuals contracting influenza, a large proportion had received vaccinations earlier in the fall. Which of the following is the most likely explanation?

Afamily is scheduled to move into a home that is 15 years old. Its water supply is a well, and sewage is discharged to an on-site septic system. In preparation for the move, they obtain a series of water tests from the well. All of the results show the presence of coliform bacteria.Which of the following is the implication of these data?

The mortality rates from two countries are being compared. Despite vast differences in wealth, level of xpublic services, birth rates, and education, the difference in crude mortality rate is the opposite of what is expected: The more developed country has the higher crude mortality rate. Which of the following should xyou do to better understand this difference?

An HMO has its annual medical directors, meeting, and new treatments are discussed. A recent study has just clearly demonstrated that a new drug can lower blood pressure significantly, although monitoring tests for renal function are required. The directors consider adding the treatment to their list of approved treatments but feel handicapped. Which of the following is one of the real disadvantages of making treatment decisions based on clinical outcomes alone?

The USPSTF made recommendations for screening mammography and clinical breast examination every 12 years for women aged 40 years and older. Which of the following is the best explanation for why routine screening mammography was not recommended for women in the general population under 40 years of age?