A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the provider, you need to get a sexual history. Which one of the following questions is inappropriate for eliciting the information?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Inquiring about the number of sexual partners in the last 6 months is not appropriate as it can be seen as judgmental and might make the patient uncomfortable. 2. The focus should be on gathering relevant information about the patient's sexual practices and behaviors without passing judgment. 3. Questions A, B, and C are relevant and appropriate for eliciting information about the patient's sexual history without making assumptions or causing discomfort. 4. Asking about sexual activity, types of partners, and recent intimate physical contact are essential in assessing the risk factors and providing appropriate care.

Correct Answer: A

Rationale: The correct answer is A: Equal status seating. This is important during an interview to create a comfortable and balanced environment for both parties. It promotes open communication and mutual respect. B: Leading questions are not ideal as they can influence the interviewee's responses and lead to biased information. C: Passive listening is ineffective as it shows disinterest and lack of engagement in the conversation, hindering effective communication. D: Distancing can create a sense of physical and emotional separation, making it difficult to establish rapport and connection during the interview.

Correct Answer: B

Rationale: The correct answer is B: Connects the second metatarsal head to the first cuneiform. The Lisfranc ligament plays a crucial role in maintaining the stability of the midfoot by connecting the second metatarsal to the first cuneiform bone. This connection is essential in weight-bearing activities to prevent excessive movement and maintain proper alignment of the bones in the midfoot. The other choices are incorrect because: A) The distal tibia is not connected to the talus by the Lisfranc ligament, C) The preservation of the medial longitudinal arch is primarily achieved by other ligaments in the foot, and D) The primary ankle stabilizer is the deltoid ligament on the medial side of the ankle, not the Lisfranc ligament.

Correct Answer: D

Rationale: Boutonnière deformity is characterized by the rupture of the central slip and volar migration of lateral bands. This leads to hyperextension of the PIP joint and flexion of the DIP joint. This deformity is due to the disruption of the extensor mechanism, specifically the central slip. Rupture of the central slip allows the lateral bands to migrate volarly, causing the characteristic deformity. Options A, B, and C do not accurately describe the mechanism of Boutonnière deformity, making them incorrect choices. Option A describes mallet finger deformity, option B refers to trigger finger, and option C relates to carpal tunnel syndrome.

Correct Answer: A

Rationale: The correct answer is A: Hip joint dysfunction. FABERE test assesses for hip joint dysfunction by examining flexion, abduction, external rotation, and extension of the hip joint. It specifically evaluates the range of motion and stability of the hip joint, helping to identify issues such as arthritis, labral tears, or hip impingement. Gluteus medius weakness (B) is not directly tested by FABERE. Femoral nerve irritation (C) and iliotibial band tightness (D) are also not assessed by this test.