AAFP Board Review Questions With
Correct Answers
how to differentiate between chlamydial and RSV infections - CORRECT
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ANSWER✔✔-chlamydia: hx of conjunctivitis, subacute onset, absence | | | | | | |
of fever, mild wheezing
| | |
meds for BPH and lower urinary tract symptoms - CORRECT
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ANSWER✔✔-alpha blocker, 5-a-reductase inhibitor (if there's evidence | | | | | | |
of prostatic enlargement or PSA > 1.5 ng/mL), phosphodiesterase-5
| | | | | | | | |
inhibitor, and antimusc therapy | | |
tx for mallet fracture - forced flexion injury of DIP resulting in a small
| | | | | | | | | | | | | |
bone fragment at dorsal surface of proximal distal phalanx - CORRECT
| | | | | | | | | | |
ANSWER✔✔-splinting the DIP in extension | | | |
duration of 8 wks | | | |
if fx involves > 30% of intra-articular surface - referral to specialist
| | | | | | | | | | |
tx for acute depression and maintenance therapy of bipolar disorders -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Li |
valproate
lamotrigine
,some antipsychotics (including quetiapine)
| | |
necrotizing fasciitis - CORRECT ANSWER✔✔-severe pain and skin
| | | | | | | |
changes outside the realm of cellulitis - including bullae and deeper
| | | | | | | | | | |
discoloration |
tx: aggressive surgical debridement w/in 12 hrs
| | | | | |
Pt on amiodarone
| | |
what hormone should be monitored? - CORRECT ANSWER✔✔-TSH
| | | | | | | |
f/u q6 months
| |
radial head subluxation or nursemaid's elbow - CORRECT ANSWER✔✔-
| | | | | | | |
caused when picking up a toddler by the arm
| | | | | | | | |
partial displacement of radial head when child's arm undergoes axial
| | | | | | | | | |
traction while in a protonated and fully ext position
| | | | | | | | |
tx: reduction of radial head - child's elbow is in 90 deg flexion > hand
| | | | | | | | | | | | | | |
fully supinated > elbow brought into full flexion
| | | | | | |
inhaled corticosteroid use in kids - CORRECT ANSWER✔✔-has not been
| | | | | | | | | |
proven to prematurely close growth plates
| | | | | |
most effective tx for mod persistent asthma w/ least SEs
| | | | | | | | |
1st line tx for primary dysmenorrhea - CORRECT ANSWER✔✔-NSAIDs
| | | | | | | |
,started at onset of menses and cont for first 1-2 days
| | | | | | | | | |
1 cm nodule in left lobe of thyroid; confirmed by US
| | | | | | | | | |
next step in evaluation? - CORRECT ANSWER✔✔-TSH level
| | | | | | | |
followed w/ radionuclide thyroid scan if results abnormal
| | | | | | |
anti-epileptic med that has the SE of SJS - CORRECT ANSWER✔✔- | | | | | | | | | |
lamotrigine |
should start at 25 mg qd and titrated q2 wks until goal dosage is reached
| | | | | | | | | | | | | |
CDC guidelines on "outbreaks" - CORRECT ANSWER✔✔-occurence of 2+
| | | | | | | |
lab-confirmed cases of influenza A = outbreak in long-term care facility
| | | | | | | | | | | |
chemoppx w/ appropriate meds for all residents who are asymptomatic
| | | | | | | | | |
and tx those who are symptomatic regardless of lab confirmation or
| | | | | | | | | | |
vaccination status |
where to find the strongest evidence for tx, screening, or prevention
| | | | | | | | | | |
strategies? - CORRECT ANSWER✔✔-systematic reviews | | | |
meta-analyses
RCTs w/ consistent findings or single high-quality RCT
| | | | | | |
2 day old infant has flesh-colored papules w/ erythematous base
| | | | | | | | |
, on face and trunk
| | | |
contain eosinophils |
dx? tx? - CORRECT ANSWER✔✔-erythema toxic neonatorum
| | | | | | |
happens usually first 2 wks of life
| | | | | |
no tx necessary
| |
asymptotic microscopic hematuria measurement? - CORRECT
| | | | | |
ANSWER✔✔->3 RBCs/hpf |
terminally ill pt | | |
new symptom of resp distress
| | | | |
Pox 94% on room air
| | | | |
lungs clear to auscultation
| | | |
tx? - CORRECT ANSWER✔✔-opiates
| | | |
w/o hypoxia - O2 won't be helpful
| | | | | |
abd pain | |
bloody diarrhea | |
CV risk factors - hx of vascular dementia, peripheral artery dz, HTN, and
| | | | | | | | | | | | |
HLD |
nasogastric aspirate neg for bleeding (r/o PUD)
| | | | | | |
most likely cause of bleeding? - CORRECT ANSWER✔✔-ischemic colitis
