Family Med AAFP Questions and answers 2023 with 100% correct answers

Pres of Chlamydial pneumonia in infants 3-16 weeks of age? also have conjunctivitis Pres of what condition? Most appropriate initial mgmt in pt with PCOS? Metformin Effects: - improves abnormal menstruation (grade A) (vs. low-dose combined OCP's v risk of endometrial cancer) Most appropriate initial mgmt in what condition? What do you do for a mallet fracture (forced flexion injury of DIP jt → have fragment of a small bone at the dorsal surface of the proximal distal phalanx)? splint DIP joint in extension x 8 weeks (flexion can affect healing and prolong the time needed for treatment) 1. If finger fracture involves >30% of intra-articular surface --> refer to sx (though conservative tx typically preferred - better outcomes) Drug NOT effective for MAINTENANCE tx of bipolar disorder? Haloperidol (good only for acute mania) (vs. Lithium, Valproate, Lamotrigine, Quetiapine/Seroquel) NOT effective for what? Tx for necrotizing fasciitis? immediate sx consultation for operative debridement within 12 hrs → v risk of amputation + death Pres: violaceous bullae on dorsal hand + wrist, deeper discoloration Path: necrotizing skin + soft-tissue infection Which condition? Need to monitor serum levels of what when pt is on Amiodarone? TSH (pts can develop hyper/hypothyroidism - need baseline thyroid f(x) tests; T4, TSH with F/U testing q6 mo's to monitor) Tx of nursemaid's elbow (radial head subluxation)? attempted reduction of subluxed radial head (put kid's elbow in 90º of flexion → supinate hand → fully flex elbow) - if see ecchymosis, sig swelling, or have pain away from joint/sx's do not improve → get X-ray Prev: most common orthopedic condition of elbow in kids 1-4 (though can be <1 or in kids as old as 9) Path: caregiver picks up/pulls toddler by arm → radial head gets partially displaced when kid's arm undergoes axial traction when in pronated + fully extended position Which condition? Tx for moderate persistent asthma (3x sx's during day, 2x sx's during night) for pt already on Albuterol? add inhaled medium-dose corticosteroids (Fluticasone) AE of short- and long-acting bronchodilators: tachyphylaxis Which condition?