AAFP Board Review| 160 Questions| with complete solutions

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