Family Medicine Boards Exam Study Guide –
COMPLETE SOLUTION 2022/23
Most common type of arthritis seen in psoriatic arthritis? Correct Answer: Oligoarticular
artheritis
Characteristic finding in the fingers of psoriatic arthritis Correct Answer: Sausage Digits
What is the early finding in allopurinol hypersensitivity syndrome? Correct Answer:
Eosinophilia
What antihypertensive is a good uricouric agent? Correct Answer: Losartan
Where does pseudogout present on board exams in elderly women? Correct Answer: Wrist
What antibody suggest sjogrens syndrome Correct Answer: SSA
What connective tissue disease is assoicated with CREST syndrome? Correct Answer:
Scleroderma
What virus can cause mixed cryoglobulinemia, oligoarthritis, and secondary sjogrens Correct
Answer: Hepatitis C
How do you diagnose low T Correct Answer: Signs and Symptoms with two am testosterones <
300
Most common cause of osteomyelitis? Correct Answer: Staph A
Most common cause of osteomyelitis in IV drug users? Correct Answer: Pseudomonas
Most common cause of osteomyelitis in sickle cell patient? Correct Answer: Salmonella
What MEDD does a patient need a referral to pain management? Correct Answer: 90
What should all patients who are on chronic pain medication be on? Correct Answer: Senna or
bisacodyl
Over the counters a patient can take for sleep? Correct Answer: Melatonin or Valarian root
Primary Prevention Correct Answer: Prevent disease (vaccines)
Secondary prevention Correct Answer: early detection and treatment of disease
Tertiary prevention Correct Answer: management of chronic disease
,How often should a female have cervical cancer screening? Correct Answer: Starting at age 21 q
3 years with pap smear until 30 then q 5 years with pap plus HPV until age 65
How often should a female have ovarian cancer screening? Correct Answer: She shouldn't
How often should a female have breast cancer screening? Correct Answer: Starting at age 50 q 2
years until 74
When should you screen for AAA? Correct Answer: 65 years of age male who has ever smoked
before
At what age should you start to apply fluoride varnishes? Correct Answer: > 6 months of life if
water is deficient
When should you start to think about medications for BMI? Correct Answer: > 30
When should you start to think about surgery for BMI? Correct Answer: BMI > 40
BMI > 35 with comorbidities
What is Marasmus Correct Answer: Total calorie malnutrition
What is Kwashiorkor? Correct Answer: Protein Malnutrition
How do you tell the difference between marasmus and kwashiorkor? Correct Answer:
Kwashiorkor has edema and ascites with normal weight while marasmus has wasting
Treatment of both marasmus and kwashiorkor? Correct Answer: 1 g protein /kg and 30 kcal/kg
enterically
Symptoms of B1 deficiency? Correct Answer: dry beriberi and wernicke korsakoff syndrome
Wet beriberi- high output heart failure
What is dry beriberi? Correct Answer: Wernicke korsakoff syndrome
What is wet Beriberi? Correct Answer: High output heart failure
Symptoms of B2 deficiency? Correct Answer: glossitis, cheilosis, and seborrheic dermatitis
Symptoms of B3 deficiency? Correct Answer: Pellagra- dermatitis, diarrhea, and dementia
Symptoms of B6 deficiency? Correct Answer: Peripheral neuropathy, anemia, and seizures
Symptoms of Vitamin C deficiency? Correct Answer: Scurvy- poor wound healing, easy
bruising and bleeding gums
Symptoms of biotin deficiency? Correct Answer: myalgias, dysethesias, anorexia
,Symptoms of Vitamin A deficiency? Correct Answer: Night blindness, Bitot's spots
What are Bitots Spots? Correct Answer: Seen in Vitamin A Deficiency, white patches n the
Conjunctivae
Symptoms of Vitamin E deficiency? Correct Answer: Areflexia, peripheral neuropathy
What herbals interact with Coumadin? Correct Answer: Garlic, Ginger, Gingko, Ginseng
What is Garlic powder used for? Correct Answer: High Cholesterol
What is Ginger root used for? Correct Answer: Motion Sickness
What is horse chestnut used for? Correct Answer: Venous Insufficiency
What is Saw Palmetto used for? Correct Answer: BPH
What percent DEET should travelers use? Correct Answer: At least 20%
When is Yellow Fever vaccine needed for travel? Correct Answer: Sub-Saharan africa, south
america
Most common bacterial cause of travelers diarrhea? Correct Answer: Enterotoxigenic E Coli
Why dont we use Bismuth subsalicylate in children? Correct Answer: Reye Syndrome
Drug of choice for malaria if no resistence? Correct Answer: Chloroquine phosphate
Drugs of choice for malaria if resistence to Chloroquine Correct Answer: Doxycycline or
malarone
Drug of choice for P vivax malaria? Correct Answer: Primaquine
What exposures can cause silicosis? Correct Answer: Silica mining, sandblasting, masonry
What exposures can cause asbestosis? Correct Answer: Textiles, shipbuilding, cement,
insulation
What exposures can cause Toxic organic dust syndrome? Correct Answer: Moldy Hay
Post Exposure protocol for TB Correct Answer: Offer PPD now and then again at 12 weeks.
