Family Medicine In-Training
Examination) Questions with Correct
Answers Download!!
2ndry Polycythemia - Answer -increased carboxy Hb
Actinic Keratosis - Answer -Precursor to SCC
Actions against physician morals (e.g abortion) - Answer -AFFP -> Dr. Not compelled, but provide
resources on how to do.
Acute otitis externa - Answer -treat with any topical antibiotic + steroid if significant swelling
Acute stress disorder - Answer -2 days to <4wk
Addison's ds Dx - Answer -Hypotension, Hyperkalemia ( عكسConn's)
anorexia, fatigue, muscle pain, orthostasis
Vitilligo, hyperpigmentation
Dx by 8am S.Cortisol --> Confirm by Cosyntropin Stim test
Adult, joint pain, deformity, high AlkP, worse by weight and heat - Answer -Paget's disease of the
bone
Anaphylaxis resistance to epinephrin - Answer -In taking b-Blockers
tt: Glucagon
Anemia in CKD - Answer -target hg 10-12
Ankle brachial index - Answer -<= 0.9 in PAD
>1.4 in atherosclerosis & long stand DM (not reliable)
Ankle sprain ttt - Answer -ankle support
Anorexia Nervosa arrhythmia - Answer -Sinus bradycardia
Anterior wall MI ECG - Answer -
Aromatase inhibitors (letrozol) - Answer -Myalgia and arthralgia
,Aspirin in USPSTF - Answer -Give to adults 50-59 if CVD risk >10% to prevent CVD and CoCa
(moderate benefit)
If 60-69 (small benefit)
<50&>70 (insufficient evid)
Asplenic pt Penicillin - Answer -With any fever
Atrial fib ECG - Answer -
Atrial flutter ECG - Answer -
Baby wheeing while feeding - Answer -GERD (most common)
TOF (rare)
Laryngeal cleft (rare)
Biceps tendino - Answer -ant elbow pain, cubital pain with resisted supination
Bilious vomiting + Abdominal pain in baby - Answer -Voluvolus --> upper GI series
Bipolar disorder ttt - Answer -Acute mania: lithium/divalproex
Maintenance ttt: lithium/valproate/lamotrigine/quetiapine
Birth weight regain - Answer -in 14 days
weight increases 30gm/d in 1st yr of life
doubles in 4-5ms
triples by 1st yr
Bisphosphonates SE - Answer -Atypical femoral shaft fractures, Jaw osteonecrosis, Oesophagitis
with ulcers
BP in children according to - Answer -Age, Sex, Height (ASH :D)
Ca Oxalate stone ttt (recurrent) - Answer -low sodium, low protein diet, low oxalate foods
(spinach, tea, chocolate)
Plenty of fluids
Potassium citrate at mealtime to Alkalinize urine
Calcific tendinitis of rotator cuff ttt - Answer -- Extracorp Shockwave
- Irrigation
- PT
- steroid inj
, - Surgery
Calcium citrate advantage - Answer -no relation to stomach acid or to meals
Campylobacter ttt - Answer -Erythromycin
if resistant (south east Asia) Azithro (500qd for 3d)
Cat scratch ds - Answer -dt. Bartonella Henslae
ttt: Aithromycin (Rifamp, TMP/SMX, Cipro, Genta)
Cellulitis ttt - Answer -MRSA = vancomycin
Child heel pain - Answer -Calcaneal apophysitis (SEVER ds)
ttt: dec activities. NSAIDs, ice, stretching and strength, orthotics
Cluster headache - Answer -s/o: tearing, rhinorrhea unilat + unilat headache
ttt: Abortive: Oxygen, Sumatriptan
Prophylactic: Verapamil
Colon Ca screening - Answer -hyperplastic aden OR 1-2 tubular aden (<10mm) : 10 yrs
>2 or >10mm or any villous: 3 yrs
Normal >50yr every 10yr by colonoscope, or FOBT+sigmoido every 5yr
in FHx HNPCC at age 25 every 1-2 yr
in FHx FAP at 12yr annual
in FHx of CoCa start at 40 or 0yrs b4 dx age whichever earlier
Contraception in obese - Answer -Depot Medroxyprog
OR
Combination Vaginal ring
COPD cor pulmonal - Answer -oxygen
COPD Dx - Answer -Spiro post BD: FEV1/FVC <70%
COPD exacerbation - Answer -Prednisolone 5 days
Croup - Answer -kids 6m - 3y
dt parainfluenza