2021 AAFP Board Review Course Questions with accurate answers. Graded A+

2021 AAFP Board Review Course Questions with accurate answers. Graded A+ Document Content and Description Below 2021 AAFP Board Review Course Questions with accurate answers. Graded A+ Which one of the following statements is TRUE regarding the use of antidepressants for smoking cessation? - Bupropion is contraindicated in a patient with an eating disorder The number 1 cause of preventable morbidity and mortality in the US today is which of the following? - Tobacco Which of the following statements is true regarding alcohol abuse counseling? - The USPSTF recommends screening and counseling adults the risks of alcohol misuse Which immunization would be considered safe to administer during pregnancy? - Tdap Self-help measures recommended for patients with NYHA class 2 HF is on optimal medications include which one of the following? - Avoiding NSAID use How much daily vitamin D supplementation do infants need during the first month of life? - Breastfed infants should have 400 IU of Vitamin D Following a scheduled repeat C-section delivery, a term infant has a respiratory rate >60. What is the most common cause of this presentation? - Transient tachypnea of the newborn Breastfeeding jaundice is characterized by - insufficient feeds What advice would you give parents to reduce the risk of death from sudden infant death syndrome (SIDS) in their infant? - Avoid exposure of the infant to second-hand smoke The majority of failure to thrive cases in infants is due to - inadequate caloric intake What will Medicare cover for an elderly couple asks you how they will pay to live in facility. Which of the following is NOT true? - Medicare will pay once a medical need for services is clearly documented The largest portion of the Medicare budget is spent on - the 20% of Medicare recipients with five or more chronic diseases Patient on meds including risperdone, metoclopramide, and valproate presents with Parkinson's symptoms (trouble standing, walking then freezing, flat affect), so your next step is - stop his risperdone, metoclopramide, and valproate Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about dyskinesia. Which would be a good choice to decrease long term effects of this? - Dopamine agonist, such as ropinirole Elderly patient develops C. Diff, so your next step is - begin PO vancomycin 125mg QID What causes peripheral vision loss? - glaucoma Presbycusis is typically associated with the reduction in what type of hearing loss? - hearing threshold at higher frequencies Elderly woman presents with 4 week history of early morning shoulder and hip discomfort and ESR of 52. What condition associated this primary diagnosis is she at risk for developing? - giant cell arteritis (polymyalgia rheumatica) A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray confirms T4 vertebral compression fracture and diffuse osteopenia. Your next step: - work up for secondary causes of osteoporosis Which of the following has been shown to have analgesic benefit in acute osteoporotic fractures? - calcitonin A demented 70 yo, widowed woman is admitted to your service and determined to lack capacity. There are no advance directives. Who is typically next in line for decision making: - her sister Patient with dementia says no to pacemaker but DPOA/daughter says yes to pacemaker procedure for sick sinus syndrome. The most appropriate next step is - not proceed with the procedure (has capacity) The most common cause of lack of sexual activity in older heterosexual couples is - male's medical condition An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000 e. coli. You should prescribe antimicrobials if - she has frequency, urgency, dysuria, or suprapubic pain Of the following recommendations, which has not been shown to be helpful for recovery of acute low back strain? - corticosteroids Which of the following is the USPSTF's recommendation regarding daily supplementation of vitamin D and calcium for postmenopausal women to prevent fracture? - supplementation of vitamin D3 and calcium is not recommended for primary prevention only Type 2 DM, acute low back pain with dorsal foot paresthesias and dorsiflexion weakness, and positive straight leg test on right. Which of the following recommendations is best supported by the clinical evidence? - consider surgical intervention due to motor deficit Which of the following statements best describes an overuse tendonopathy such as lateral epicondylosis or patellar tendonosis? - rehabilitation with eccentric contractions are recommended to resolve these overuse tendinopathies New overweight runner with pain in patella first late in run and now earlier in run and after run along with crepitus. No acute injury. Which of the following is the most appropriate treatment for her condition? - reduction in running distance and physical therapy Which of the following is the most sensitive finding in patients with carpal tunnel syndrome? - Flick sign Medial left heel pain for 5 weeks. Burning and worse with weight bearing or standing and better with rest. Aggravated by full passive dorsiflexion of the ankle .You conclude that: - she has tarsal tunnel syndrome and you provide an orthotic The developmental examination on a 6-month-old boy reveals an infant who follows past midline, laughs, turns toward your voice, and has clenched fists. With these findings you - refer to specialist for further evaluation A mother brings her 9-month-old daughter in for routine care. Which of the following should be addressed at this visit? - stating table food At his well-child check, a 5-year-old boy is noted to have occasional bedwetting. You advise the parents that - this occurs in 20-25% of boys this age What is the most appropriate automobile seating for a 7-year-old who is 50 inches tall? - rear seat in belt-positioning booster seat with lap/shoulder belt You are seeing a young girl for her pre-high school physical. The form asks for Tanner stage. She has small but developed breasts and a small amount of dark, straight pubic hair. She is Tanner stage - III Which of the following is true of bulimia nervosa in adolescent females? - more prevalent than anorexia nervosa 79 yo F with mild dementia s/p right hip arthroplasty who screams when told to get out of bed. Picks at sheets and speaks nonsensically. The appropriate next step is - review her outpatient medications 76 yo F with failing memory, unable to pay bills, and unable to knit which she liked to do before, and word finding. What is her diagnosis? - dementia What is the most common type of dementia? - Alzheimer's What is the greatest risk factor for developing dementia? - aging 76 yo M with memory not good as it used to be. Difficulty remember discussions from earlier, but still paying bills and doing puzzles. What is your diagnosis? - mild neurocognitive disorder 80 yo M with unsteady gait, 2 falls. Uses walker. Speech diminished in volume, less distinct. Flat affect. Hypertensive, diabetic, smoker. Asymmetric reflexes, 1/5 on Mini-Cog Test, right group weak, muscle tone increased. This patient most likely has which type of dementia? - vascular Which of the following is proven to be protective against Dementia? - educational attainment 81 yo F with advanced dementia who is hoarding food, making sexual inappropriate remarks, walking out of room in underwear only. What can you do to help? - offer to help the staff find ways to manage the behaviors non-pharmacologically A 14-day-old infant is brought to your office for a routine visit. The rectal temperature is 100.8ºF. The infant appears well and parents have zero concerns. What should you do? - admit and do inpatient sepsis workup A 3-year-old girl presents with 4-day history of fever without other symptoms. Ears, throat, lungs and abdominal exams are normal, but she appears lethargic. What should be your next step? - order urinalysis with cultures A 16-year-old female patient is evaluated for a 4-day history of sore throat, nonproductive cough and rhinorrhea. She is afebrile, and exam reveals enlarged erythematous tonsils without exudate, and no lymphadenopathy. What is the next step? - supportive care A 2-year-old child is brought to the emergency department Show Less Last updated: 8 months