AAFP Board Review Questions &
answers graded A+ latest update
how to differentiate between chlamydial and RSV infections - correct answer ✔✔chlamydia: hx
of conjunctivitis, subacute onset, absence of fever, mild wheezing
meds for BPH and lower urinary tract symptoms - correct answer ✔✔alpha blocker, 5-a-
reductase inhibitor (if there's evidence of prostatic enlargement or PSA > 1.5 ng/mL),
phosphodiesterase-5 inhibitor, and animus therapy
tx for mallet fracture - forced flexion injury of DIP resulting in a small bone fragment at dorsal
surface of proximal distal phalanx - correct answer ✔✔splinting the DIP in extension
duration of 8 wks
if fx involves > 30% of intra-articular surface - referral to specialist
tx for acute depression and maintenance therapy of bipolar disorders - correct answer ✔✔Li
valproate
lamotrigine
some antipsychotics (including quetiapine)
necrotizing fasciitis - correct answer ✔✔severe pain and skin changes outside the realm of
cellulitis - including bullae and deeper discoloration
tx: aggressive surgical debridement w/in 12 hrs
Pt on amiodarone
what hormone should be monitored? - correct answer ✔✔TSH
,f/u q6 months
radial head subluxation or nursemaid's elbow - correct answer ✔✔caused when picking up a
toddler by the arm
partial displacement of radial head when child's arm undergoes axial traction while in a
protonated and fully ext position
tx: reduction of radial head - child's elbow is in 90 deg flexion > hand fully supinated > elbow
brought into full flexion
inhaled corticosteroid use in kids - correct answer ✔✔has not been proven to prematurely close
growth plates
most effective tx for mod persistent asthma w/ least SEs
1st line tx for primary dysmenorrhea - correct answer ✔✔NSAIDs
started at onset of menses and cont for first 1-2 days
1 cm nodule in left lobe of thyroid; confirmed by US
next step in evaluation? - correct answer ✔✔TSH level
followed w/ radionuclide thyroid scan if results abnormal
anti-epileptic med that has the SE of SJS - correct answer ✔✔lamotrigine
should start at 25 mg qd and titrated q2 wks until goal dosage is reached
CDC guidelines on "outbreaks" - correct answer ✔✔occurence of 2+ lab-confirmed cases of
influenza A = outbreak in long-term care facility
chemoppx w/ appropriate meds for all residents who are asymptomatic and tx those who are
symptomatic regardless of lab confirmation or vaccination status
, where to find the strongest evidence for tx, screening, or prevention strategies? - correct
answer ✔✔systematic reviews
meta-analyses
RCTs w/ consistent findings or single high-quality RCT
2 day old infant has flesh-colored papules w/ erythematous base
on face and trunk
contain eosinophils
dx? tx? - correct answer ✔✔erythema toxic neonatorum
happens usually first 2 wks of life
no tx necessary
asymptotic microscopic hematuria measurement? - correct answer ✔✔>3 RBCs/hpf
terminally ill pt
new symptom of resp distress
Pox 94% on room air
lungs clear to auscultation
tx? - correct answer ✔✔opiates
w/o hypoxia - O2 won't be helpful
abd pain
bloody diarrhea
CV risk factors - hx of vascular dementia, peripheral artery dz, HTN, and HLD
nasogastric aspirate neg for bleeding (r/o PUD)
most likely cause of bleeding? - correct answer ✔✔ischemic colitis
answers graded A+ latest update
how to differentiate between chlamydial and RSV infections - correct answer ✔✔chlamydia: hx
of conjunctivitis, subacute onset, absence of fever, mild wheezing
meds for BPH and lower urinary tract symptoms - correct answer ✔✔alpha blocker, 5-a-
reductase inhibitor (if there's evidence of prostatic enlargement or PSA > 1.5 ng/mL),
phosphodiesterase-5 inhibitor, and animus therapy
tx for mallet fracture - forced flexion injury of DIP resulting in a small bone fragment at dorsal
surface of proximal distal phalanx - correct answer ✔✔splinting the DIP in extension
duration of 8 wks
if fx involves > 30% of intra-articular surface - referral to specialist
tx for acute depression and maintenance therapy of bipolar disorders - correct answer ✔✔Li
valproate
lamotrigine
some antipsychotics (including quetiapine)
necrotizing fasciitis - correct answer ✔✔severe pain and skin changes outside the realm of
cellulitis - including bullae and deeper discoloration
tx: aggressive surgical debridement w/in 12 hrs
Pt on amiodarone
what hormone should be monitored? - correct answer ✔✔TSH
,f/u q6 months
radial head subluxation or nursemaid's elbow - correct answer ✔✔caused when picking up a
toddler by the arm
partial displacement of radial head when child's arm undergoes axial traction while in a
protonated and fully ext position
tx: reduction of radial head - child's elbow is in 90 deg flexion > hand fully supinated > elbow
brought into full flexion
inhaled corticosteroid use in kids - correct answer ✔✔has not been proven to prematurely close
growth plates
most effective tx for mod persistent asthma w/ least SEs
1st line tx for primary dysmenorrhea - correct answer ✔✔NSAIDs
started at onset of menses and cont for first 1-2 days
1 cm nodule in left lobe of thyroid; confirmed by US
next step in evaluation? - correct answer ✔✔TSH level
followed w/ radionuclide thyroid scan if results abnormal
anti-epileptic med that has the SE of SJS - correct answer ✔✔lamotrigine
should start at 25 mg qd and titrated q2 wks until goal dosage is reached
CDC guidelines on "outbreaks" - correct answer ✔✔occurence of 2+ lab-confirmed cases of
influenza A = outbreak in long-term care facility
chemoppx w/ appropriate meds for all residents who are asymptomatic and tx those who are
symptomatic regardless of lab confirmation or vaccination status
, where to find the strongest evidence for tx, screening, or prevention strategies? - correct
answer ✔✔systematic reviews
meta-analyses
RCTs w/ consistent findings or single high-quality RCT
2 day old infant has flesh-colored papules w/ erythematous base
on face and trunk
contain eosinophils
dx? tx? - correct answer ✔✔erythema toxic neonatorum
happens usually first 2 wks of life
no tx necessary
asymptotic microscopic hematuria measurement? - correct answer ✔✔>3 RBCs/hpf
terminally ill pt
new symptom of resp distress
Pox 94% on room air
lungs clear to auscultation
tx? - correct answer ✔✔opiates
w/o hypoxia - O2 won't be helpful
abd pain
bloody diarrhea
CV risk factors - hx of vascular dementia, peripheral artery dz, HTN, and HLD
nasogastric aspirate neg for bleeding (r/o PUD)
most likely cause of bleeding? - correct answer ✔✔ischemic colitis
