AAFP EXAM Questions AND ANSWERS

A 4-week-old white male is brought to your office with a 2-week history of increasing dyspnea,cough, and poor feeding. The child appears nontoxic and is afebrile. On examination you noteconjunctivitis, and a chest examination reveals tachypnea and crackles. A chest film shows hyperinflation and diffuse interstitial infiltrates and a WBC count reveals eosinophilia.What is the most likely etiologic agent? A. Staphylococcus species B. Chlamydia trachomatis C. Respiratory syncytial virus D. Parainfluenza virus - Answer- B. Chlamydia trachomatis Chlamydial pneumonia is usually seen in infants 3-16 weeks of age, and these patients frequently havebeen sick for several weeks. The infant appears nontoxic and is afebrile, but is tachypneic with a prominentcough. The physical examination will reveal diffuse crackles with few wheezes, and conjunctivitis ispresent in about 50% of cases. A chest film will show hyperinflation and diffuse interstitial or patchyinfiltrates. A 52-year-old male presents with moderate symptoms of prostatism. A prostate examination is normal. His post-void residual volume is 90 mL. His PSA level is 0.75 ng/mL (N 0.0-4.0). He says his nocturia has become troublesome and you decide to initiate therapy.This patient does NOT meet the criteria for use of which one of the following? A. Doxazosin (Cardura) B. Finasteride (Proscar) C. Tadalafil (Cialis) D. Tamsulosin (Flomax) E. Silodosin (Rapaflo) - Answer- B. Finasteride (Proscar) Pharmacologic options for benign prostatic hyperplasia and lower urinary tract symptoms include an α-adrenergic blocker, a 5-α-reductase inhibitor (if there is evidence of prostatic enlargement or a PSA level >1.5 ng/mL), a phosphodiesterase-5 inhibitor, or antimuscarinic therapy. The first three have proven efficacy as monotherapies. Finasteride is a 5-α-reductase inhibitor A factory worker sustains a forced flexion injury of the distal interphalangeal (DIP) joint,resulting in a small bone fragment at the dorsal surface of the proximal distal phalanx (malletfracture). Which one of the following is the most appropriate ma