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Exam (elaborations)

AAFP Board Practice Questions (Part 1) questions well answered to pass

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AAFP Board Practice Questions (Part 1) questions well answered to pass

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AAFP Board Practice Questions (Part 1) questions
well answered to pass
1. A 69 yo M with T2DM, obesity, and CAD sees you for f/u C. Liraglutide
(Victoza)
of DM. His A1c has increased to 8.7% despite
therapy with metformin, 1000 mg BID, and
insulin glargine (Lantus).

Which one of the following additional
medications would be the most effective for
reducing his blood glucose level and lowering
his risk of cardiovascular events?

A. Exenatide (Byetta)
B. Glipizide (Glucotrol)
C. Liraglutide (Victoza)
D. Rosiglitazone (Avandia)
E. Sitagliptin ( Januvia)

2. A 28 yo F presents with 3 mo hx of fatigue and postur- A. ACTH
al lightheadedness. On exam she is diffusely hyper-
pigmented, especially her skin creases and Adrenal disease will
areolae. A CBC and BMP are normal minus be primary dysfunction,
elevated K. You order corticotropin lead- ing to elevated
stimulation test. Prior to the cor- ticotropin ACTH
injection, you order which one of the fol-
If it was a pituitary dys-
tests to confirm that this patient has a primary
lowing function,
there would be
and not a secondary (pituitary) disorder?
insufficiency
(secondary dys- low ACTH

A. ACTH C. Melanocyte-
B. Aldosterone stimulating
hormone


,AAFP Board Practice Questions (Part 1) questions
well answered to pass
D. Renin function)
E. TSH

3. B. DXA scan






,AAFP Board Practice Questions (Part 1) questions
well answered to pass
A 62 yo F who is a new patient requests a thyroid D. IM
evaluation because she has a hx of abnormal medroxy
thyroid test results. You obtain a copy of her progester
one
records, which include TSH level of 0.2 (N 0.4-
(Depo-
4.2) and a free T4 level of 2.0 (N 0.8-2.7) from Provera)
3 years ago. She reports feeling well and has E. NSAIDs
no other health conditions. She does not take
any medications. 5. A 30 yo F
with
A PE reveals normal vitals, BMI of 23, no neck anovulato
masses, a normal thyroid size, and normal ry uterine
heart sounds. Lab studies reveal TSH of 0.1, bleeding
free T4 of 2.5, and free T3 of asks
3.1(N2.3-4.2). about
treatmen
Treatment for this condition would be indicated if t options.
pa- tient has an abnormal... An
examinati
A. Calcium level
on is
B. DXA scan
normal
C. glucose level
D. Lipid level
E. Thyroid u/s study

4. Which of the following is the most
appropriate first-line therapy for
primary dysmenorrhea?

A. Combined monophasic oral contraceptives
B. Combined multiphasic oral contraceptives
C. Subdermal etonogestrel (Nexplanon)



, AAFP Board Practice Questions (Part 1) questions
well answered to pass
bclinical hypothy- roidism




NSAIDs




The IUD

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