Aafm Boards - Dermatology

AAFM BOARDS - DERMATOLOGY When should antihypertensive medication be given in acute ischemic stroke in the elderly? - ANS-1). should not be given during the first 48-72 hours as long as they are not candidates for, or recipients of, reperfusion therapy with alteplase or thrombectomy; 2). do not have a comorbid condition requiring acute blood pressure lowering; 3). and do not have a blood pressure 220/120 mm Hg. However, patients with a history of hypertension can generally resume their home blood pressure medications once they are safely eating and drinking. Intensive behavioral intervention has been shown to be more effective than other treatment modalities in treating children who have been diagnosed with - ANS-Autism A 30-year-old male is treated with topical medications for his papulopustular rosacea with only partial improvement. He has no drug allergies.The preferred oral antibiotic in this situation is - ANS-1st line doxycycline (100-200 mg daily or 40 mg of a modified release formulation) and minocycline (100-200 mg daily) 2nd line for those who can't take tetracyclines are oral metronidazole or macrolides such as azithromycin and clarithromycin A 63-year-old male sees you after carotid ultrasonography at a local health fair showed a 50% occlusion of his left proximal internal carotid artery. He has never had a TIA or stroke and he takes no medications. He smokes one pack of cigarettes daily. His blood pressure today is 122/76 mm Hg.In addition to counseling on a healthy diet, exercise, and tobacco cessation, you should recommend - ANS-statin therapy and repeat U/S in 1 year A 25-year-old landscaper presents to the emergency department with a 1-day history of pain and swelling in his left hand. Three days ago he sustained a puncture wound from a thorn in the palm of his hand. He has generalized achiness and chills in addition to the hand pain. He has no significant past medical history. patient's temperature is 37.9°C (100.2°F). His left third finger is diffusely swollen, erythematous, and held in flexion. There is tenderness along the third tendon in the palm. A radiograph of the hand is negative for a fracture or foreign body. What would be the most appropriate next step? - ANS-Flexor tenosynovitis requires treatment with prompt intravenous antibiotics and surgical debridement and irrigation Which one of the following is considered most useful when implementing shared decision-making? - ANS-Number needed to treat A 27-year-old soccer player presents with anterior hip pain along with a clicking sensation in the hip when he runs or attempts lateral movements. The flexion, adduction, and internal rotation (FADIR) test and the flexion, abduction, and external rotation (FABER) test both elicit pain. You suspect a labral tear.The most accurate ima