| | | | | | | | |
Correct Answers
how to differentiate between chlamydial and RSV infections - CORRECT
| | | | | | | | | |
ANSWER✔✔-chlamydia: hx of conjunctivitis, subacute onset, absence | | | | | | |
of fever, mild wheezing
| | |
meds for BPH and lower urinary tract symptoms - CORRECT
| | | | | | | | | |
ANSWER✔✔-alpha blocker, 5-a-reductase inhibitor (if there's evidence | | | | | | |
of prostatic enlargement or PSA > 1.5 ng/mL), phosphodiesterase-5
| | | | | | | | |
inhibitor, and antimusc therapy | | |
tx for mallet fracture - forced flexion injury of DIP resulting in a small
| | | | | | | | | | | | | |
bone fragment at dorsal surface of proximal distal phalanx - CORRECT
| | | | | | | | | | |
ANSWER✔✔-splinting the DIP in extension | | | |
duration of 8 wks | | | |
if fx involves > 30% of intra-articular surface - referral to specialist
| | | | | | | | | | |
tx for acute depression and maintenance therapy of bipolar disorders -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Li |
valproate
lamotrigine
,some antipsychotics (including quetiapine)
| | |
necrotizing fasciitis - CORRECT ANSWER✔✔-severe pain and skin
| | | | | | | |
changes outside the realm of cellulitis - including bullae and deeper
| | | | | | | | | | |
discoloration |
tx: aggressive surgical debridement w/in 12 hrs
| | | | | |
Pt on amiodarone
| | |
what hormone should be monitored? - CORRECT ANSWER✔✔-TSH
| | | | | | | |
f/u q6 months
| |
radial head subluxation or nursemaid's elbow - CORRECT ANSWER✔✔-
| | | | | | | |
caused when picking up a toddler by the arm
| | | | | | | | |
partial displacement of radial head when child's arm undergoes axial
| | | | | | | | | |
traction while in a protonated and fully ext position
| | | | | | | | |
tx: reduction of radial head - child's elbow is in 90 deg flexion > hand
| | | | | | | | | | | | | | |
fully supinated > elbow brought into full flexion
| | | | | | |
inhaled corticosteroid use in kids - CORRECT ANSWER✔✔-has not been
| | | | | | | | | |
proven to prematurely close growth plates
| | | | | |
most effective tx for mod persistent asthma w/ least SEs
| | | | | | | | |
1st line tx for primary dysmenorrhea - CORRECT ANSWER✔✔-NSAIDs
| | | | | | | |
,started at onset of menses and cont for first 1-2 days
| | | | | | | | | |
1 cm nodule in left lobe of thyroid; confirmed by US
| | | | | | | | | |
next step in evaluation? - CORRECT ANSWER✔✔-TSH level
| | | | | | | |
followed w/ radionuclide thyroid scan if results abnormal
| | | | | | |
anti-epileptic med that has the SE of SJS - CORRECT ANSWER✔✔- | | | | | | | | | |
lamotrigine |
should start at 25 mg qd and titrated q2 wks until goal dosage is reached
| | | | | | | | | | | | | |
CDC guidelines on "outbreaks" - CORRECT ANSWER✔✔-occurence of 2+
| | | | | | | |
lab-confirmed cases of influenza A = outbreak in long-term care facility
| | | | | | | | | | | |
chemoppx w/ appropriate meds for all residents who are asymptomatic
| | | | | | | | | |
and tx those who are symptomatic regardless of lab confirmation or
| | | | | | | | | | |
vaccination status |
where to find the strongest evidence for tx, screening, or prevention
| | | | | | | | | | |
strategies? - CORRECT ANSWER✔✔-systematic reviews | | | |
meta-analyses
RCTs w/ consistent findings or single high-quality RCT
| | | | | | |
2 day old infant has flesh-colored papules w/ erythematous base
| | | | | | | | |
, on face and trunk
| | | |
contain eosinophils |
dx? tx? - CORRECT ANSWER✔✔-erythema toxic neonatorum
| | | | | | |
happens usually first 2 wks of life
| | | | | |
no tx necessary
| |
asymptotic microscopic hematuria measurement? - CORRECT
| | | | | |
ANSWER✔✔->3 RBCs/hpf |
terminally ill pt | | |
new symptom of resp distress
| | | | |
Pox 94% on room air
| | | | |
lungs clear to auscultation
| | | |
tx? - CORRECT ANSWER✔✔-opiates
| | | |
w/o hypoxia - O2 won't be helpful
| | | | | |
abd pain | |
bloody diarrhea | |
CV risk factors - hx of vascular dementia, peripheral artery dz, HTN, and
| | | | | | | | | | | | |
HLD |
nasogastric aspirate neg for bleeding (r/o PUD)
| | | | | | |
most likely cause of bleeding? - CORRECT ANSWER✔✔-ischemic colitis
| | | | | | | | |
