ABFM Exam Questions
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - Answer yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - Answer no
- abdominal pains
BP recommendation for >65 - Answer 150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - Answer transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - Answer CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - Answer Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - Answer asymmetrical weakness in legs, feet, ankles
slurred speech
,trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - Answer detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt
- Answer metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - Answer difficulty opening mouth
rx management for concussion - Answer physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - Answer ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently
smoke or have quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - Answer 39wks 0 d
drug to prevent seizure in alcohol withdrawal - Answer benzos
initial rx allergic rhinitis - Answer intranasal steroids
most effective medication to prevent relapse in alcohol abuse - Answer naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - Answer paroxetine
- anticholinergic effects
screen for autism at what age in kids? - Answer 18 - 24months
bacterial vaginosis has vagina pH ? - Answer >4.5
,29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - Answer Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - Answer prednisone
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best
in CKD
mcc med-induced adverse drug events in US - Answer anti-coags
most common risk factor for uncomplicated cystitis - Answer Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - Answer nsaids
surveillance for barett's esophagus without dyspasia - Answer endoscopy q 3 years
best initial rx for keloid - Answer intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - Answer 20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - Answer calcium and vit d supplements
test for meniscus tears - Answer thessaly test
This patient has low energy, menstrual irregularities, and a history of stress fractures,
BMI <18...is consistent with ______ dx?
what test does she need? - Answer the female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
, pt with exercise induced asthma
pt can prevent this by? - Answer albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - Answer yes
also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? - Answer moderate-or-high intensity
statin
note:
- fibrates don't have effect on CVD and are not part of recommendation guidelines
what pneumococcal vaccine should 65yo receive - Answer PCV13 now and PPSV23 in
1 year
mcc hearing loss in newborn - Answer genetics
A 32-year-old female at 12 weeks gestation presents with an itchy vulvar lesion, which
you
diagnose as external genital warts. Which one of the following would be accurate advice
regarding treatment?
- The recurrence rate is low with treatment
- Cryotherapy is the most effective treatment
- Treatment should be based on patient preference
- Treatment is effective in preventing congenital transmission - Answer Treatment of
genital warts should be based on patient preference and cost. There is no treatment
that is more effective than others, and the recurrence rate for any treatment is relatively
high.
pt took extra pill prescribed by psychiatrist
PMH: depression
normal RR, HR
diaphoretic
resting symmetrical tremor
4+ reflexes
dx? - Answer derotonin syndrome
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - Answer yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - Answer no
- abdominal pains
BP recommendation for >65 - Answer 150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - Answer transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - Answer CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - Answer Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - Answer asymmetrical weakness in legs, feet, ankles
slurred speech
,trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - Answer detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt
- Answer metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - Answer difficulty opening mouth
rx management for concussion - Answer physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - Answer ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently
smoke or have quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - Answer 39wks 0 d
drug to prevent seizure in alcohol withdrawal - Answer benzos
initial rx allergic rhinitis - Answer intranasal steroids
most effective medication to prevent relapse in alcohol abuse - Answer naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - Answer paroxetine
- anticholinergic effects
screen for autism at what age in kids? - Answer 18 - 24months
bacterial vaginosis has vagina pH ? - Answer >4.5
,29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - Answer Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - Answer prednisone
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best
in CKD
mcc med-induced adverse drug events in US - Answer anti-coags
most common risk factor for uncomplicated cystitis - Answer Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - Answer nsaids
surveillance for barett's esophagus without dyspasia - Answer endoscopy q 3 years
best initial rx for keloid - Answer intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - Answer 20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - Answer calcium and vit d supplements
test for meniscus tears - Answer thessaly test
This patient has low energy, menstrual irregularities, and a history of stress fractures,
BMI <18...is consistent with ______ dx?
what test does she need? - Answer the female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
, pt with exercise induced asthma
pt can prevent this by? - Answer albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - Answer yes
also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? - Answer moderate-or-high intensity
statin
note:
- fibrates don't have effect on CVD and are not part of recommendation guidelines
what pneumococcal vaccine should 65yo receive - Answer PCV13 now and PPSV23 in
1 year
mcc hearing loss in newborn - Answer genetics
A 32-year-old female at 12 weeks gestation presents with an itchy vulvar lesion, which
you
diagnose as external genital warts. Which one of the following would be accurate advice
regarding treatment?
- The recurrence rate is low with treatment
- Cryotherapy is the most effective treatment
- Treatment should be based on patient preference
- Treatment is effective in preventing congenital transmission - Answer Treatment of
genital warts should be based on patient preference and cost. There is no treatment
that is more effective than others, and the recurrence rate for any treatment is relatively
high.
pt took extra pill prescribed by psychiatrist
PMH: depression
normal RR, HR
diaphoretic
resting symmetrical tremor
4+ reflexes
dx? - Answer derotonin syndrome
