Aafp Board Review Exam Recent Update 2024 Questions And Correct Answers (Verified Answers) | Graded A+

AAFP BOARD REVIEW EXAM RECENT UPDATE 2024 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | GRADED A+ 39-year-old Female with uncontrolled diabetes with 8 day history of thick white vaginal discharge and vulvar itching. Had tried 7-day OTC for yeast infection, but only did 5 days of it. Has extensive vulvar erythema, excoriations, and edema with thick, curd-like white discharge at the introits with the vagina being erythematous. KOH prep shows budding yeast and hyphae. Which of the following medications would be the most appropriate treatment for this condition? - ANSWER : Fluconazole 150mg PO in two doses that are 72 hours apart A 37 y/o male in good health presents with a laceration of the 5th finger due to broken glass. Which one of the following statements is true? - ANSWER: wound irrigation with tap water has been shown to have comparable (if not lower) rates of wound infection than sterile saline Child abuse should be suspected in all of the following EXCEPT - ANSWER: 20-month -old with spiral fracture of distal tibia 12-month -old M for fever, cough, and pulling on left ear. Afebrile, slightly red TM but won't allow pneumatic otoscopy. Your diagnosis is? - ANSWER: URI, acute otitis media uncertain A 22 -month -old male patient is brought to you crying and in obvious acute distress from right ear pain. He has a fever of 103.6oF, has an immobile, bulging, erythematous right TM. The best treatment option would be? - ANSWER: start antibiotics immediately You diagnose AOM with severe symptoms in a 22-month -old male patient who weighs 20 kg (44 lb). What is the most appropriate treatment? - ANSWER : amoxicillin 1800 mg/day You treated a child with AOM with antibiotics and see him back 4 weeks later. The child is asymptomatic, but you determine he has a middle ear effusion. Your recommendation would be? - ANSWER : reassurance and reevaluate in 2 months A 43 -year-old male presents to your office with five days of nasal congestion and headache. His temperature is 100.8oF, he has purulent rhinorrhea, and minimal tenderness to palpation over the frontal and maxillary sinuses. Your next step would be? - ANSWER: treat with decongestants/mucolytics 57 yo with brief episodes of sensation of spinning and dizziness with quick movement that last a few seconds. No hearing symptoms. The most likely diagnosis would be? - ANSWER : benign paroxysmal positional vertigo Which of the following bites has the highest risk of infection? - ANSWER: cat bite to the hand Which one of the following statements is TRUE regarding the use of antidepressants for smoking cessation? - ANSWER : Bupropion is contraindicated in a patient with an eating disorder The number 1 cause of preventable morbidity and mortality in the US today is which of the following? - ANSWER : Tobacco Which of the following statements is true regarding alcohol abuse counseling? - ANSWER : The USPSTF recommends screening and counseling adults the risks of alcohol misuse Which immunization would be considered safe to administer during pregnancy? - ANSWER : Tdap Self-help measures recommended for patients with NYHA class 2 HF is on optimal medications include which one of the following? - ANSWER: Avoiding NSAID use How much daily vitamin D supplementation do infants need during the first month of life? - ANSWER : Breastfed infants should have 400 IU of Vitamin D Following a scheduled repeat C -section delivery, a term infant has a respiratory rate >60. What is the most common cause of this presentation? - ANSWER: Transient tachypnea of the newborn Breastfeeding jaundice is characterized by - ANSWER : insufficient feed What advice would you give parents to reduce the risk of death from sudden infant death syndrome (SIDS) in their infant? - ANSWER : Avoi d exposure of the infant to second -hand smoke The majority of failure to thrive cases in infants is due to - ANSWER: inadequate caloric intake What will Medicare cover for an elderly couple asks you how they will pay to live in facility. Which of the following is NOT true? - ANSWER: Medicare will pay once a medical need for services is clearly documented The largest portion of the Medicare budget is spent on - ANSWER : the 20% of Medicare recipients with five or more chronic diseases Patient on meds including risperdone, metoclopramide, and valproate presents with Parkinson's symptoms (trouble standing, walking then freezing, flat affect), so your next step is - ANSWER : stop his risperdone, metoclopramide, and valproate Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about dyskinesia. Which would be a good choice to decrease long term effects of this? - ANSWER: Dopamine agonist, such as ropinirole Elderly patient develops C. Diff, so your next step is - ANSWER : begin PO vancomycin 125mg QID What causes peripheral vision loss? - ANSWER : glaucoma Presbycusis is typically associated with the reduction in what type of hearing loss? - ANSWER: hearing threshold at higher frequencies A 65 yo with COPD is complaining of increased breathing difficulty for 2 months, and using his short -acting bronchodilator 4 times a day. The next best step in therapy for him would be: - ANSWER: tiotropium inhalation daily You see a 54 yo with moderate COPD who has increased cough, yellow sputum, and increasing dyspnea and wheezing. In addition to steroids, which one of the following would be most appropriate for you to prescribe at this time? - ANSWER : Rx augmentin for 5-7 days An asymptomatic 60 yr. old sees you for a routine physical. Patient smoked 2 PPD x 20 yrs but quit 5 yrs ago. PE and labs are unremarkable. Which one of the following screening tests are currently recommended by the USPSTF at this time? - ANSWER : low dose chest CT A 25 yo African -American female involved in an MVA is found to have bilat. hilar infiltrates on CXR. She is asymptomatic and has no h/o environmental exposures. Remainder of PE is unremarkable; PFT and PPD are negative. Transbronchial biopsy reveals a noncaseating granuloma. Which one of the following would be the most appropriate treatment? - ANSWER: observation An 11 yo boy is diagnosed with ADHD. The most common psychiatric comorbidity would be - ANSWER: oppositional defiant disorder (ODD)