AAFP Exam Questions With Correct
Answers
A 52-year-old male presents with moderate symptoms of prostatism. A
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prostate examination is normal. His post-void residual volume is 90 mL.
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His PSA level is 0.75 ng/mL (N 0.0-4.0). He says his nocturia has become
| | | | | | | | | | | | | |
troublesome and you decide to initiate therapy.This patient does NOT
| | | | | | | | | |
meet the criteria for use of which one of the following? (check one)
| | | | | | | | | | | |
A. Doxazosin (Cardura)
| |
B. Finasteride (Proscar)
| |
C. Tadalafil (Cialis)
| |
D. Tamsulosin (Flomax)
| |
E. Silodosin (Rapaflo) - CORRECT ANSWER✔✔-B
| | | | |
Pharmacologic options for benign prostatic hyperplasia and lower
| | | | | | | |
urinary tract symptoms include an α-adrenergic blocker, a 5-α-reductase
| | | | | | | |
inhibitor (if there is evidence of prostatic enlargement or a PSA level
| | | | | | | | | | | | |
>1.5 ng/mL), a phosphodiesterase-5 inhibitor, or antimuscarinic therapy.
| | | | | | |
The first three have proven efficacy as monotherapies.
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A 35-year-old female comes to your office for evaluation of a tremor.
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During the interview you note jerking movements first in one hand and
| | | | | | | | | | | |
, then the other, but when the patient is distracted the symptom
| | | | | | | | | | |
resolves. Aside from the intermittent tremor the neurologic
| | | | | | | |
examination is unremarkable. She does not drink caffeinated beverages
| | | | | | | | |
and takes no medications.Which one of the following is the most likely
| | | | | | | | | | | |
diagnosis? (check one) | |
A. Parkinson's disease
| |
B. Cerebellar tremor
| |
C. Essential tremor
| |
D. Physiologic tremor
| |
E. Psychogenic tremor - CORRECT ANSWER✔✔-E
| | | | |
Psychogenic tremor is characterized by an abrupt onset, spontaneous
| | | | | | | | |
remission, changing characteristics,and extinction with distraction.
| | | | | |
Cerebellar tremor is an intention tremor with ipsilateral involvement
| | | | | | | | |
onthe side of the lesion. Neurologic testing will reveal past-pointing on
| | | | | | | | | | |
finger-to-nose testing. CT or MRIof the head is the diagnostic test of
| | | | | | | | | | | |
choice. Parkinsonian tremor is noted at rest, is asymmetric,
| | | | | | | | |
anddecreases with voluntary movement. Bradykinesia, rigidity, and
| | | | | | |
postural instability are generally noted.For atypical presentations a
| | | | | | | |
single-photon emission CT or positron emission tomography may help
| | | | | | | | |
withthe diagnosis. One of the treatment options is
| | | | | | |
|carbidopa/levodopa.Patients who have essential tremor have | | | | | |
symmetric, fine tremors that may involve the hands, wrists, head,voice,
| | | | | | | | | |
or lower extremities. This may improve with ingestion of small amounts
| | | | | | | | | | |
of alcohol. There is nospecific diagnostic test but the tremor is treated
| | | | | | | | | | | |
with propranolol or primidone. Enhanced physiologictremor is a
| | | | | | | |
Answers
A 52-year-old male presents with moderate symptoms of prostatism. A
| | | | | | | | | |
prostate examination is normal. His post-void residual volume is 90 mL.
| | | | | | | | | | |
His PSA level is 0.75 ng/mL (N 0.0-4.0). He says his nocturia has become
| | | | | | | | | | | | | |
troublesome and you decide to initiate therapy.This patient does NOT
| | | | | | | | | |
meet the criteria for use of which one of the following? (check one)
| | | | | | | | | | | |
A. Doxazosin (Cardura)
| |
B. Finasteride (Proscar)
| |
C. Tadalafil (Cialis)
| |
D. Tamsulosin (Flomax)
| |
E. Silodosin (Rapaflo) - CORRECT ANSWER✔✔-B
| | | | |
Pharmacologic options for benign prostatic hyperplasia and lower
| | | | | | | |
urinary tract symptoms include an α-adrenergic blocker, a 5-α-reductase
| | | | | | | |
inhibitor (if there is evidence of prostatic enlargement or a PSA level
| | | | | | | | | | | | |
>1.5 ng/mL), a phosphodiesterase-5 inhibitor, or antimuscarinic therapy.
| | | | | | |
The first three have proven efficacy as monotherapies.
| | | | | | | |
A 35-year-old female comes to your office for evaluation of a tremor.
| | | | | | | | | | | |
During the interview you note jerking movements first in one hand and
| | | | | | | | | | | |
, then the other, but when the patient is distracted the symptom
| | | | | | | | | | |
resolves. Aside from the intermittent tremor the neurologic
| | | | | | | |
examination is unremarkable. She does not drink caffeinated beverages
| | | | | | | | |
and takes no medications.Which one of the following is the most likely
| | | | | | | | | | | |
diagnosis? (check one) | |
A. Parkinson's disease
| |
B. Cerebellar tremor
| |
C. Essential tremor
| |
D. Physiologic tremor
| |
E. Psychogenic tremor - CORRECT ANSWER✔✔-E
| | | | |
Psychogenic tremor is characterized by an abrupt onset, spontaneous
| | | | | | | | |
remission, changing characteristics,and extinction with distraction.
| | | | | |
Cerebellar tremor is an intention tremor with ipsilateral involvement
| | | | | | | | |
onthe side of the lesion. Neurologic testing will reveal past-pointing on
| | | | | | | | | | |
finger-to-nose testing. CT or MRIof the head is the diagnostic test of
| | | | | | | | | | | |
choice. Parkinsonian tremor is noted at rest, is asymmetric,
| | | | | | | | |
anddecreases with voluntary movement. Bradykinesia, rigidity, and
| | | | | | |
postural instability are generally noted.For atypical presentations a
| | | | | | | |
single-photon emission CT or positron emission tomography may help
| | | | | | | | |
withthe diagnosis. One of the treatment options is
| | | | | | |
|carbidopa/levodopa.Patients who have essential tremor have | | | | | |
symmetric, fine tremors that may involve the hands, wrists, head,voice,
| | | | | | | | | |
or lower extremities. This may improve with ingestion of small amounts
| | | | | | | | | | |
of alcohol. There is nospecific diagnostic test but the tremor is treated
| | | | | | | | | | | |
with propranolol or primidone. Enhanced physiologictremor is a
| | | | | | | |
