ABFM(American Board of Family Medicine) bundle

Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? - Answer Emtricitabine/tenofovir gotta check Hep B first -apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver disease entry to balloon time for PCI! - Answer 1...

CAP antibiotic that causes VF - Answer Azithromycin - The arrhythmia results from prolongation of the QT interval and is also more common in patients with a prior cardiac history. Anti-DM medications for weight loss - Answer GLP1 receptor agonists e.g. Exenatide SGLT-2 inhibitor e.g. Ca...

Contraindication for levonorgestrel releasing IUD (where copper IUD might be preferred) - Answer women with severe cirrhosis or liver cancer, copper IUD is preferred -> levo-releasing and copper IUD have no differences in risk for DVT/PE, totes ok in smokers/nulliparous First test for painle...

Persistent HTN is defined as ______. - Answer HTN despite 3 or more antiHTN rx, including a diuretics HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? - Answer Primary hyperaldosteronism A ______ would be used to evaluate for a neuroendocrine tumor, which can present as chronic f...

Most effective medication for fibromyalgia? - Answer TCAs Proper treatment for Boxer's fracture (fracture of 5th metacarpal head) - Answer ulnar gutter splint (immobilizes the wrist, hand and fourth/ fifth digits). Wrist is positioned in slight extension; x 3-4 weeks of continuous splinting ...

You are counseling a 45-year-old male with elevated LDL-cholesterol. When discussing dietary changes to promote healthy lipid levels, which one of the following would be accurate advice? He should minimize his consumption of nuts The Dietary Approaches to Stop Hypertension (DASH) diet recommende...

Pt has moderate persistent asthma Wakes up with night time sx Weekly What meds should she be on - answer moderate persistent asthma = Stage 3 = 3 meds = Albuterol Ics + Laba Pt suspected of having Exercise induced asthma Baseline pulmonary function testing reveals an fev1= ...

A 42-year-old construction worker with a 3-day history of cough, fever, chills, dyspnea, and right posterolateral chest pain with inspiration is brought to the emergency department by his wife. He has been in good health until this illness, and has never been hospitalized. He does not take any routi...

limitation of passive shoulder abduction (3) - Answer frozen shoulder, locked posterior dislocation, osteoarthritis frozen shoulder imaging - Answer normal frozen shoulder comorbidity - Answer 10-20% of patients with DM varus - Answer bowlegs valgus - Answer knock knees phys...

A 42-year-old Asian male presents for follow-up of elevated blood pressure. He has no additional chronic medical problems and is otherwise asymptomatic. An examination is significant for a blood pressure of 162/95 mm Hg but is otherwise unremarkable. Laboratory Findings unremarkable Urine microalb...

True statements regarding the long-term prognosis for death and disability in a patient who has had a stroke include which of the following? (Mark all that are true.) Early recovery of neurologic function is a sign of a good prognosis The severity of the stroke as measured by the National Institut...

True statements regarding nonpharmacologic therapy to reduce insulin resistance include which of the following? (Mark all that are true.) Decreasing caloric intake will increase insulin sensitivity independent of weight loss Moderate alcohol intake increases insulin resistance Exercise has been...

STEMI anterior/anteroseptal - Answer LAD. leads V1-V4 STEMI Lateral - Answer Circumflex. leads V5-V6 STEMI Inferior - Answer RCA. leads II, III, aVF What 4 drugs improve survival post-MI? - Answer ASA, statin, beta-blocker, ACE-I Based on ATP IV, what are the 4 statin benefit gro...

Side effect of denosumab and bisphosphonates - Answer Jaw osteonecrosis Most likely to induce remission in Crohn dz - Answer corticosteroids > 5-ASA > infliximab Bisphosphonates shouldn't be used in pts w/CLCr less than - Answer 35 mL/min/1.73m2 Bisphosphonates use for 5+ years...