AAFP Questions (questions well
answered) A+ rated
A nontoxic afebrile 4-week-old child appears with diffuse crackles and conjunctivitis and a
prominent cough. On WBC there is prominent eosinophilia. Most likely etiological agent? -
correct answer ✔✔Chlamydia pneumoniae (atypical pneumonia)
When do we use finasteride? - correct answer ✔✔Only if PSA is above 1.5ng/mL and when
there is evidence of BPH
Recommended treatment for a mallet fracture? - correct answer ✔✔splinting in extension
Appropriate drugs to manage bipolarism - correct answer ✔✔Lithium, valproate, lamotrigine,
and some antipsychotics (including quetiapine)
A young 2 year old presents with her arm pronated and flexed close to her body. She is resilient
to examination of the area. What occurred and how do you fix it? - correct answer
✔✔Nursemaids elbow due to excessive traction and the annular ligament slipping superiorly
between the humerus and radius
Treatment for primary dysmenorrhea? - correct answer ✔✔NSAIDs
Two most appropriate first steps to assess a thyroid nodule? - correct answer ✔✔ultrasound
TSH level
Which anti-epileptic should be titrated up slowly to avoid S-J syndrome? - correct answer
✔✔Lamotrogine
,Three best sources of information for providing treatment - correct answer ✔✔systematic
reviews, meta-analyses, randomized controlled trials (RCTs)
Flesh colored papules with an erythematous base that are located on the face and trunk of a 2
day old infant. Dx? - correct answer ✔✔erythema toxicum neonatorum
A 70-year-old male with widespread metastatic prostate cancer is being cared for through a
local
hospice. Surgery, radiation, and hormonal therapy have failed to stop the cancer, and the goal
of his care is now symptom relief. Over the past few days he has been experiencing respiratory
distress. His oxygen saturation is 94% on room air and his lungs are clear to auscultation. His
respiratory rate is 16/min.
Best treatment? - correct answer ✔✔Morphine
Two causes of bloody diarrhea that are painless? - correct answer ✔✔Diverticular bleeding and
angiodysplasia
A patient with persistent severe asthma may present with bruising, why? - correct answer
✔✔Inhaled corticosteroids may increase the risk of bruising in some patients
benign nocturnal limb pains of childhood are what? - correct answer ✔✔growing pains-
cramping feelings in calves, arms and shins
Which of the following is not a first line anti-HTN therapy?
ACE inhibitors
,B. Angiotensin receptor blockers
C. Calcium channedl blockers
D. β-Blockers
E. Thiazide-type diuretics - correct answer ✔✔Beta blockers
Why do we routinely check Na+ levels on patients taking SSRIs? - correct answer ✔✔worry
about hyponatremia secondary to SIADH
Four common causes of obstructive lung disease? - correct answer ✔✔COPD
bronchiectasis
asthma
CF
A patient presenting with a pericardial rub and pain only relieved by leaning forward should be
given what immediately? - correct answer ✔✔NSAIDs (colchicine too)--> first line for
pericarditis
What viral respiratory infection is rarely associated with bacterial co-infection - correct answer
✔✔RSV
In a 3 year old with assumed community acquired pneumonia what is the drug of choice to
treat? - correct answer ✔✔amoxicillin (older kids get macrolides)
nondisplaced midshaft clavicular fracture should be splinted how? - correct answer ✔✔sling
or
figure-of-eight dressing,
, OSA in children 2 to 8 is due primarily to what? - correct answer ✔✔enlarged adenoids and
tonsils
Anemia of CKD is normally treated first line how? - correct answer ✔✔oral ferous sulfate
dyspnea, a nondilated left
ventricle with a preserved ejection fraction all indicate what type of heart failure? - correct
answer ✔✔diastolic
Slipped capital femoral epiphysis (SCFE) occurs most commonly during when? - correct answer
✔✔adolescent growth spurt with knee pain
Patients with symptomatic peripheral arterial disease should be started on a daily dose of either
_________ or ________ - correct answer ✔✔aspirin or clopidogrel
This causes dull or sharp groin pain, which in
some patients radiates to the lateral hip, anterior thigh, or buttock with a positive FABER or
FABIR test - correct answer ✔✔hip labral tear
If a patient has bacterial diarrhea that is causing non-bloody stool and no severe symptoms how
do we treat? - correct answer ✔✔hydration but NO antibiotics
This vaccine may cause a febrile seizure in a 12 month year old due to fevers that may spike to
103 degrees - correct answer ✔✔MMR (measles component)
A positive valgus stress test of the elbow indicates what? - correct answer ✔✔ulnar collateral
