AAFP 121 Questions with complete solutions -2025
A 25-year-old gravida 1 para 1 presents for insertion of a levonorgestrel-releasing intrauterine
device (Mirena). She is on the last day of her menses, which began 5 days ago. A urine
pregnancy test in the office is negative. You insert the device without complications and she asks
how long she needs to use backup contraception.
Which one of the following would be the most appropriate advice? (check one)
A. Backup contraception is not necessary
B. She should use backup contraception for the next 48 hours
C. She should use backup contraception for the next 7 days
D. She should use backup contraception for the next 14 days
E. She should use backup contraception for the next month - ✔✔Backup contraception is not
necessary
Which one of the following findings on pulmonary function testing is most consistent with restrictive
lung disease? (check one)
A. Reduced FEV1 and a decreased FEV1/FVC ratio
B. Reduced FEV1 and a normal FEV1/FVC ratio
C. Reduced FEV1 and an increased FEV1/FVC ratio
D. Reduced FVC and an increased FEV1/FVC ratio
E. Decreased diffusing capacity of the lung for carbon monoxide (DLCO) - ✔✔Reduced FVC and
increased FEV1/FVC ratio
The parents of a 4-year-old male bring him in for evaluation because of behavioral problems in his
preschool. They report that he is inattentive, hyperactive, and impulsive, has difficulty remaining
seated, always seems to be moving, frequently interrupts others, and talks incessantly. His teacher
also told them that he never plays quietly, has difficulty taking turns, and intrudes often in other
children's play.
Which one of the following is recommended by the American Academy of Pediatrics for initial
management in this child's case? (check one)
A. Behavioral treatment alone
B. Methylphenidate (Ritalin) alone
A 25-year-old gravida 1 para 1 presents for insertion of a levonorgestrel-releasing intrauterine
device (Mirena). She is on the last day of her menses, which began 5 days ago. A urine
pregnancy test in the office is negative. You insert the device without complications and she asks
how long she needs to use backup contraception.
Which one of the following would be the most appropriate advice? (check one)
A. Backup contraception is not necessary
B. She should use backup contraception for the next 48 hours
C. She should use backup contraception for the next 7 days
D. She should use backup contraception for the next 14 days
E. She should use backup contraception for the next month - ✔✔Backup contraception is not
necessary
Which one of the following findings on pulmonary function testing is most consistent with restrictive
lung disease? (check one)
A. Reduced FEV1 and a decreased FEV1/FVC ratio
B. Reduced FEV1 and a normal FEV1/FVC ratio
C. Reduced FEV1 and an increased FEV1/FVC ratio
D. Reduced FVC and an increased FEV1/FVC ratio
E. Decreased diffusing capacity of the lung for carbon monoxide (DLCO) - ✔✔Reduced FVC and
increased FEV1/FVC ratio
The parents of a 4-year-old male bring him in for evaluation because of behavioral problems in his
preschool. They report that he is inattentive, hyperactive, and impulsive, has difficulty remaining
seated, always seems to be moving, frequently interrupts others, and talks incessantly. His teacher
also told them that he never plays quietly, has difficulty taking turns, and intrudes often in other
children's play.
Which one of the following is recommended by the American Academy of Pediatrics for initial
management in this child's case? (check one)
A. Behavioral treatment alone
B. Methylphenidate (Ritalin) alone
