ABFM Exam Questions
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - Answer-yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6 days
is diverticular bleeding painful? - Answer-no
- abdominal pains
BP recommendation for >65 - Answer-150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - Answer-transient synovitis
rx: nsaids
,rx for SVTs but short-term and llong term - Answer-CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - Answer-Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - Answer-asymmetrical weakness in legs, feet, ankles
slurred speech
trouble swallowing
SOB
wt loss
,mcc urge incontinence in elderly - Answer-detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt - Answer-
metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - Answer-difficulty opening mouth
rx management for concussion - Answer-physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - Answer-ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently smoke or have
quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be scheduled at what
GA? - Answer-39wks 0 d
, drug to prevent seizure in alcohol withdrawal - Answer-benzos
initial rx allergic rhinitis - Answer-intranasal steroids
most effective medication to prevent relapse in alcohol abuse - Answer-naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - Answer-paroxetine
- anticholinergic effects
screen for autism at what age in kids? - Answer-18 - 24months
bacterial vaginosis has vagina pH ? - Answer->4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - Answer-Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - Answer-prednisone
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - Answer-yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6 days
is diverticular bleeding painful? - Answer-no
- abdominal pains
BP recommendation for >65 - Answer-150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - Answer-transient synovitis
rx: nsaids
,rx for SVTs but short-term and llong term - Answer-CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - Answer-Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - Answer-asymmetrical weakness in legs, feet, ankles
slurred speech
trouble swallowing
SOB
wt loss
,mcc urge incontinence in elderly - Answer-detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt - Answer-
metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - Answer-difficulty opening mouth
rx management for concussion - Answer-physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - Answer-ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently smoke or have
quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be scheduled at what
GA? - Answer-39wks 0 d
, drug to prevent seizure in alcohol withdrawal - Answer-benzos
initial rx allergic rhinitis - Answer-intranasal steroids
most effective medication to prevent relapse in alcohol abuse - Answer-naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - Answer-paroxetine
- anticholinergic effects
screen for autism at what age in kids? - Answer-18 - 24months
bacterial vaginosis has vagina pH ? - Answer->4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - Answer-Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - Answer-prednisone
