A patient in the first trimester of pregnancy has just learned that her husband has acute hepatitis B. She feels well, and her screening test for hepatitis B surface antigen (HBsAg) was negative last month. She has not been immunized against hepatitis B. Which one of the following would be the most appropriate management of this patient?

A 55-year-old white male notices a nodular thickening over the flexor tendons in his medial palm. He has no difficulty using his hand, and he is able to lay his palm flat on a tabletop. You suspect Dupuytren's disease. Which one of the following is true regarding this condition?

A 29-year-old white female is hospitalized following a right middle cerebral artery stroke confirmed by MRI. Her past medical history is remarkable only for a history of an uncomplicated tonsillectomy during childhood and a second-trimester miscarriage 3 years ago. The only remarkable finding on physical examination is left hemiplegia.The initial laboratory workup reveals normal hematocrit and hemoglobin levels, a normal prothrombin time, and a platelet count of 200,000/mm3 (N 140,000–440,000). The activated partial thromboplastin time is 95 sec (N 23.6–34.6), and it does not normalize when the patient’s serum is mixed with normal plasma. A serum VDRL is positive, and a serum FTA-ABS is nonreactive. Which one of the following is the most likely diagnosis?

A 12-year-old male uses a short-acting bronchodilator three times per week to control his asthma. Lately he has been waking up about twice a week due to his symptoms. Which one of the following medications would be most appropriate?

In the United States, the number of deaths has increased in recent years for which one of the following vaccine-preventable illnesses?

An 80-year-old female is seen for progressive weakness over the past 8 weeks. She says she now has difficulty with normal activities such as getting out of a chair and brushing her teeth. Her medical problems include hypertension, diabetes mellitus, and hyperlipidemia. Her medications include glipizide (Glucotrol), simvastatin (Zocor), and lisinopril (Prinivil, Zestril). Findings on examination are within normal limits except for diffuse proximal muscle weakness and normal deep tendon reflexes. A CBC, urinalysis, erythrocyte sedimentation rate, TSH level, and serum electrolyte levels are normal. Her blood glucose level is 155 mg/dL, and her creatine kinase level is 1200 U/L (N 40–150). Which one of the following is the most likely diagnosis?

Studies indicate that patients most frequently want physicians to ask about their spiritual beliefs in which one of the following situations?

Which one of the following has the best evidence of effectiveness for preventing fractures in postmenopausal women with osteoporosis?

To be eligible for Medicare hospice benefits, a patient must:

A 39-year-old female presents with lower abdominal/pelvic pain. On examination, with the patient in a supine position, you palpate the tender area of her abdomen. When you have her raise both legs off the table while you palpate the abdomen, her pain intensifies. Which one of the following is the most likely diagnosis?