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Exam (elaborations)

AAFP Family Medicine Questions (Mixed Review 1-50) correctly answered to pass

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AAFP Family Medicine Questions (Mixed Review 1-50) correctly answered to pass

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AAFP Family Medicine Questions (Mixed Review 1-50)
correctly answered to pass
Dx: Chlamydial PNA
1. Sx: non-toxic in-
fant 3-6 weeks
with prominent
cough, tachyp-
nea, wheezes,
and conjunctivi-
ties, patchy infil-
trates on CXR
Dx: Staphylococcal PNA
2. Sx: very ill
appearing in-
fant, expiratory
wheezes, bron-
chiolitis, tachyp-
nea, dyspnea, lo-
bar PNA with
sudden onset, el-
evated WBC
Dx: RSV
3. Sx: rhinorrhea,
pharyngitis fol-
lowed in 1-3
days by cough
and wheezing,
diffuse rhonchi,
fine crackles,
wheezes, normal
CXR, +/- inter-
costal retractions
Lifestyle modification for obese patients
4. Recommended
first line


,AAFP Family Medicine Questions (Mixed Review 1-50)
correctly answered to pass
treatment for Metformin (may improve abnormal menstration)
PCOS? Tx for
Low dose combined OCP used to reduce risk of endometrial cancer with chronic
improvin
anovulation and the resulting unopposed estrogen secretion
abnormal
menstration?
Prevention of
endometrial
cancer?

5. Treatment of Splint DIP joint in extension x8 weeks
Mallet Fracture
Conservative therapy appears to have outcomes similar to those of surgical treat-
ment

6. Effective treat- Lamotrigine (Lamictal)
ments for both Lithium
acute depres- Quetiapine (Seroquel)
sionand mainte- Valproate (Depacon)
nance therapy of
bipolar disorders

7. Sx: cellulitis with Dx: Surgical Debridement within 12 hours
severe pain,
skin changes,
bullae, discol-
oration, rapid
progression

8. Monitoring for Free T4, TSH
Amiodarone - can develop hyper or hypothyroidism

9. Most common Nursemaid's Elbow (radial head subluxation) from axial traction in pronated and
orthopedic con- fully extended position


,AAFP Family Medicine Questions (Mixed Review 1-50)
correctly answered to pass
dition of the el-
bow in children
1-4 years old

10. When is it ap- No signs of outward fraction, abuse
propriate to re-
duce elbow of ra- Get x-ray if ecchymsis, swelling, or pain from join is present or if symptoms don't
dial head sublux- improve after reduction
ation? When do
you want an XR?

11. Inhaled corti- No concern for prematurely closure of growth plates
costeroids and
growth plates

12. Risk of sched- Tachyphylaxis
uling short-act- Not recommended
ing bronchodila-
tors in asthma tx

13. First line treat- NSAIDs
ment for primary start at onset of menses and continue for first 1-2 days
dysmenorrhea

14. Next step with Serum TSH level
1cm thyroid
nodule noted > 1cm: need further workup
on exam of
42-year-old < 1cm: fully evaluate in patients with fam hx of thyroid cancer, personal h/o
radiation, cervical node

15. Lacictal (lam- Start at low dose and titrate up
otrigine) and


,AAFP Family Medicine Questions (Mixed Review 1-50)
correctly answered to pass
Steven Johnson
Syndrome

16. Sx: flesh-col- Dx: Erythema toxicum neoatorum (resolved within 1st 2 weeks of life)
ored papules
with erythema-
tous base in new-
born (2-day old)

17. Definition of >3RBCs/hpf
asymptomatic
microscopic
hematuria


18. Treatment of dys- Morphine
pnea in terminal-
ly ill patients childhood pain

19. Keep in mind
these point
when using Clar-
ithromycin

20. Side effect of
inhaled corticos-
teroids in treat-
ment for COPD?
Effect on FEV1?

21. Labs to r/o ma-
lignancy or infec-
tion in noctural

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