AAFP BOARD EXAM LATEST
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
In discussing the initiation of a patient on a proton pump inhibitor (PPI), which of
the following is a potential risk of therapy that should be reviewed with the
patient? - ANSWER-increased his of Vitamin B12 deficiency
Risk factors for esophageal intestinal metaplasia (Barrett's Esophagus) include
which one of the following characteristics? - ANSWER-hiatal hernia
49 yo F with 4 weeks of epigastric pain that is worse within an hour of eating. No
alarm symptoms or signs. She only uses tylenol periodically for headaches.
Which of the following diagnostic tests would you recommend in your evaluation?
- ANSWER-urea breath test
In considering NSAID-induced ulcers, which of the following statements is true?
- ANSWER-eradicating H. pylori in NSAID users reduces the likelihood of
peptic ulcer by about one-half
END OF
PAGE 1
, AAFP BOARD EXAM LATEST
A 65-yo male smoker complains of dyspepsia, weight loss, early satiety, and
occasional nausea and vomiting. Which one of the following would be the initial
diagnostic method of choice? - ANSWER-upper GI endoscopy
42 yo F with PMHx of HTN that is refractory to 3 agents. Na 144, K 3.3, Cr 0.68.
Which one of the following tests is most likely to reveal the cause of her refractory
hypertension? - ANSWER-plasma aldosterone/renin ratio
54 yo hispanic woman with elevated BP and follows low salt diet and exercises.
Which one of the following medications would be most appropriate for this
patient? - ANSWER-chlorthalidone
54 yo M with PMHx of HTN that is resistant to medications (chlorthalidone,
carvedilol, amlodipine, and lisinopril), normal labs. Which one of the following
medication adjustments would be most appropriate to bring his blood pressure to
goal? - ANSWER-add spironolactone
END OF
PAGE 2
, AAFP BOARD EXAM LATEST
54 yo M with PMHx of type 2DM and HTN who has an increase in Cr after
starting lisinopril after 1 week. What is the best approach in this situation? -
ANSWER-continue lisinopril at the same dosage
A 68-year-old man recently had a myocardial infarction. Which one of the
following is recommended by the American Heart Association as a first-line
agent for managing hypertension in patients with stable ischemic heart disease? -
ANSWER-a beta blocker
20 yo college student with 3 year history of cramping, bloating abdominal pain and
better with defecation. Bowel movements are firm and difficult to pass.
Denies risk factors of alarm. Uses soluble fiber daily. Negative family history.
Normal physical exam. Diagnose IBS. Which ONE of the following would be
most appropriate at this time? - ANSWER-therapeutic trial of lubiprostone
19 yo F with intermittent abdominal cramping and bloating, diarrhea, fatigue, and
weight loss. Initially diagnosed with IBS, but now concern for celiac disease.
Which one of the following should be used to establish the diagnosis?
- ANSWER-serologic testing initially, followed by endoscopy if test results
are positive
END OF
PAGE 3
, AAFP BOARD EXAM LATEST
32 yo M wants refill of sulfasalazine for ulcerative colitis that has been well
controlled, and he hasn't seen an GI for years. Which one of the following is an
appropriate management plan for this patient? - ANSWER-continue
sulfasalazine and arrange for colonoscopy to screen for colorectal cancer
Which of the following is the most common cause of infectious diarrhea in
children both in developed and developing countries? - ANSWER-rotavirus
52 yo F with HTN has 2 day history of profuse bloody diarrhea, moderate to severe
abdominal cramping, and fever. Recently came back from Singapore. Stool culture
is positive for Campylobacter. Which one of the following is the treatment of
choice? - ANSWER-azithromycin
Of the following antibiotics, which is the agent recommended for treatment of
pseudomembranous enterocolitis in an individual over the age of 60 with a
temp of 38.7C and a wbc count of 19.8K? - ANSWER-vancomycin
54 yo M for health maintenance visit. For colon cancer screening, he wants to use
fecal occult blood testing. You recommend he repeat this test at which one of the
following intervals? - ANSWER-yearly
END OF
PAGE 4
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
In discussing the initiation of a patient on a proton pump inhibitor (PPI), which of
the following is a potential risk of therapy that should be reviewed with the
patient? - ANSWER-increased his of Vitamin B12 deficiency
Risk factors for esophageal intestinal metaplasia (Barrett's Esophagus) include
which one of the following characteristics? - ANSWER-hiatal hernia
49 yo F with 4 weeks of epigastric pain that is worse within an hour of eating. No
alarm symptoms or signs. She only uses tylenol periodically for headaches.
