FAMILY PRACTICE GUIDELINES 6TH EDITION
COMPREHENSIVE EXAM SCRIPT WITH
SOLUTIONS
◉ What is the first-line treatment for acute gout?
Answer: NSAIDs such as indomethacin or colchicine.
◉ What should be done first with a hot swollen joint?
Answer: Aspiration to check for septic arthritis.
◉ What are the categories of COPD based on FEV1?
Answer: Mild, moderate, severe, and very severe.
◉ What is the main metric for prognosis in COPD?
Answer: FEV1 measurement.
◉ What is the first-line treatment for chronic gout prevention?
Answer: Probenecid or allopurinol, depending on uric acid levels.
◉ What is the screening recommendation for syphilis?
Answer: All pregnant women and any teen or adult at increased risk.
,◉ What is the recommendation for oral fluoride supplementation?
Answer: For children aged 6 months to 5 years with fluoride-
deficient water supply.
◉ What is the recommendation for the zoster vaccine?
Answer: Administer at age 60.
◉ What is the recommendation for the HPV vaccine?
Answer: Administer between ages 9 to 26.
◉ What is the screening recommendation for latent TB?
Answer: Screen if asymptomatic but at increased risk.
◉ What is the recommendation for statin use in adults?
Answer: For prevention of CVD in adults aged 40-75 with 1 or more
CVD risk factors.
◉ What is the recommendation for tobacco cessation advice?
Answer: Advise all adults, especially pregnant individuals, who use
tobacco.
, ◉ What is the recommendation for vision screening in children?
Answer: At least once for children aged 3-5 years to detect
amblyopia.
◉ What should be done for children and teens with a BMI at or
above the 95th percentile?
Answer: Refer to comprehensive behavioral interventions.
◉ What is the diagnostic procedure for severe joint pain and
leukocytosis?
Answer: Arthrocentesis; typically shows over 50K WBCs.
◉ What is the treatment for severe joint inflammation?
Answer: IV antibiotics.
◉ What tests are performed during the initial prenatal visit?
Answer: CBC, urinalysis, STD, HIV, hepatitis B, pap smear, blood
typing, and rubella.
◉ What three checks are done at 28 weeks of pregnancy?
Answer: CBC for anemia, diabetes screening, and Rhogam shot if Rh
negative.
COMPREHENSIVE EXAM SCRIPT WITH
SOLUTIONS
◉ What is the first-line treatment for acute gout?
Answer: NSAIDs such as indomethacin or colchicine.
◉ What should be done first with a hot swollen joint?
Answer: Aspiration to check for septic arthritis.
◉ What are the categories of COPD based on FEV1?
Answer: Mild, moderate, severe, and very severe.
◉ What is the main metric for prognosis in COPD?
Answer: FEV1 measurement.
◉ What is the first-line treatment for chronic gout prevention?
Answer: Probenecid or allopurinol, depending on uric acid levels.
◉ What is the screening recommendation for syphilis?
Answer: All pregnant women and any teen or adult at increased risk.
,◉ What is the recommendation for oral fluoride supplementation?
Answer: For children aged 6 months to 5 years with fluoride-
deficient water supply.
◉ What is the recommendation for the zoster vaccine?
Answer: Administer at age 60.
◉ What is the recommendation for the HPV vaccine?
Answer: Administer between ages 9 to 26.
◉ What is the screening recommendation for latent TB?
Answer: Screen if asymptomatic but at increased risk.
◉ What is the recommendation for statin use in adults?
Answer: For prevention of CVD in adults aged 40-75 with 1 or more
CVD risk factors.
◉ What is the recommendation for tobacco cessation advice?
Answer: Advise all adults, especially pregnant individuals, who use
tobacco.
, ◉ What is the recommendation for vision screening in children?
Answer: At least once for children aged 3-5 years to detect
amblyopia.
◉ What should be done for children and teens with a BMI at or
above the 95th percentile?
Answer: Refer to comprehensive behavioral interventions.
◉ What is the diagnostic procedure for severe joint pain and
leukocytosis?
Answer: Arthrocentesis; typically shows over 50K WBCs.
◉ What is the treatment for severe joint inflammation?
Answer: IV antibiotics.
◉ What tests are performed during the initial prenatal visit?
Answer: CBC, urinalysis, STD, HIV, hepatitis B, pap smear, blood
typing, and rubella.
◉ What three checks are done at 28 weeks of pregnancy?
Answer: CBC for anemia, diabetes screening, and Rhogam shot if Rh
negative.