> 5 mm is (+)
Post Exposure protocol for Hepatitis A virus? Correct Answer: Immune globulin and first dose
of Vaccine now
, Post Exposure protocol for Hepatitis B virus? Correct Answer: Offer Immune globulin and start
vaccine
Post exposure protocol for HIV? Correct Answer: start 4 week course of 2 drug regimen within
72 hours of exposure
Types of Anthrax Correct Answer: Cutaneous
Inhalation
Pharyngeal and GI
How do you diagnose Anthrax? Correct Answer: Gram Stain with culture, pcr
treatment for cutaneous anthrax? Correct Answer: Ciprofloxacin or doxycycline
What virus causes small pox? Correct Answer: Variola Virus
Progression of skin findings in small pox? Correct Answer: Red spots on tongue or palpate
Papules
Vesicles all same
Pustules
What is the difference between Non alcoholic fatty liver and Non alcoholic steatohepatitis?
Correct Answer: NASH has ballooning of the cells, inflammation, and fibrosis
What inheritance pattern is hemochromatosis? Correct Answer: Autosomal recessive
What gene mutation is found in hemochromatosis? Correct Answer: HFE gene
Who should you suspect alpha one anti trypsin deficiency disease in? Correct Answer: Early
Onset emphysema with elevated liver enzymes
Test to look for autoimmune hepatitis? Correct Answer: Anti-smooth muscle antibody and
elevated IgG
Pattern of Inheritance of Wilsons disease? Correct Answer: Autosomal recessive
What extrahepatic things can cause elevated liver enzymes? Correct Answer: Thyroid Disorders
and Celiac Sprue
What is Scrofula? Correct Answer: Tuberculous Lymphadenitis of the cervical lymph nodes
What is incidence? Correct Answer: Number of new cases
What is prevalence? Correct Answer: Number of existing cases
COMPLETE SOLUTION 2022/23
Most common type of arthritis seen in psoriatic arthritis? Correct Answer: Oligoarticular
artheritis
Characteristic finding in the fingers of psoriatic arthritis Correct Answer: Sausage Digits
What is the early finding in allopurinol hypersensitivity syndrome? Correct Answer:
Eosinophilia
What antihypertensive is a good uricouric agent? Correct Answer: Losartan
Where does pseudogout present on board exams in elderly women? Correct Answer: Wrist
What antibody suggest sjogrens syndrome Correct Answer: SSA
What connective tissue disease is assoicated with CREST syndrome? Correct Answer:
Scleroderma
What virus can cause mixed cryoglobulinemia, oligoarthritis, and secondary sjogrens Correct
Answer: Hepatitis C
How do you diagnose low T Correct Answer: Signs and Symptoms with two am testosterones <
300
Most common cause of osteomyelitis? Correct Answer: Staph A
Most common cause of osteomyelitis in IV drug users? Correct Answer: Pseudomonas
Most common cause of osteomyelitis in sickle cell patient? Correct Answer: Salmonella
What MEDD does a patient need a referral to pain management? Correct Answer: 90
What should all patients who are on chronic pain medication be on? Correct Answer: Senna or
bisacodyl
Over the counters a patient can take for sleep? Correct Answer: Melatonin or Valarian root
Primary Prevention Correct Answer: Prevent disease (vaccines)
Secondary prevention Correct Answer: early detection and treatment of disease
Tertiary prevention Correct Answer: management of chronic disease
,How often should a female have cervical cancer screening? Correct Answer: Starting at age 21 q
3 years with pap smear until 30 then q 5 years with pap plus HPV until age 65
How often should a female have ovarian cancer screening? Correct Answer: She shouldn't
How often should a female have breast cancer screening? Correct Answer: Starting at age 50 q 2
years until 74
When should you screen for AAA? Correct Answer: 65 years of age male who has ever smoked
before
At what age should you start to apply fluoride varnishes? Correct Answer: > 6 months of life if
