AAFP - Review of Board Review Questions AND ANSWERS| GRADED A+
2 views 0 purchase
Course
AAFP
Institution
AAFP
AAFP - Review of Board Review Questions AND ANSWERS| GRADED A
Absolute contraindications to electroconvulsive therapy (ECT) Correct Answer: There are no absolute contraindications to ECT
Treatment of community acquired pneumonia in infants and children Correct Answer: - Diagnosis of *commun...
aafp review of board review questions and answers| graded a
what happens to the murmur of mitral valve prolapse with the valsalva maneuver correct answer becomes longer and louder
Written for
AAFP
All documents for this subject (106)
Seller
Follow
SmartHomework
Reviews received
Content preview
AAFP - Review of Board Review Questions AND ANSWERS| GRADED A
Absolute contraindications to electroconvulsive therapy (ECT) Correct Answer: There are no
absolute contraindications to ECT
Treatment of community acquired pneumonia in infants and children Correct Answer: -
Diagnosis of *community-acquired pneumonia* is mostly based on the history and physical
examination
- Pneumonia should be suspected in any child with *fever, cyanosis, and any abnormal
respiratory finding* in the history or physical examination
- Outpatient antibiotics are appropriate if the child *does not have a toxic appearance,
hypoxemia, signs of respiratory distress, or dehydration*
- *High-dose amoxicillin* is the drug of choice
Current practice is to introduce solid foods into the diet at what age for normal term infants
Correct Answer: 4-6 months of age as the extrusion reflex disappears by the age of 4 months
Treatment of midshaft posteromedial tibial stress fractures Correct Answer: An air stirrup leg
brace (Aircast)
Most appropriate test to screen for late-onset male hypogonadism Correct Answer: Total
testosterone
Treatment of pediatric HSV-1 infection Correct Answer: Acyclovir suspension
Most accurate maneuver for detecting an ACL tear Correct Answer: - Lachman test (sensitivity
60%-100%, mean 84%),
- Anterior drawer test (sensitivity 9%-93%, mean 62%)
- Pivot shift test (sensitivity 27%-95%, mean 62%)
Diagnosis of multiple myeloma is based on Correct Answer: Evidence of myeloma-related end-
organ impairment (hypercalcemia, renal failure, anemia, skeletal lesions) in the presence of M
protein, monoclonal plasma cells, or both
Findings are typical of femoral neuropathy Correct Answer: - History of weakness of the lower
left leg, giving way of the knee, and discomfort in the anterior thigh
- Femoral neuropathy is a mononeuropathy commonly associated with diabetes mellitus
Women who use low-dose estrogen oral contraceptives have a 50% lower risk of cancer of the:
Correct Answer: Ovary
Clinical hallmarks of polymyalgia rheumatica Correct Answer: - Pain and stiffness in the
shoulder and pelvic girdle
- Dramatic response to corticosteroids
3 subtypes of frontotemporal dementia Correct Answer: - Behavioral variant
Hallmark biochemical feature of refeeding syndrome Correct Answer: Hypophosphatemia
Methods to reduce risk of oral candidiasis with inhaled corticosteroids for asthma Correct
Answer: - Rinse mouth after each administration
- Use valved holding chamber
When to recommend laryngoscopy for hoarseness Correct Answer: When hoarseness does not
resolve within 3 months or when a serious underlying cause is suspected
Causes of right heart failure Correct Answer: - Left heart failure (most common)
- Myocarditis
- Pulmonic stenosis
- Ventricular septal defects
Metabolites of codeine-containing medications and diazepam Correct Answer: - Morphine for
codeine-containing medications
- Oxazepam for diazepam
Most appropriate initial management of hypercalcemia of malignancy Correct Answer: Normal
saline intravenously
Reason for preference of myomectomy over fibroid embolization in symptomatic patient with
uterine fibroids responsive to medical therapy Correct Answer: Desire for future pregnancy
Hallmarks of melanosis coli Correct Answer: - Brown to black leopard spotting of the colonic
musoca
- Results from abuse of anthraquinone laxatives (cascara, senna, aloe)
What happens to the murmur of mitral valve prolapse with the Valsalva maneuver? Correct
Answer: Becomes longer and louder
Most common hip disorder in 8-15 year-old males & overweight/obese children Correct Answer:
Slipped capital femoral epiphysis
