Family Medicine
Primary Care
Board&Review
Medical_Study
Complete
Family
Guide.pdf
Medicine
Primary Care
Board&Review
Medical_Study
Complete
Guide.pdf
Primary Care & Medical Study Guide.pdf
Family Medicine Board Review |
Complete Primary Care & Medical Study
Guide
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Family Medicine Board Review _ Complete
Family Medicine
Primary Care
Board&Review
Medical_Study
Complete
Family
Guide.pdf
Medicine
Primary Care
Board&Review
Medical_Study
Complete
Guide.pdf
Primary Care & Medical Study Guide.pdf
,Family Medicine Board Review.pdf Family Medicine Board Review.pdf Family Medicine Board Review.pdf
Terms in this set (200)
A 42-year-old Asian male presents for follow-up of ANSWER: C
elevated blood pressure. He has no additional This patient has hypertension and according to both JNC 8 and American
chronic medical problems and is otherwise College of Cardiology/American Heart Association 2017 guidelines,
asymptomatic. An examination is significant for a antihypertensive treatment should be initiated. For the general non-African-
blood pressure of 162/95 mm Hg but is otherwise American population, monotherapy with an ACE inhibitor, an angiotensin
unremarkable. receptor blocker, a calcium channel blocker, or a thiazide diuretic would be
Laboratory Findings unremarkable appropriate for initial management. It is also appropriate to initiate
Urine microalbumin negative combination antihypertensive therapy as an initial management strategy,
According to the American College of although patients should not take an ACE inhibitor and an angiotensin
Cardiology/American Heart Association 2017 receptor blocker simultaneously. Studies have shown that blood pressure
guidelines, which one of the following would be the control is achieved faster with the initiation of combination therapy
most appropriate medication to initiate at this time? compared to monotherapy, without an increase in morbidity.
A) Clonidine (Catapres), 0.1 mg twice daily Lisinopril/hydrochlorothiazide would be an appropriate choice in this
B) Hydralazine, 25 mg three times daily patient. -Blockers, vasodilators, -blockers, and potassium-sparing diuretics
C) Lisinopril/hydrochlorothiazide (Zestoretic), 10/12.5 are not recommended as initial choices for the treatment of hypertension.
mg daily
D) Metoprolol tartrate (Lopressor), 25 mg twice daily
E) Triamterene (Dyrenium), 50 mg daily
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During rounds at the nursing home, you are informed ANSWER: C
that there are two residents on the unit with In long-term care facilities, an influenza outbreak is defined as two
laboratory-confirmed influenza. According to CDC laboratory-confirmed cases of influenza
guidelines, who should receive chemoprophylaxis for within 72 hours in patients on the same unit. The CDC recommends
influenza? chemoprophylaxis for all asymptomatic residents of the affected unit. Any
A) Only symptomatic residents on the same unit resident exhibiting symptoms of influenza should be treated for influenza
B) Only symptomatic residents in the entire facility and not given chemoprophylaxis dosing. Chemoprophylaxis is not
C) All asymptomatic residents on the same unit recommended for residents of other units unless there are two laboratory-
D) All residents of the facility regardless of symptoms confirmed cases in those units. Facility staff of the affected unit can be
E) All staff regardless of symptoms considered for chemoprophylaxis if they have not been vaccinated or if
they had a recent vaccination, but chemoprophylaxis is not recommended
for all staff in the entire facility.
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