2022 AAFP Board Review Course Questions – COMPLETE SOLUTION
Which one of the following statements is TRUE regarding the use of antidepressants for smoking
cessation? Correct Answer: Bupropion is contraindicated in a patient with an eating disorder
The number 1 cause of preventable morbidity and mortality in the US today is which of the
following? Correct Answer: Tobacco
Which of the following statements is true regarding alcohol abuse counseling? Correct Answer:
The USPSTF recommends screening and counseling adults the risks of alcohol misuse
Which immunization would be considered safe to administer during pregnancy? Correct Answer:
Tdap
Self-help measures recommended for patients with NYHA class 2 HF is on optimal medications
include which one of the following? Correct Answer: Avoiding NSAID use
How much daily vitamin D supplementation do infants need during the first month of life?
Correct Answer: Breastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory rate >60. What is
the most common cause of this presentation? Correct Answer: Transient tachypnea of the
newborn
Breastfeeding jaundice is characterized by Correct Answer: insufficient feeds
What advice would you give parents to reduce the risk of death from sudden infant death
syndrome (SIDS) in their infant? Correct Answer: Avoid exposure of the infant to second-hand
smoke
The majority of failure to thrive cases in infants is due to Correct Answer: inadequate caloric
intake
What will Medicare cover for an elderly couple asks you how they will pay to live in facility.
Which of the following is NOT true? Correct Answer: Medicare will pay once a medical need
for services is clearly documented
The largest portion of the Medicare budget is spent on Correct Answer: the 20% of Medicare
recipients with five or more chronic diseases
Patient on meds including risperdone, metoclopramide, and valproate presents with Parkinson's
symptoms (trouble standing, walking then freezing, flat affect), so your next step is Correct
Answer: stop his risperdone, metoclopramide, and valproate
,Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about
dyskinesia. Which would be a good choice to decrease long term effects of this? Correct Answer:
Dopamine agonist, such as ropinirole
Elderly patient develops C. Diff, so your next step is Correct Answer: begin PO vancomycin
125mg QID
What causes peripheral vision loss? Correct Answer: glaucoma
Presbycusis is typically associated with the reduction in what type of hearing loss? Correct
Answer: hearing threshold at higher frequencies
Elderly woman presents with 4 week history of early morning shoulder and hip discomfort and
ESR of 52. What condition associated this primary diagnosis is she at risk for developing?
Correct Answer: giant cell arteritis (polymyalgia rheumatica)
A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray confirms T4
vertebral compression fracture and diffuse osteopenia. Your next step: Correct Answer: work up
for secondary causes of osteoporosis
Which of the following has been shown to have analgesic benefit in acute osteoporotic fractures?
Correct Answer: calcitonin
A demented 70 yo, widowed woman is admitted to your service and determined to lack capacity.
There are no advance directives. Who is typically next in line for decision making: Correct
Answer: her sister
Patient with dementia says no to pacemaker but DPOA/daughter says yes to pacemaker
procedure for sick sinus syndrome. The most appropriate next step is Correct Answer: not
proceed with the procedure (has capacity)
The most common cause of lack of sexual activity in older heterosexual couples is Correct
Answer: male's medical condition
An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000 e. coli.
You should prescribe antimicrobials if Correct Answer: she has frequency, urgency, dysuria, or
suprapubic pain
Of the following recommendations, which has not been shown to be helpful for recovery of acute
low back strain? Correct Answer: corticosteroids
Which of the following is the USPSTF's recommendation regarding daily supplementation of
vitamin D and calcium for postmenopausal women to prevent fracture? Correct Answer:
supplementation of vitamin D3 and calcium is not recommended for primary prevention only
, Type 2 DM, acute low back pain with dorsal foot paresthesias and dorsiflexion weakness, and
positive straight leg test on right. Which of the following recommendations is best supported by
the clinical evidence? Correct Answer: consider surgical intervention due to motor deficit
Which of the following statements best describes an overuse tendonopathy such as lateral
epicondylosis or patellar tendonosis? Correct Answer: rehabilitation with eccentric contractions
are recommended to resolve these overuse tendinopathies
New overweight runner with pain in patella first late in run and now earlier in run and after run
along with crepitus. No acute injury. Which of the following is the most appropriate treatment
for her condition? Correct Answer: reduction in running distance and physical therapy
Which of the following is the most sensitive finding in patients with carpal tunnel syndrome?
