Family Medicine Board review questions
and answers
most likely cause of the following symptoms
1. frequent abdominal pain
2. nonbloody diarrhea
3. 20 lb weight loss
4. chronic intensely pruritic vesicular rash - ✔✔- ANS: celiac sprue (autoimmune d/o)
inflammation of small bowel wall, blunting of villi (villous atrophy), resultant malabsorption
serum IgA tissue transglutaminase antibodies (TTG)
dermatitis herpetiformis
Signs of primary hyperaldosteronism, and diagnosis? - ✔✔- ANS: 1. uncontrollable blood
pressure (more common in women)
2. weakness (or asymptomatic)
3. hypokalemia
morning plasma aldosterone/renin ratio (ratio 20 or more, and aldosterone level is 15 ng/dL)
What is thyroiditis? - ✔✔- ANS: Inflammatory or destructive (can be subacute, acute, or
chronic)
ie thyroid can recover
1. period of hyperthyroidism (transient)
2. acute; period of hypothyroidism; chronic - leads to persistent hypothyroidism
in thyroidits, the thyroid is NOT MAKING any thyroid, just releasing premade thyroid, ie transient
hyperthyroidism
What does a thyroid panel show of someone with euthyroid sick syndrome? - ✔✔- ANS:
abnormal TSH, Normal T4
patient has no symptoms of thyroid dz but are acutely ill w/ some critical illness
Most sensitive test for ACL tear? - ✔✔- ANS: Lachman test
Signs of multiple myeloma end organ damage? - ✔✔- ANS: 1. hypercalcemia
2. Renal Failure
3. Anemia
, 4. Skeletal lesions
MM signs - presence of M protein, monoclonal plasma cells, both
What is femoral neuropathy? - ✔✔- ANS: mononeuropathy assd w/ DM, as well as secondary
to a number of conditions that are common in diabetics and not to the diabetes itself
Signs of polymyalgia rheumatic? - ✔✔- ANS: 1. white women of european ancestry
2. > age 50
3. nml - elevated ESR
4. fever, night sweats, depression, fatigue, malaise, anorexia, weight loss
5. corticosteroid treatment (48-72 hour dramatic response)
What is the most common abnormality with refeeding syndrome? - ✔✔- ANS:
hypophosphatemia
Initial management of hypercalcemia of malignancy? - ✔✔- ANS: fluid replacement with normal
saline
Slipped capital femoral epiphysis? - ✔✔- ANS: most common hip disorder between the ages of
8 and 15 and is more common in boys and overweight or obese children. It presents with
limping and pain, and limited internal rotation of the hip is noted on physical examination.
What is the treatment for WPW? - ✔✔- ANS: 1. Procainamide
2. Amiodarone
Treatment for nursing hoome-acquired pneumonia? - ✔✔- ANS: 1. antipseudomonal
cephalosporin - such as cefepime or ceftazidime
and 1 of:
2. carbapenem such as imipenem or meropenm
3. extended spectrum b-lactam/b-lactamase inhibitor - (pip/tazo)
4. fluoroquinolone - such as levofloxacin or ciprofloxacin
5. aminoglycoside - gentamicin, tobramycin, amikacin
PLUS
anti-MRSA ie vancomycin or linezolid
What is the classic presentation of intussuception - ✔✔- ANS: children under the age of 2
years
and answers
most likely cause of the following symptoms
1. frequent abdominal pain
2. nonbloody diarrhea
3. 20 lb weight loss
4. chronic intensely pruritic vesicular rash - ✔✔- ANS: celiac sprue (autoimmune d/o)
inflammation of small bowel wall, blunting of villi (villous atrophy), resultant malabsorption
serum IgA tissue transglutaminase antibodies (TTG)
dermatitis herpetiformis
Signs of primary hyperaldosteronism, and diagnosis? - ✔✔- ANS: 1. uncontrollable blood
pressure (more common in women)
2. weakness (or asymptomatic)
3. hypokalemia
morning plasma aldosterone/renin ratio (ratio 20 or more, and aldosterone level is 15 ng/dL)
What is thyroiditis? - ✔✔- ANS: Inflammatory or destructive (can be subacute, acute, or
chronic)
ie thyroid can recover
1. period of hyperthyroidism (transient)
2. acute; period of hypothyroidism; chronic - leads to persistent hypothyroidism
in thyroidits, the thyroid is NOT MAKING any thyroid, just releasing premade thyroid, ie transient
hyperthyroidism
What does a thyroid panel show of someone with euthyroid sick syndrome? - ✔✔- ANS:
abnormal TSH, Normal T4
patient has no symptoms of thyroid dz but are acutely ill w/ some critical illness
Most sensitive test for ACL tear? - ✔✔- ANS: Lachman test
Signs of multiple myeloma end organ damage? - ✔✔- ANS: 1. hypercalcemia
2. Renal Failure
3. Anemia
, 4. Skeletal lesions
MM signs - presence of M protein, monoclonal plasma cells, both
What is femoral neuropathy? - ✔✔- ANS: mononeuropathy assd w/ DM, as well as secondary
to a number of conditions that are common in diabetics and not to the diabetes itself
Signs of polymyalgia rheumatic? - ✔✔- ANS: 1. white women of european ancestry
2. > age 50
3. nml - elevated ESR
4. fever, night sweats, depression, fatigue, malaise, anorexia, weight loss
5. corticosteroid treatment (48-72 hour dramatic response)
What is the most common abnormality with refeeding syndrome? - ✔✔- ANS:
hypophosphatemia
Initial management of hypercalcemia of malignancy? - ✔✔- ANS: fluid replacement with normal
saline
Slipped capital femoral epiphysis? - ✔✔- ANS: most common hip disorder between the ages of
8 and 15 and is more common in boys and overweight or obese children. It presents with
limping and pain, and limited internal rotation of the hip is noted on physical examination.
What is the treatment for WPW? - ✔✔- ANS: 1. Procainamide
2. Amiodarone
Treatment for nursing hoome-acquired pneumonia? - ✔✔- ANS: 1. antipseudomonal
cephalosporin - such as cefepime or ceftazidime
and 1 of:
2. carbapenem such as imipenem or meropenm
3. extended spectrum b-lactam/b-lactamase inhibitor - (pip/tazo)
4. fluoroquinolone - such as levofloxacin or ciprofloxacin
5. aminoglycoside - gentamicin, tobramycin, amikacin
PLUS
anti-MRSA ie vancomycin or linezolid
What is the classic presentation of intussuception - ✔✔- ANS: children under the age of 2
years
