AAFP Board Review Questions with 100% complete
solutions already passed
1. gravida 2 para 0 at 34 weeks gestation
Liver Function Test and
presents to your office because of diffuse
serum bile acids
itching. She does not have any known allergies
other than seasonal aller- gies, and she does So pregnancy +
not have any new contacts. An examination is itching= intrahepatic
normal other than some scattered ex- cholestasis vs HELLP vs.
coriations, and there is no other distinct rash. acute fatty liver of
She has tried moisturizers but her symptoms pregnancy
have not improved.Which one of the following
would be most appropriate at this point? in this case, we're wor-
(check one) ried about intrahepatic
> Monitoring for the development of a rash cholestasis of pregnan-
> Liver function tests and serum bile acid cy==> may indicate
levels induc- tion by 35-37
>Topical corticosteroids weeks
> Oral antihistamines
> Varicella-zoster immune globulin
50
2. When titrating the dosage of opioids, the
CDC rec- ommends that you should also in general avoid
consider prescribing naloxone when the opioid prescrib- ing 90 MME
dosage reaches what mor- phine milligram / day
equivalent (MME) per day threshold? (check
one)
30
50
80
90
100
,AAFP Board Review Questions with 100% complete
solutions already passed
3. when do u screen pregnant people for hep b first prenatal visit and
26-28 weeks
4. A 62-year-old female with stage 3 chronic kidney dis- > elevated pth
and elevat-
ease and an estimated glomerular filtration rate of 37 ed
phosphorus
mL/min/1.73 m2 is found to have a mildly low ionized
,AAFP Board Review Questions with 100% complete
solutions already passed
calcium level. Which one of the following CKD causing mineral
would you expect to see if her hypocalcemia is and bone disorder is
secondary to her chronic kidney disease? a thing; CKD-MBD,
(check one) and basically u have
>Elevated parathyroid hormone (PTH) and increased risk of bone
elevated phosphorus fractures and heart
>Elevated PTH and low phosphorus issues( cuz vascular
>Low PTH and elevated phosphorus calcifi- caiton) because
>Low PTH and low phosphorus the phos- phate is not
excreted, so it causes
the PTH to in- crease,
and it binds to the
Calcium
also the kidney is
messed up so
decreased produc-
tion of calcitriol in
patients with CKD, all in
all caus- ing
hypol=calcemic hy-
perparathyroidism
5. Patients with CKD stages X-Y should have phosphorus, 3a-5
calcium, parathyroid hormone, and 25-
hydroxyvita- min D levels checked regularly,
and consultation with a nephrologist or
,AAFP Board Review Questions with 100% complete
solutions already passed
endocrinologist should be obtained if CKD-MBD
is suspected.
6. 1-day-old newborn is brought to your office for a rou- US
tine examination. His parents report that he is well.
The prenatal course and delivery were unremarkable. sacral dimples
in new-
solutions already passed
1. gravida 2 para 0 at 34 weeks gestation
Liver Function Test and
presents to your office because of diffuse
serum bile acids
itching. She does not have any known allergies
other than seasonal aller- gies, and she does So pregnancy +
not have any new contacts. An examination is itching= intrahepatic
normal other than some scattered ex- cholestasis vs HELLP vs.
coriations, and there is no other distinct rash. acute fatty liver of
She has tried moisturizers but her symptoms pregnancy
have not improved.Which one of the following
would be most appropriate at this point? in this case, we're wor-
(check one) ried about intrahepatic
> Monitoring for the development of a rash cholestasis of pregnan-
> Liver function tests and serum bile acid cy==> may indicate
levels induc- tion by 35-37
>Topical corticosteroids weeks
> Oral antihistamines
> Varicella-zoster immune globulin
50
2. When titrating the dosage of opioids, the
CDC rec- ommends that you should also in general avoid
consider prescribing naloxone when the opioid prescrib- ing 90 MME
dosage reaches what mor- phine milligram / day
equivalent (MME) per day threshold? (check
one)
30
50
80
90
100
,AAFP Board Review Questions with 100% complete
solutions already passed
3. when do u screen pregnant people for hep b first prenatal visit and
26-28 weeks
4. A 62-year-old female with stage 3 chronic kidney dis- > elevated pth
and elevat-
ease and an estimated glomerular filtration rate of 37 ed
phosphorus
mL/min/1.73 m2 is found to have a mildly low ionized
,AAFP Board Review Questions with 100% complete
solutions already passed
calcium level. Which one of the following CKD causing mineral
would you expect to see if her hypocalcemia is and bone disorder is
secondary to her chronic kidney disease? a thing; CKD-MBD,
(check one) and basically u have
>Elevated parathyroid hormone (PTH) and increased risk of bone
elevated phosphorus fractures and heart
>Elevated PTH and low phosphorus issues( cuz vascular
>Low PTH and elevated phosphorus calcifi- caiton) because
>Low PTH and low phosphorus the phos- phate is not
excreted, so it causes
the PTH to in- crease,
and it binds to the
Calcium
also the kidney is
messed up so
decreased produc-
tion of calcitriol in
patients with CKD, all in
all caus- ing
hypol=calcemic hy-
perparathyroidism
5. Patients with CKD stages X-Y should have phosphorus, 3a-5
calcium, parathyroid hormone, and 25-
hydroxyvita- min D levels checked regularly,
and consultation with a nephrologist or
,AAFP Board Review Questions with 100% complete
solutions already passed
endocrinologist should be obtained if CKD-MBD
is suspected.
6. 1-day-old newborn is brought to your office for a rou- US
tine examination. His parents report that he is well.
The prenatal course and delivery were unremarkable. sacral dimples
in new-