Correct Answer: Flick sign
Medial left heel pain for 5 weeks. Burning and worse with weight bearing or standing and better
with rest. Aggravated by full passive dorsiflexion of the ankle .You conclude that: Correct
Answer: she has tarsal tunnel syndrome and you provide an orthotic
The developmental examination on a 6-month-old boy reveals an infant who follows past
midline, laughs, turns toward your voice, and has clenched fists. With these findings you Correct
Answer: refer to specialist for further evaluation
A mother brings her 9-month-old daughter in for routine care. Which of the following should be
addressed at this visit? Correct Answer: stating table food
At his well-child check, a 5-year-old boy is noted to have occasional bedwetting. You advise the
parents that Correct Answer: this occurs in 20-25% of boys this age
What is the most appropriate automobile seating for a 7-year-old who is 50 inches tall? Correct
Answer: rear seat in belt-positioning booster seat with lap/shoulder belt
You are seeing a young girl for her pre-high school physical. The form asks for Tanner stage.
She has small but developed breasts and a small amount of dark, straight pubic hair. She is
Tanner stage Correct Answer: III
Which of the following is true of bulimia nervosa in adolescent females? Correct Answer: more
prevalent than anorexia nervosa
79 yo F with mild dementia s/p right hip arthroplasty who screams when told to get out of bed.
Picks at sheets and speaks nonsensically. The appropriate next step is Correct Answer: review
her outpatient medications
76 yo F with failing memory, unable to pay bills, and unable to knit which she liked to do before,
and word finding. What is her diagnosis? Correct Answer: dementia
Which one of the following statements is TRUE regarding the use of antidepressants for smoking
cessation? Correct Answer: Bupropion is contraindicated in a patient with an eating disorder
The number 1 cause of preventable morbidity and mortality in the US today is which of the
following? Correct Answer: Tobacco
Which of the following statements is true regarding alcohol abuse counseling? Correct Answer:
The USPSTF recommends screening and counseling adults the risks of alcohol misuse
Which immunization would be considered safe to administer during pregnancy? Correct Answer:
Tdap
Self-help measures recommended for patients with NYHA class 2 HF is on optimal medications
include which one of the following? Correct Answer: Avoiding NSAID use
How much daily vitamin D supplementation do infants need during the first month of life?
Correct Answer: Breastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory rate >60. What is
the most common cause of this presentation? Correct Answer: Transient tachypnea of the
newborn
Breastfeeding jaundice is characterized by Correct Answer: insufficient feeds
What advice would you give parents to reduce the risk of death from sudden infant death
syndrome (SIDS) in their infant? Correct Answer: Avoid exposure of the infant to second-hand
smoke
The majority of failure to thrive cases in infants is due to Correct Answer: inadequate caloric
intake
What will Medicare cover for an elderly couple asks you how they will pay to live in facility.
Which of the following is NOT true? Correct Answer: Medicare will pay once a medical need
for services is clearly documented
The largest portion of the Medicare budget is spent on Correct Answer: the 20% of Medicare
recipients with five or more chronic diseases
Patient on meds including risperdone, metoclopramide, and valproate presents with Parkinson's
symptoms (trouble standing, walking then freezing, flat affect), so your next step is Correct
Answer: stop his risperdone, metoclopramide, and valproate
,Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about
dyskinesia. Which would be a good choice to decrease long term effects of this? Correct Answer:
Dopamine agonist, such as ropinirole
Elderly patient develops C. Diff, so your next step is Correct Answer: begin PO vancomycin
125mg QID
What causes peripheral vision loss? Correct Answer: glaucoma
Presbycusis is typically associated with the reduction in what type of hearing loss? Correct
Answer: hearing threshold at higher frequencies
Elderly woman presents with 4 week history of early morning shoulder and hip discomfort and
ESR of 52. What condition associated this primary diagnosis is she at risk for developing?
