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Exam (elaborations)

AAFP Board Review - Preventative/Stat questions with verified correct answers

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AAFP Board Review - Preventative/Stat questions with verified correct answers

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AAFP Board Review - Preventative/Stat questions
with verified correct answers
1. A local dentist contacts you for a
E. No antibiotic prophylaxis
prescrip- tion for the appropriate
American Heart Association's 2007
antibiotic dosage for one of guide- lines, prophylaxis to prevent
bacterial en-
your patients who has an appointment for do carditis associated with
dental, gastroin-
dental cleaning to eliminate a 2. A 21-year old female
significant plaque comes to her fam- ily
buildup. The patient is a 55-year-old physician's office with
male who has controlled an unintended
hypertension and mi- tral valve pregnancy and states
prolapse with mitral regurgitation. that she wishes to
He is allergic to sulfonamides. have a medical
abortion. Elective
Which one of the following would abortion is against the
be the most appropriate physician's personally
prophylaxis for this pa- tient? held
(check one)
A. Amoxicillin, 2 g orally 1 hour prior to
the procedure
B. Amoxicillin, 3 g orally 1 hour prior
to the procedure and 1.5 g orally 6
hours after the procedure
C. Ceftriaxone (Rocephin), 1 g
intramuscu- larly 1 hour prior to the
procedure
D. Clindamycin (Cleocin), 600 mg
orally 1 hour prior to the procedure
E. No antibiotic prophylaxis



,AAFP Board Review - Preventative/Stat questions
with verified correct answers
testinal, or genitourinary procedures is now indicated only
for
1. high-risk patients with prosthetic valves
2. a previous history of endocarditis
3. unrepaired cyanotic congenital heart disease
(CHD)
4. CHD repaired with prosthetic material
5. cardiac transplant recipients who devel- op valvular
disease; also increase in adverse event




E. Providing resources that explain how to access a safe and
legal medical abortion






,AAFP Board Review - Preventative/Stat questions
with verified correct answers
moral principles. infections? (check one)
According to the American A. Give preoperative
Academy of Family Physicians, which antibiotics to all sur-
one of the follow- ing would be the gical patients to
most appropriate course of action eradicate bacteria
for the physician in this situation? B. Screen all admitted
(check one) patients for MRSA and
A. Explaining the rationale for use antibiotics pre- and
morally op- posing medical postoperative- ly in
abortions positive cases
B. Providing no further assistance at C. Culture the nares
this visit of all hospital em-
C. Offering to match the ployees upon hiring
patient with prospective and on a routine basis
adoptive parents
D. Advising the patient that it
would be safer for her to continue
the pregnancy
E. Providing resources that explain
how to access a safe and legal
medical abortion

3. You are a member of a committee
at your local hospital that has been
asked to de- velop measures to
reduce the incidence of postoperative
methicillin-resistant Staphy- lococcus
aureus (MRSA) infections. Which one
of the following would be most
effec- tive for preventing these


, AAFP Board Review - Preventative/Stat questions
with verified correct answers




D. always hand-washing

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