AAFP Board Review Questions & Verified
Answers with Rationales | Instant
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,gravida 2 para 0 at 34 weeks gestation presents to your office because of diffuse
itching. She does not have any known allergies other than seasonal allergies, and
she does not have any new contacts. An examination is normal other than some
scattered excoriations, and there is no other distinct rash. She has tried
moisturizers but her symptoms have not improved. Which one of the following
would be most appropriate at this point? (check one)
> Monitoring for the development of a rash
> Liver function tests and serum bile acid levels
>Topical corticosteroids
> Oral antihistamines
> Varicella-zoster immune globulin - Answer -Liver Function Test and serum
bile acids
So pregnancy + itching= intrahepatic cholestasis vs HELLP vs. acute fatty liver of
pregnancy
in this case, we're worried about intrahepatic cholestasis of pregnancy==> may
indicate induction by 35-37 weeks
When titrating the dosage of opioids, the CDC recommends that you should also
consider prescribing naloxone when the opioid dosage reaches what morphine
milligram equivalent (MME) per day threshold? (check one)
,30
50
80
90
100 - Answer -50
in general avoid prescribing 90 MME / day
when do u screen pregnant people for hep b - Answer -first prenatal visit
and 26-28 weeks
A 62-year-old female with stage 3 chronic kidney disease and an estimated
glomerular filtration rate of 37 mL/min/1.73 m2 is found to have a mildly low
ionized calcium level. Which one of the following would you expect to see if her
hypocalcemia is secondary to her chronic kidney disease? (check one)
>Elevated parathyroid hormone (PTH) and elevated phosphorus
>Elevated PTH and low phosphorus
>Low PTH and elevated phosphorus
>Low PTH and low phosphorus - Answer -> elevated pth and elevated
phosphorus
, CKD causing mineral and bone disorder is a thing; CKD-MBD, and basically u have
increased risk of bone fractures and heart issues( cuz vascular calcificaiton)
because the phosphate is not excreted, so it causes the PTH to increase, and it
binds to the Calcium
also the kidney is messed up so decreased production of calcitriol in patients with
CKD, all in all causing hypol=calcemic hyperparathyroidism
Patients with CKD stages X-Y should have phosphorus, calcium, parathyroid
hormone, and 25-hydroxyvitamin D levels checked regularly, and consultation
with a nephrologist or endocrinologist should be obtained if CKD-MBD is
suspected. - Answer -3a-5
1-day-old newborn is brought to your office for a routine examination. His parents
report that he is well. The prenatal course and delivery were unremarkable. An
examination is normal except for a 1-cm wide dimple on the sacrum, 1 cm
superior to the anus. The dimple has a tuft of dark hair. At this point you would
recommend (check one)
>a follow-up examination in 1 month
>ultrasonography
>MRI
Answers with Rationales | Instant
Download PDF
,gravida 2 para 0 at 34 weeks gestation presents to your office because of diffuse
itching. She does not have any known allergies other than seasonal allergies, and
she does not have any new contacts. An examination is normal other than some
scattered excoriations, and there is no other distinct rash. She has tried
moisturizers but her symptoms have not improved. Which one of the following
would be most appropriate at this point? (check one)
> Monitoring for the development of a rash
> Liver function tests and serum bile acid levels
>Topical corticosteroids
> Oral antihistamines
> Varicella-zoster immune globulin - Answer -Liver Function Test and serum
bile acids
So pregnancy + itching= intrahepatic cholestasis vs HELLP vs. acute fatty liver of
pregnancy
in this case, we're worried about intrahepatic cholestasis of pregnancy==> may
indicate induction by 35-37 weeks
When titrating the dosage of opioids, the CDC recommends that you should also
consider prescribing naloxone when the opioid dosage reaches what morphine
milligram equivalent (MME) per day threshold? (check one)
,30
50
80
90
100 - Answer -50
in general avoid prescribing 90 MME / day
when do u screen pregnant people for hep b - Answer -first prenatal visit
and 26-28 weeks
A 62-year-old female with stage 3 chronic kidney disease and an estimated
glomerular filtration rate of 37 mL/min/1.73 m2 is found to have a mildly low
ionized calcium level. Which one of the following would you expect to see if her
hypocalcemia is secondary to her chronic kidney disease? (check one)
>Elevated parathyroid hormone (PTH) and elevated phosphorus
>Elevated PTH and low phosphorus
>Low PTH and elevated phosphorus
>Low PTH and low phosphorus - Answer -> elevated pth and elevated
phosphorus
, CKD causing mineral and bone disorder is a thing; CKD-MBD, and basically u have
increased risk of bone fractures and heart issues( cuz vascular calcificaiton)
because the phosphate is not excreted, so it causes the PTH to increase, and it
binds to the Calcium
also the kidney is messed up so decreased production of calcitriol in patients with
CKD, all in all causing hypol=calcemic hyperparathyroidism
Patients with CKD stages X-Y should have phosphorus, calcium, parathyroid
hormone, and 25-hydroxyvitamin D levels checked regularly, and consultation
with a nephrologist or endocrinologist should be obtained if CKD-MBD is
suspected. - Answer -3a-5
1-day-old newborn is brought to your office for a routine examination. His parents
report that he is well. The prenatal course and delivery were unremarkable. An
examination is normal except for a 1-cm wide dimple on the sacrum, 1 cm
superior to the anus. The dimple has a tuft of dark hair. At this point you would
recommend (check one)
>a follow-up examination in 1 month
>ultrasonography
>MRI
