ABFM HYPERSTENSION EXAM: A+ GUIDE WITH LATEST
KEY QUESTIONS AND ANSWERS
Hyperbaric oxygen treatment has been shown to be beneficial for which one of the following
conditions?
A) Tinnitus
B) Malignant otitis externa
C) Crush injury wounds
D) Nonunion of bone fractures
E) Vascular dementia
crush injury
decompression sickness
pt with pharyngitis
rx with amoxicillin for 10days
on day 8, present with generalized rash
A) Continue the amoxicillin and begin prednisone and diphenhydramine (Benadryl)
B) Continue the amoxicillin and change the diagnosis to scarlet fever
C) Discontinue the amoxicillin and change the diagnosis to viral exanthem
D) Discontinue the amoxicillin and note amoxicillin as a potential allergy in her record
Discontinue the amoxicillin and note amoxicillin as a potential allergy in her record
An obese 70-year-old male with chronic pain due to osteoarthritis complains of fatigue,
anhedonia, hypersomnolence, and increased appetite. Which one of the following would be the
best pharmacologic agent for this patient?'
A) Duloxetine (Cymbalta)
B) Mirtazapine (Remeron)
C) Citalopram (Celexa)
D) Paroxetine (Paxil)
E) Nortriptyline (Pamelor)
Duloxetine
- chronic pain and depression
pt with rash that resemble pitryriasis rosacea. you're not sure
what to order next
,A) a fungal culture
B) heterophile antibody testing
C) a platelet count
D) a rapid plasma reagin (RPR) test
E) a TSH level
check syphillis
When should preg women get Tdap
A) Post partum
B) At this visit
C) Anytime after the first trimester
D) Between 27 and 36 weeks gestation
E) 10 years after the last dose
27 - 36 weeks
A 77-year-old female is admitted to the critical care unit for acute respiratory failure and is on
a ventilator for more than 48 hours. Stress ulcer prophylaxis is ordered.
This prophylaxis should be continued until
A) venous thromboembolism prophylaxis is stopped
B) the patient is transferred out of the critical care unit
C) the patient is discharged from the hospital
D) the patient is discharged from a skilled care or rehabilitation care facility
E) 30 days after discharge from the hospital
the patient is transferred out of the critical care unit
rx uveitis with ankylosing spondylitis
A) Artificial tears
B) Ocular antibiotics
C) Ocular corticosteroids
D) Oral acetazolamide
E) Ophthalmic olopatadine (Patanol)
ocular steroids
intermittent unilateral rhinorrhea
clear drainage
, worse in morning with change of position
pmh of HTN, migraines
further eval for ?
A) vasomotor rhinitis
B) allergic rhinitis
C) cerebrospinal fluid rhinorrhea
D) an intranasal tumor
cerebrospinal fluid rhinorrhea
- csf connected with sinuses
According to the U.S. Preventive Services Task Force, low-dose aspirin use in women is most
effective for primary prevention of
A) stroke, beginning at age 50
B) stroke, beginning at age 55
C) myocardial infarction, beginning at age 50
D) myocardial infarction, beginning at age 55
E) both myocardial infarction and stroke, beginning at age 50
stroke, beginning at age 55- 79
pt with hx of rash after penicillin
Which one of the following medications is most appropriate for this patient?
A) Amoxicillin/clavulanate (Augmentin)
B) Trimethoprim/sulfamethoxazole (Bactrim)
C) Cefuroxime (Ceftin)
D) Doxycycline
E) Azithromycin (Zithromax)
Cefuroxime (Ceftin)
Which one of the following is most likely in a depressed elderly patient?
A) Suicidal ideation
B) Somatic symptoms
C) Depressed mood
D) Preoccupation with guilt
Somatic symptoms
In addition to cool compresses and antihistamines for the itching, which one of the following is
the best treatment option for contact dermatitis (rash days after being in woods)?