ligament injury
answered) A+ rated
A nontoxic afebrile 4-week-old child appears with diffuse crackles and conjunctivitis and a
prominent cough. On WBC there is prominent eosinophilia. Most likely etiological agent? -
correct answer ✔✔Chlamydia pneumoniae (atypical pneumonia)
When do we use finasteride? - correct answer ✔✔Only if PSA is above 1.5ng/mL and when
there is evidence of BPH
Recommended treatment for a mallet fracture? - correct answer ✔✔splinting in extension
Appropriate drugs to manage bipolarism - correct answer ✔✔Lithium, valproate, lamotrigine,
and some antipsychotics (including quetiapine)
A young 2 year old presents with her arm pronated and flexed close to her body. She is resilient
to examination of the area. What occurred and how do you fix it? - correct answer
✔✔Nursemaids elbow due to excessive traction and the annular ligament slipping superiorly
between the humerus and radius
Treatment for primary dysmenorrhea? - correct answer ✔✔NSAIDs
Two most appropriate first steps to assess a thyroid nodule? - correct answer ✔✔ultrasound
TSH level
Which anti-epileptic should be titrated up slowly to avoid S-J syndrome? - correct answer
✔✔Lamotrogine
,Three best sources of information for providing treatment - correct answer ✔✔systematic
reviews, meta-analyses, randomized controlled trials (RCTs)
Flesh colored papules with an erythematous base that are located on the face and trunk of a 2
day old infant. Dx? - correct answer ✔✔erythema toxicum neonatorum
A 70-year-old male with widespread metastatic prostate cancer is being cared for through a
local
hospice. Surgery, radiation, and hormonal therapy have failed to stop the cancer, and the goal
of his care is now symptom relief. Over the past few days he has been experiencing respiratory
distress. His oxygen saturation is 94% on room air and his lungs are clear to auscultation. His
respiratory rate is 16/min.
Best treatment? - correct answer ✔✔Morphine
Two causes of bloody diarrhea that are painless? - correct answer ✔✔Diverticular bleeding and
angiodysplasia
A patient with persistent severe asthma may present with bruising, why? - correct answer
✔✔Inhaled corticosteroids may increase the risk of bruising in some patients
benign nocturnal limb pains of childhood are what? - correct answer ✔✔growing pains-
cramping feelings in calves, arms and shins
Which of the following is not a first line anti-HTN therapy?
ACE inhibitors
,B. Angiotensin receptor blockers
C. Calcium channedl blockers
D. β-Blockers
E. Thiazide-type diuretics - correct answer ✔✔Beta blockers
Why do we routinely check Na+ levels on patients taking SSRIs? - correct answer ✔✔worry
about hyponatremia secondary to SIADH
Four common causes of obstructive lung disease? - correct answer ✔✔COPD
bronchiectasis
asthma
CF
A patient presenting with a pericardial rub and pain only relieved by leaning forward should be
given what immediately? - correct answer ✔✔NSAIDs (colchicine too)--> first line for
pericarditis
What viral respiratory infection is rarely associated with bacterial co-infection - correct answer
✔✔RSV
In a 3 year old with assumed community acquired pneumonia what is the drug of choice to
treat? - correct answer ✔✔amoxicillin (older kids get macrolides)
nondisplaced midshaft clavicular fracture should be splinted how? - correct answer ✔✔sling
or
figure-of-eight dressing,
, OSA in children 2 to 8 is due primarily to what? - correct answer ✔✔enlarged adenoids and
tonsils
Anemia of CKD is normally treated first line how? - correct answer ✔✔oral ferous sulfate
dyspnea, a nondilated left
ventricle with a preserved ejection fraction all indicate what type of heart failure? - correct
answer ✔✔diastolic
Slipped capital femoral epiphysis (SCFE) occurs most commonly during when? - correct answer
✔✔adolescent growth spurt with knee pain
Patients with symptomatic peripheral arterial disease should be started on a daily dose of either
_________ or ________ - correct answer ✔✔aspirin or clopidogrel
This causes dull or sharp groin pain, which in
some patients radiates to the lateral hip, anterior thigh, or buttock with a positive FABER or
FABIR test - correct answer ✔✔hip labral tear
If a patient has bacterial diarrhea that is causing non-bloody stool and no severe symptoms how
do we treat? - correct answer ✔✔hydration but NO antibiotics
This vaccine may cause a febrile seizure in a 12 month year old due to fevers that may spike to
103 degrees - correct answer ✔✔MMR (measles component)
A positive valgus stress test of the elbow indicates what? - correct answer ✔✔ulnar collateral
ligament injury
