AAFP 121 (questions well answered) A+
graded to pass
A 25-year-old gravida 1 para 1 presents for insertion of a levonorgestrel-releasing intrauterine
device (Mirena). She is on the last day of her menses, which began 5 days ago. A urine
pregnancy test in the office is negative. You insert the device without complications and she
asks
how long she needs to use backup contraception.
Which one of the following would be the most appropriate advice? (check one)
A. Backup contraception is not necessary
B. She should use backup contraception for the next 48 hours
C. She should use backup contraception for the next 7 days
D. She should use backup contraception for the next 14 days
E. She should use backup contraception for the next month - correct answer ✔✔Backup
contraception is not necessary
Which one of the following findings on pulmonary function testing is most consistent with
restrictive lung disease? (check one)
A. Reduced FEV1 and a decreased FEV1/FVC ratio
B. Reduced FEV1 and a normal FEV1/FVC ratio
C. Reduced FEV1 and an increased FEV1/FVC ratio
D. Reduced FVC and an increased FEV1/FVC ratio
E. Decreased diffusing capacity of the lung for carbon monoxide (DLCO) - correct answer
✔✔Reduced FVC and increased FEV1/FVC ratio
, The parents of a 4-year-old male bring him in for evaluation because of behavioral problems in
his preschool. They report that he is inattentive, hyperactive, and impulsive, has difficulty
remaining seated, always seems to be moving, frequently interrupts others, and talks
incessantly. His teacher also told them that he never plays quietly, has difficulty taking turns,
and intrudes often in other children's play.
Which one of the following is recommended by the American Academy of Pediatrics for initial
management in this child's case? (check one)
A. Behavioral treatment alone
B. Methylphenidate (Ritalin) alone
C. Atomoxetine (Strattera) alone
D. Methylphenidate combined with behavioral treatment
E. Methylphenidate combined with atomoxetine - correct answer ✔✔Behavioral treatment
alone
A 56-year-old male with diabetes mellitus and hypertension presents with a 6-month history of
generalized pruritus. He reports that he scratches frequently. On examination his skin is dry and
scaly. He has multiple linear excoriations and thickened skin on his forearms, legs, and neck.
Which one of the following is the most likely cause of his pruritus? (check one)
A. Contact dermatitis
B. Chronic urticaria
C. Lichen simplex chronicus
D. Scabies - correct answer ✔✔Lichen simplex chronicus
A 50-year-old female with a history of refractory hypertension presents with abdominal pain.
Her laboratory results are significant for a positive Helicobacter pylori antibody. You decide to
initiate treatment for her H. pylori infection with sequential therapy using the following drug
regimen: rabeprazole (Aciphex) plus amoxicillin, followed by clarithromycin (Biaxin) plus
tinidazole (Tindamax). She is currently on multiple medications for her hypertension.
graded to pass
A 25-year-old gravida 1 para 1 presents for insertion of a levonorgestrel-releasing intrauterine
device (Mirena). She is on the last day of her menses, which began 5 days ago. A urine
pregnancy test in the office is negative. You insert the device without complications and she
asks
how long she needs to use backup contraception.
Which one of the following would be the most appropriate advice? (check one)
A. Backup contraception is not necessary
B. She should use backup contraception for the next 48 hours
C. She should use backup contraception for the next 7 days
D. She should use backup contraception for the next 14 days
E. She should use backup contraception for the next month - correct answer ✔✔Backup
contraception is not necessary
Which one of the following findings on pulmonary function testing is most consistent with
restrictive lung disease? (check one)
A. Reduced FEV1 and a decreased FEV1/FVC ratio
B. Reduced FEV1 and a normal FEV1/FVC ratio
C. Reduced FEV1 and an increased FEV1/FVC ratio
D. Reduced FVC and an increased FEV1/FVC ratio
E. Decreased diffusing capacity of the lung for carbon monoxide (DLCO) - correct answer
✔✔Reduced FVC and increased FEV1/FVC ratio
, The parents of a 4-year-old male bring him in for evaluation because of behavioral problems in
his preschool. They report that he is inattentive, hyperactive, and impulsive, has difficulty
remaining seated, always seems to be moving, frequently interrupts others, and talks
incessantly. His teacher also told them that he never plays quietly, has difficulty taking turns,
and intrudes often in other children's play.
Which one of the following is recommended by the American Academy of Pediatrics for initial
management in this child's case? (check one)
A. Behavioral treatment alone
B. Methylphenidate (Ritalin) alone
C. Atomoxetine (Strattera) alone
D. Methylphenidate combined with behavioral treatment
E. Methylphenidate combined with atomoxetine - correct answer ✔✔Behavioral treatment
alone
A 56-year-old male with diabetes mellitus and hypertension presents with a 6-month history of
generalized pruritus. He reports that he scratches frequently. On examination his skin is dry and
scaly. He has multiple linear excoriations and thickened skin on his forearms, legs, and neck.
Which one of the following is the most likely cause of his pruritus? (check one)
A. Contact dermatitis
B. Chronic urticaria
C. Lichen simplex chronicus
D. Scabies - correct answer ✔✔Lichen simplex chronicus
A 50-year-old female with a history of refractory hypertension presents with abdominal pain.
Her laboratory results are significant for a positive Helicobacter pylori antibody. You decide to
initiate treatment for her H. pylori infection with sequential therapy using the following drug
regimen: rabeprazole (Aciphex) plus amoxicillin, followed by clarithromycin (Biaxin) plus
tinidazole (Tindamax). She is currently on multiple medications for her hypertension.