A) Triamcinolone, 20 mg intramuscularly as a single dose
KEY QUESTIONS AND ANSWERS
Hyperbaric oxygen treatment has been shown to be beneficial for which one of the following
conditions?
A) Tinnitus
B) Malignant otitis externa
C) Crush injury wounds
D) Nonunion of bone fractures
E) Vascular dementia
crush injury
decompression sickness
pt with pharyngitis
rx with amoxicillin for 10days
on day 8, present with generalized rash
A) Continue the amoxicillin and begin prednisone and diphenhydramine (Benadryl)
B) Continue the amoxicillin and change the diagnosis to scarlet fever
C) Discontinue the amoxicillin and change the diagnosis to viral exanthem
D) Discontinue the amoxicillin and note amoxicillin as a potential allergy in her record
Discontinue the amoxicillin and note amoxicillin as a potential allergy in her record
An obese 70-year-old male with chronic pain due to osteoarthritis complains of fatigue,
anhedonia, hypersomnolence, and increased appetite. Which one of the following would be the
best pharmacologic agent for this patient?'
A) Duloxetine (Cymbalta)
B) Mirtazapine (Remeron)
C) Citalopram (Celexa)
D) Paroxetine (Paxil)
E) Nortriptyline (Pamelor)
Duloxetine
- chronic pain and depression
pt with rash that resemble pitryriasis rosacea. you're not sure
what to order next
,A) a fungal culture
B) heterophile antibody testing
C) a platelet count
D) a rapid plasma reagin (RPR) test
E) a TSH level
check syphillis
When should preg women get Tdap
A) Post partum
B) At this visit
C) Anytime after the first trimester
D) Between 27 and 36 weeks gestation
E) 10 years after the last dose
27 - 36 weeks
A 77-year-old female is admitted to the critical care unit for acute respiratory failure and is on
a ventilator for more than 48 hours. Stress ulcer prophylaxis is ordered.
This prophylaxis should be continued until
A) venous thromboembolism prophylaxis is stopped
B) the patient is transferred out of the critical care unit
C) the patient is discharged from the hospital
D) the patient is discharged from a skilled care or rehabilitation care facility
E) 30 days after discharge from the hospital
the patient is transferred out of the critical care unit
rx uveitis with ankylosing spondylitis
A) Artificial tears
B) Ocular antibiotics
C) Ocular corticosteroids
D) Oral acetazolamide
E) Ophthalmic olopatadine (Patanol)
ocular steroids
intermittent unilateral rhinorrhea
clear drainage
, worse in morning with change of position
pmh of HTN, migraines
further eval for ?
A) vasomotor rhinitis
B) allergic rhinitis
C) cerebrospinal fluid rhinorrhea
D) an intranasal tumor
cerebrospinal fluid rhinorrhea
- csf connected with sinuses
According to the U.S. Preventive Services Task Force, low-dose aspirin use in women is most
effective for primary prevention of
A) stroke, beginning at age 50
B) stroke, beginning at age 55
C) myocardial infarction, beginning at age 50
D) myocardial infarction, beginning at age 55
E) both myocardial infarction and stroke, beginning at age 50
stroke, beginning at age 55- 79
pt with hx of rash after penicillin
Which one of the following medications is most appropriate for this patient?
A) Amoxicillin/clavulanate (Augmentin)
B) Trimethoprim/sulfamethoxazole (Bactrim)
C) Cefuroxime (Ceftin)
D) Doxycycline
E) Azithromycin (Zithromax)
Cefuroxime (Ceftin)
Which one of the following is most likely in a depressed elderly patient?
A) Suicidal ideation
B) Somatic symptoms
C) Depressed mood
D) Preoccupation with guilt
Somatic symptoms
In addition to cool compresses and antihistamines for the itching, which one of the following is
the best treatment option for contact dermatitis (rash days after being in woods)?
A) Triamcinolone, 20 mg intramuscularly as a single dose
