AAFP Family Medicine Board EXAM Review 785 Questions with 100% Correct Answers

Which tests are most accurate for detecting ACL tears? Correct Answer: Lachman -- anterior drawer -- pivot shift test What is McMurray test used for? Correct Answer: Meniscal tears What evidence suggests MGUS has progressed to Multiple Myeloma? Correct Answer: Evidence of end-organ damage; 1% annual risk of progression *hypercalcemia *renal failure *anemia *skeletal lesions DM w/ lower left leg weakness giving away at the knee, dicomfort in anterior thigh. Decreased sensation to pinprick and light touch over left anterior thigh and reduced motor strength on hip flexion and knee expansion? Correct Answer: Femoral neuropathy What is meralgia paresthetica? Correct Answer: numbnes and paresthesia over the anterolateral thigh with NO MOTOR DYSFUNCTION Spinal stenosis? Correct Answer: Pain in legs; no knee problems DM w/ intermittent claudication involving one or both calf muscles w/ NO motor weakness? Correct Answer: Iliofemoral atherosclerosis Low doese estrogen OCP reduces risk of what cancer by 50%? Correct Answer: Epithelial ovarian cancer *also reduced risk of postmenopausal fractures *less endometrial and colorectal cancers Hallmarks of polymyalgia rheumatica? Correct Answer: *inflammatory disorder 50yo *white women of european ancestry *pain and stiffness in shoulder and pelvic girdle *4-13% have normal ESR *systemic sx: fever common, night sweats, depression, fatigue, malaise, anorexia, weight loss Treatment for polymyalgia rheumatica? Correct Answer: Corticosteroids *dramatic response w/in 2-3 days