Explain why the overprescription of antibiotics by doctors

James is sitting at his desk on the ground floor of an office building when the entire room starts shaking. which action is most appropriate in this situation? a. standing near a window b.running out of the building c.holding up a bookshelf d.preparing for aftershocks

A35-year-old woman arrives on the floor after an uneventful hysteroscopy to evaluate her long history of uterine fibroids. about 30 minutes after her arrival, she begins to complain of nausea and has two episodes of vomiting. the physical administers 0.625 mg of droperidol and 400 mg of acetaminophen by mouth. on follow-up evaluation, the patient's neck is involuntarily flexed to one side. she is alert, oriented, and conversation and has an otherwise normal neurological examination. which of the following is the most likely diagnosis? - cerebral vascular accident- conversion disorder- dystonic reaction to droperidol- munchausen syndrome- seizure

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy