ABFM questions with complete solution graded A+ 2023

ABFM questions with complete solution graded A+ 2023post exposure prophylaxis for meningitis - correct answer - indicated to any close contact regardless of immunization - prophylaxis -Cipro 500 mg one time - azithromycin 500 mg once - Rocephin 250 mg IM once - rifampin 600 mg twice daily x 2 days - treatment should begin as soon as possible after exposure, no later than 14 days Bisphosphonate therapy s/e - correct answer osteonecrosis of the jaw esophagitis esophageal ulceration hypocalcaemia speech and language delay in 3 year old - correct answer By 2.5 years of age, child needs to be using 2 word phrases refer for early intervention direct observational therapy for tuberculosis - correct answer increases treatment success in HIV Patients decreases drug resistance for TB Patients still need monitoring for treatment failure can be done clinic setting, or telemedicine or public health referral Jones fracture treatment - correct answer active patients such as a dancer, athlete - recover faster with surgical fixation. patients who are not active- non interventional treatment includes placing patient posterior splint for 3-5 days, non weight bearing cast for 6 weeks, repeat radiograph to look for healing, then weight bearing as tolerated USPSTF recommendations - correct answer - folic acid supplementation 0.4-0.8 mg for all women of child bearing age. - manual breast exams are not recommended - chlamydia screening for all women under age 25, and high risk women over 25 - no clear recommendations for lipid screening who should receive a second dose of pneumococcal vaccination - correct answer - patients with chronic illness - DM - CSF leak - congenital heart disease - cochlear implants