The majority of lumbar disc herniations occur at the level of:

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Question 1 of 5

The majority of lumbar disc herniations occur at the level of:

Correct Answer: B

Rationale: The majority of lumbar disc herniations occur at the level of L4-L5. This is because the L4-L5 disc segment bears the highest amount of stress and load in the lumbar spine due to its location and mechanics. The intervertebral disc between the fourth (L4) and fifth (L5) lumbar vertebrae is subject to repetitive movements and mechanical stress, making it more susceptible to herniation compared to other levels in the lumbar spine. Additionally, the anatomy of the L4-L5 disc makes it more prone to degeneration and herniation, leading to a higher prevalence of herniated discs at this level.

Question 2 of 5

Children with severe traumatic brain injury (TBI) may experience autonomic dysfunction characterized by all the following EXCEPT

Correct Answer: D

Rationale: Autonomic dysfunction in TBI typically involves elevated temperature, heart rate, and respiratory rate due to dysregulation of the autonomic nervous system. Lowered blood pressure is less common and may indicate hypovolemia or other conditions rather than autonomic dysfunction.

Question 3 of 5

Persons with up to 70% prevalence of peculiar facial anatomy are considered risk factors for obstructive sleep apnea EXCEPT

Correct Answer: D

Rationale: Hypothyroidism is not a typical risk factor for obstructive sleep apnea.

Question 4 of 5

Gender identity disorder (GID) is characterized by intense and persistent cross-gender identification and discomfort with one’s own sex. In early school-age children, the manifestation that is LEAST likely considered as GID is

Correct Answer: D

Rationale: Playing with toys designed for the opposite sex does not necessarily indicate GID, as it is a common exploratory behavior in childhood.

Question 5 of 5

Nearly all cervical carcinomas contain human papillomavirus (HPV). Which of the following types is never associated with such malignancy?

Correct Answer: A

Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.

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