ABFM QUESTIONS AND ANSWERS
100% CORRECT
post exposure prophylaxis for meningitis - ANSWER-- indicated to any close contact
regardless of immunization
- prophylaxis
-Cipro 500 mg one time
- azithromycin 500 mg once
- Rocephin 250 mg IM once
- rifampin 600 mg twice daily x 2 days
- treatment should begin as soon as possible after exposure, no later than 14 days
Bisphosphonate therapy s/e - ANSWER-osteonecrosis of the jaw
esophagitis
esophageal ulceration
hypocalcaemia
speech and language delay in 3 year old - ANSWER-By 2.5 years of age, child needs to
be using 2 word phrases
refer for early intervention
direct observational therapy for tuberculosis - ANSWER-increases treatment success in
HIV Patients
decreases drug resistance for TB
Patients still need monitoring for treatment failure
can be done clinic setting, or telemedicine or public health referral
Jones fracture treatment - ANSWER-active patients such as a dancer, athlete - recover
faster with surgical fixation.
slipped capital femora epiphysis - ANSWER-- 13-15 years of age, boys
-African Americans are more commonly affected
- pain in the groin, hip pain or knee pain
antipsychotics in dementia - ANSWER-- second gen antipsychotics including quetiapine
increase risk of death in patients with dementia
- increase risk of sudden cardiac death and stroke
asplenic patients - ANSWER-- oral amoxicillin, Levaquin or moxifloxacin should be
taken in asplenic patients who cannot get to a medical facility within 2 hours for
evaluation
100% CORRECT
post exposure prophylaxis for meningitis - ANSWER-- indicated to any close contact
regardless of immunization
- prophylaxis
-Cipro 500 mg one time
- azithromycin 500 mg once
- Rocephin 250 mg IM once
- rifampin 600 mg twice daily x 2 days
- treatment should begin as soon as possible after exposure, no later than 14 days
Bisphosphonate therapy s/e - ANSWER-osteonecrosis of the jaw
esophagitis
esophageal ulceration
hypocalcaemia
speech and language delay in 3 year old - ANSWER-By 2.5 years of age, child needs to
be using 2 word phrases
refer for early intervention
direct observational therapy for tuberculosis - ANSWER-increases treatment success in
HIV Patients
decreases drug resistance for TB
Patients still need monitoring for treatment failure
can be done clinic setting, or telemedicine or public health referral
Jones fracture treatment - ANSWER-active patients such as a dancer, athlete - recover
faster with surgical fixation.
slipped capital femora epiphysis - ANSWER-- 13-15 years of age, boys
-African Americans are more commonly affected
- pain in the groin, hip pain or knee pain
antipsychotics in dementia - ANSWER-- second gen antipsychotics including quetiapine
increase risk of death in patients with dementia
- increase risk of sudden cardiac death and stroke
asplenic patients - ANSWER-- oral amoxicillin, Levaquin or moxifloxacin should be
taken in asplenic patients who cannot get to a medical facility within 2 hours for
evaluation
