AAFP Board Review Questions
how to differentiate between chlamydial and RSV infections - Answer-chlamydia: hx of conjunctivitis,
subacute onset, absence of fever, mild wheezing
meds for BPH and lower urinary tract symptoms - Answer-alpha blocker, 5-a-reductase inhibitor (if
there's evidence of prostatic enlargement or PSA > 1.5 ng/mL), phosphodiesterase-5 inhibitor, and
antimusc therapy
tx for mallet fracture - forced flexion injury of DIP resulting in a small bone fragment at dorsal surface of
proximal distal phalanx - Answer-splinting the DIP in extension
duration of 8 wks
if fx involves > 30% of intra-articular surface - referral to specialist
tx for acute depression and maintenance therapy of bipolar disorders - Answer-Li
valproate
lamotrigine
some antipsychotics (including quetiapine)
necrotizing fasciitis - Answer-severe pain and skin changes outside the realm of cellulitis - including
bullae and deeper discoloration
tx: aggressive surgical debridement w/in 12 hrs
Pt on amiodarone
what hormone should be monitored? - Answer-TSH
f/u q6 months
,radial head subluxation or nursemaid's elbow - Answer-caused when picking up a toddler by the arm
partial displacement of radial head when child's arm undergoes axial traction while in a protonated and
fully ext position
tx: reduction of radial head - child's elbow is in 90 deg flexion > hand fully supinated > elbow brought
into full flexion
inhaled corticosteroid use in kids - Answer-has not been proven to prematurely close growth plates
most effective tx for mod persistent asthma w/ least SEs
1st line tx for primary dysmenorrhea - Answer-NSAIDs
started at onset of menses and cont for first 1-2 days
1 cm nodule in left lobe of thyroid; confirmed by US
next step in evaluation? - Answer-TSH level
followed w/ radionuclide thyroid scan if results abnormal
anti-epileptic med that has the SE of SJS - Answer-lamotrigine
should start at 25 mg qd and titrated q2 wks until goal dosage is reached
CDC guidelines on "outbreaks" - Answer-occurence of 2+ lab-confirmed cases of influenza A = outbreak
in long-term care facility
chemoppx w/ appropriate meds for all residents who are asymptomatic and tx those who are
symptomatic regardless of lab confirmation or vaccination status
where to find the strongest evidence for tx, screening, or prevention strategies? - Answer-systematic
reviews
, meta-analyses
RCTs w/ consistent findings or single high-quality RCT
2 day old infant has flesh-colored papules w/ erythematous base
on face and trunk
contain eosinophils
dx? tx? - Answer-erythema toxic neonatorum
happens usually first 2 wks of life
no tx necessary
asymptotic microscopic hematuria measurement? - Answer->3 RBCs/hpf
terminally ill pt
new symptom of resp distress
Pox 94% on room air
lungs clear to auscultation
tx? - Answer-opiates
w/o hypoxia - O2 won't be helpful
abd pain
bloody diarrhea
CV risk factors - hx of vascular dementia, peripheral artery dz, HTN, and HLD
nasogastric aspirate neg for bleeding (r/o PUD)
most likely cause of bleeding? - Answer-ischemic colitis
also associated w/ fever
how to differentiate between chlamydial and RSV infections - Answer-chlamydia: hx of conjunctivitis,
subacute onset, absence of fever, mild wheezing
meds for BPH and lower urinary tract symptoms - Answer-alpha blocker, 5-a-reductase inhibitor (if
there's evidence of prostatic enlargement or PSA > 1.5 ng/mL), phosphodiesterase-5 inhibitor, and
antimusc therapy
tx for mallet fracture - forced flexion injury of DIP resulting in a small bone fragment at dorsal surface of
proximal distal phalanx - Answer-splinting the DIP in extension
duration of 8 wks
if fx involves > 30% of intra-articular surface - referral to specialist
tx for acute depression and maintenance therapy of bipolar disorders - Answer-Li
valproate
lamotrigine
some antipsychotics (including quetiapine)
necrotizing fasciitis - Answer-severe pain and skin changes outside the realm of cellulitis - including
bullae and deeper discoloration
tx: aggressive surgical debridement w/in 12 hrs
Pt on amiodarone
what hormone should be monitored? - Answer-TSH
f/u q6 months
,radial head subluxation or nursemaid's elbow - Answer-caused when picking up a toddler by the arm
partial displacement of radial head when child's arm undergoes axial traction while in a protonated and
fully ext position
tx: reduction of radial head - child's elbow is in 90 deg flexion > hand fully supinated > elbow brought
into full flexion
inhaled corticosteroid use in kids - Answer-has not been proven to prematurely close growth plates
most effective tx for mod persistent asthma w/ least SEs
1st line tx for primary dysmenorrhea - Answer-NSAIDs
started at onset of menses and cont for first 1-2 days
1 cm nodule in left lobe of thyroid; confirmed by US
next step in evaluation? - Answer-TSH level
followed w/ radionuclide thyroid scan if results abnormal
anti-epileptic med that has the SE of SJS - Answer-lamotrigine
should start at 25 mg qd and titrated q2 wks until goal dosage is reached
CDC guidelines on "outbreaks" - Answer-occurence of 2+ lab-confirmed cases of influenza A = outbreak
in long-term care facility
chemoppx w/ appropriate meds for all residents who are asymptomatic and tx those who are
symptomatic regardless of lab confirmation or vaccination status
where to find the strongest evidence for tx, screening, or prevention strategies? - Answer-systematic
reviews
, meta-analyses
RCTs w/ consistent findings or single high-quality RCT
2 day old infant has flesh-colored papules w/ erythematous base
on face and trunk
contain eosinophils
dx? tx? - Answer-erythema toxic neonatorum
happens usually first 2 wks of life
no tx necessary
asymptotic microscopic hematuria measurement? - Answer->3 RBCs/hpf
terminally ill pt
new symptom of resp distress
Pox 94% on room air
lungs clear to auscultation
tx? - Answer-opiates
w/o hypoxia - O2 won't be helpful
abd pain
bloody diarrhea
CV risk factors - hx of vascular dementia, peripheral artery dz, HTN, and HLD
nasogastric aspirate neg for bleeding (r/o PUD)
most likely cause of bleeding? - Answer-ischemic colitis
also associated w/ fever