Which of the following diagnostic tests would you recommend in your evaluation?
- ANSWER-urea breath test
In considering NSAID-induced ulcers, which of the following statements is true?
- ANSWER-eradicating H. pylori in NSAID users reduces the likelihood of
peptic ulcer by about one-half
END OF
PAGE 1
, AAFP BOARD EXAM LATEST
A 65-yo male smoker complains of dyspepsia, weight loss, early satiety, and
occasional nausea and vomiting. Which one of the following would be the initial
diagnostic method of choice? - ANSWER-upper GI endoscopy
42 yo F with PMHx of HTN that is refractory to 3 agents. Na 144, K 3.3, Cr 0.68.
Which one of the following tests is most likely to reveal the cause of her refractory
hypertension? - ANSWER-plasma aldosterone/renin ratio
54 yo hispanic woman with elevated BP and follows low salt diet and exercises.
Which one of the following medications would be most appropriate for this
patient? - ANSWER-chlorthalidone
54 yo M with PMHx of HTN that is resistant to medications (chlorthalidone,
carvedilol, amlodipine, and lisinopril), normal labs. Which one of the following
medication adjustments would be most appropriate to bring his blood pressure to
goal? - ANSWER-add spironolactone
END OF
PAGE 2
, AAFP BOARD EXAM LATEST
54 yo M with PMHx of type 2DM and HTN who has an increase in Cr after
starting lisinopril after 1 week. What is the best approach in this situation? -
ANSWER-continue lisinopril at the same dosage
A 68-year-old man recently had a myocardial infarction. Which one of the
following is recommended by the American Heart Association as a first-line
agent for managing hypertension in patients with stable ischemic heart disease? -
ANSWER-a beta blocker
20 yo college student with 3 year history of cramping, bloating abdominal pain and
better with defecation. Bowel movements are firm and difficult to pass.
Denies risk factors of alarm. Uses soluble fiber daily. Negative family history.
Normal physical exam. Diagnose IBS. Which ONE of the following would be
most appropriate at this time? - ANSWER-therapeutic trial of lubiprostone
19 yo F with intermittent abdominal cramping and bloating, diarrhea, fatigue, and
weight loss. Initially diagnosed with IBS, but now concern for celiac disease.
Which one of the following should be used to establish the diagnosis?
- ANSWER-serologic testing initially, followed by endoscopy if test results
are positive
END OF
PAGE 3
, AAFP BOARD EXAM LATEST
32 yo M wants refill of sulfasalazine for ulcerative colitis that has been well
controlled, and he hasn't seen an GI for years. Which one of the following is an
appropriate management plan for this patient? - ANSWER-continue
sulfasalazine and arrange for colonoscopy to screen for colorectal cancer
Which of the following is the most common cause of infectious diarrhea in
children both in developed and developing countries? - ANSWER-rotavirus
52 yo F with HTN has 2 day history of profuse bloody diarrhea, moderate to severe
abdominal cramping, and fever. Recently came back from Singapore. Stool culture
is positive for Campylobacter. Which one of the following is the treatment of
choice? - ANSWER-azithromycin
Of the following antibiotics, which is the agent recommended for treatment of
pseudomembranous enterocolitis in an individual over the age of 60 with a
temp of 38.7C and a wbc count of 19.8K? - ANSWER-vancomycin
54 yo M for health maintenance visit. For colon cancer screening, he wants to use
fecal occult blood testing. You recommend he repeat this test at which one of the
following intervals? - ANSWER-yearly
END OF
PAGE 4
