versão impressa ISSN 0104-4230
Rev. Assoc. Med. Bras. vol.58 no.3 São Paulo maio/jun. 2012
Wanderley M. Bernardo; Ana Cecília P. Roselli Marques
|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?|
|c.||Belonging to marginalized groups.|
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)]