PEG tubes are associated w/ an ↑ use of Correct Answer: Restraints
Highest risk group for colorectal cancer & recommending screening age/interval Correct
Answer: - Patients who have 1 first degree relative diagnosed with colorectal cancer or
adenomatous polyps before age 60, or at least 2 second degree relatives with colorectal cancer
- Start *screening at age 40 or 10 years before the earliest age at which an affected relative was
diagnosed* (whichever comes first) **with rescreening every 5 years*
Treatment of tachycardia w/ history of Wolff-Parkinson-White syndrome Correct Answer:
Procainamide
Is doxycycline contraindicated in pregnancy? Correct Answer: Yes, in the 2nd and 3rd
trimesters due to permanent discoloration of tooth enamel
Will steady extra caloric intake result in weight gain indefinitely? Correct Answer: No, weight
will increase to a certain point and then become constant
Initial medical management of asthma Correct Answer: Low-dose inhaled corticosteroid daily
w/ SABA as needed
Name some tumor necrosis factor inhibitors & testing required prior to initiation Correct
Answer: - Infliximab, adalimumab, certolizumab pegol, golimumab
- Screen for TB, HBV, HCV
Tests to detect HCV antibody & determine active from past infection Correct Answer: -
Detection: enzyme immunoassay
- Confirmation: recombinant immunoblot assay
- Active/past infection: RNA polymerase chain reaction
Precautions to be initiated for patient with MRSA infection Correct Answer: - All staff, visitors,
and nursing-home residents should observe strict handwashing practices
- Barrier precautions for wounds & medical devices
Procedures for which metformin should be withheld & consequences of not doing so Correct
Answer: - Anything that causes a reduction in kidney function, such as pyelography,
angiography
- Lactic acidosis
Guidelines on combination therapy for nursing-home acquired pneumonia Correct Answer:
Combination therapy consisting of:
1. *Antipseudomonal cephalosporin* (cefepime, ceftazidime) or *Antipseudomonal
carbapenem* (imipenem, meropenem) or *Extended-spectrum ß-lactam/ß-lactamase inhibitor*
(piperacillin/tazobactam)
2. *Antipseudomonal fluoroquinolone* (levofloxacin, ciprofloxacin) or *Aminoglycoside*
(gentamicin, tobramycin, amikacin)
, 3. *Anti-MRSA agent* (vancomycin, linezolid)
SSRI use in pregnancy Correct Answer: No significant risk of congenital anomalies from SSRI
use in pregnancy, *except for paroxetine* (↑ risk of congenital cardiac malformations w/ 1st
trimester exposure)
Classic presentations of the following:
- pyloric stenosis
- choledochal cyst
- Meckel's diverticulum
- intussusception
- intestinal malrotation Correct Answer: - *Pyloric stenosis*: palpable mass that develops b/w 4-
6 weeks of age
- *Choledochal cyst*: classic triad of RUQ pain, jaundice, palpable mass
- *Meckel's diverticulum*: painless lower GI bleeding in infants
- *Intussusception*: paroxysms of colickyl abdominal pain, palpable mass in ~2/3 of patients
- *Intestinal malrotation*: bilious vomiting w/ in first 4 weeks of life
Teriparatide indications Correct Answer: Treatment of severe osteoporosis, for *patients with
multiple osteoporosis risk factors*, or for *patients with failure of bisphosphonate therapy*
Most likely infectious agent for acute dyuria, frequency, pyuria with no associated hematuria,
flank pain, suprapubic pain, or fever, showing no growth/insignificant bacterial growth on
midstream urine culture Correct Answer: Sexually transmitted urethritis caused by:
- C. trachomatis
- N. gonorrhoeae
- HSV
Interpreting "Timed Get Up and Go" test results Correct Answer: - <10 seconds: normal
- >14 seconds: ↑ risk of falls
- >20 seconds: severe gait impairment
Characteristics of the following gait/balance disorders:
- cautious gait
- cerebellar degeneration
- frontal lobe degeneration
- Parkinson's disease
- motor neuropathy Correct Answer: - *Cautious gait*: abducted arms/legs, slow, careful
"walking on ice" movements, wide-based stance and "en bloc" turns associated w/ visual
impairment
- *Cerebellar degeneration*: ataxic gait that is wide-based and staggering
- *Frontal lobe degeneration*: gait apraxia described as "magnetic" with start and turn hesitation
and freezing
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SmartHomework. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