Correct Answer: giant cell arteritis (polymyalgia rheumatica)
A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray confirms T4
vertebral compression fracture and diffuse osteopenia. Your next step: Correct Answer: work up
for secondary causes of osteoporosis
Which of the following has been shown to have analgesic benefit in acute osteoporotic fractures?
Correct Answer: calcitonin
A demented 70 yo, widowed woman is admitted to your service and determined to lack capacity.
There are no advance directives. Who is typically next in line for decision making: Correct
Answer: her sister
Patient with dementia says no to pacemaker but DPOA/daughter says yes to pacemaker
procedure for sick sinus syndrome. The most appropriate next step is Correct Answer: not
proceed with the procedure (has capacity)
The most common cause of lack of sexual activity in older heterosexual couples is Correct
Answer: male's medical condition
An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000 e. coli.
You should prescribe antimicrobials if Correct Answer: she has frequency, urgency, dysuria, or
suprapubic pain
Of the following recommendations, which has not been shown to be helpful for recovery of acute
low back strain? Correct Answer: corticosteroids
Which of the following is the USPSTF's recommendation regarding daily supplementation of
vitamin D and calcium for postmenopausal women to prevent fracture? Correct Answer:
supplementation of vitamin D3 and calcium is not recommended for primary prevention only
, Type 2 DM, acute low back pain with dorsal foot paresthesias and dorsiflexion weakness, and
positive straight leg test on right. Which of the following recommendations is best supported by
the clinical evidence? Correct Answer: consider surgical intervention due to motor deficit
Which of the following statements best describes an overuse tendonopathy such as lateral
epicondylosis or patellar tendonosis? Correct Answer: rehabilitation with eccentric contractions
are recommended to resolve these overuse tendinopathies
New overweight runner with pain in patella first late in run and now earlier in run and after run
along with crepitus. No acute injury. Which of the following is the most appropriate treatment
for her condition? Correct Answer: reduction in running distance and physical therapy
Which of the following is the most sensitive finding in patients with carpal tunnel syndrome?
Correct Answer: Flick sign
Medial left heel pain for 5 weeks. Burning and worse with weight bearing or standing and better
with rest. Aggravated by full passive dorsiflexion of the ankle .You conclude that: Correct
Answer: she has tarsal tunnel syndrome and you provide an orthotic
The developmental examination on a 6-month-old boy reveals an infant who follows past
midline, laughs, turns toward your voice, and has clenched fists. With these findings you Correct
Answer: refer to specialist for further evaluation
A mother brings her 9-month-old daughter in for routine care. Which of the following should be
addressed at this visit? Correct Answer: stating table food
At his well-child check, a 5-year-old boy is noted to have occasional bedwetting. You advise the
parents that Correct Answer: this occurs in 20-25% of boys this age
What is the most appropriate automobile seating for a 7-year-old who is 50 inches tall? Correct
Answer: rear seat in belt-positioning booster seat with lap/shoulder belt
You are seeing a young girl for her pre-high school physical. The form asks for Tanner stage.
She has small but developed breasts and a small amount of dark, straight pubic hair. She is
Tanner stage Correct Answer: III
Which of the following is true of bulimia nervosa in adolescent females? Correct Answer: more
prevalent than anorexia nervosa
79 yo F with mild dementia s/p right hip arthroplasty who screams when told to get out of bed.
Picks at sheets and speaks nonsensically. The appropriate next step is Correct Answer: review
her outpatient medications
76 yo F with failing memory, unable to pay bills, and unable to knit which she liked to do before,
and word finding. What is her diagnosis? Correct Answer: dementia