water is deficient
When should you start to think about medications for BMI? Correct Answer: > 30
When should you start to think about surgery for BMI? Correct Answer: BMI > 40
BMI > 35 with comorbidities
What is Marasmus Correct Answer: Total calorie malnutrition
What is Kwashiorkor? Correct Answer: Protein Malnutrition
How do you tell the difference between marasmus and kwashiorkor? Correct Answer:
Kwashiorkor has edema and ascites with normal weight while marasmus has wasting
Treatment of both marasmus and kwashiorkor? Correct Answer: 1 g protein /kg and 30 kcal/kg
enterically
Symptoms of B1 deficiency? Correct Answer: dry beriberi and wernicke korsakoff syndrome
Wet beriberi- high output heart failure
What is dry beriberi? Correct Answer: Wernicke korsakoff syndrome
What is wet Beriberi? Correct Answer: High output heart failure
Symptoms of B2 deficiency? Correct Answer: glossitis, cheilosis, and seborrheic dermatitis
Symptoms of B3 deficiency? Correct Answer: Pellagra- dermatitis, diarrhea, and dementia
Symptoms of B6 deficiency? Correct Answer: Peripheral neuropathy, anemia, and seizures
Symptoms of Vitamin C deficiency? Correct Answer: Scurvy- poor wound healing, easy
bruising and bleeding gums
Symptoms of biotin deficiency? Correct Answer: myalgias, dysethesias, anorexia
,Symptoms of Vitamin A deficiency? Correct Answer: Night blindness, Bitot's spots
What are Bitots Spots? Correct Answer: Seen in Vitamin A Deficiency, white patches n the
Conjunctivae
Symptoms of Vitamin E deficiency? Correct Answer: Areflexia, peripheral neuropathy
What herbals interact with Coumadin? Correct Answer: Garlic, Ginger, Gingko, Ginseng
What is Garlic powder used for? Correct Answer: High Cholesterol
What is Ginger root used for? Correct Answer: Motion Sickness
What is horse chestnut used for? Correct Answer: Venous Insufficiency
What is Saw Palmetto used for? Correct Answer: BPH
What percent DEET should travelers use? Correct Answer: At least 20%
When is Yellow Fever vaccine needed for travel? Correct Answer: Sub-Saharan africa, south
america
Most common bacterial cause of travelers diarrhea? Correct Answer: Enterotoxigenic E Coli
Why dont we use Bismuth subsalicylate in children? Correct Answer: Reye Syndrome
Drug of choice for malaria if no resistence? Correct Answer: Chloroquine phosphate
Drugs of choice for malaria if resistence to Chloroquine Correct Answer: Doxycycline or
malarone
Drug of choice for P vivax malaria? Correct Answer: Primaquine
What exposures can cause silicosis? Correct Answer: Silica mining, sandblasting, masonry
What exposures can cause asbestosis? Correct Answer: Textiles, shipbuilding, cement,
insulation
What exposures can cause Toxic organic dust syndrome? Correct Answer: Moldy Hay
Post Exposure protocol for TB Correct Answer: Offer PPD now and then again at 12 weeks.
> 5 mm is (+)
Post Exposure protocol for Hepatitis A virus? Correct Answer: Immune globulin and first dose
of Vaccine now
, Post Exposure protocol for Hepatitis B virus? Correct Answer: Offer Immune globulin and start
vaccine
Post exposure protocol for HIV? Correct Answer: start 4 week course of 2 drug regimen within
72 hours of exposure
Types of Anthrax Correct Answer: Cutaneous
Inhalation
Pharyngeal and GI
How do you diagnose Anthrax? Correct Answer: Gram Stain with culture, pcr
treatment for cutaneous anthrax? Correct Answer: Ciprofloxacin or doxycycline
What virus causes small pox? Correct Answer: Variola Virus
Progression of skin findings in small pox? Correct Answer: Red spots on tongue or palpate
Papules
Vesicles all same
Pustules
What is the difference between Non alcoholic fatty liver and Non alcoholic steatohepatitis?
Correct Answer: NASH has ballooning of the cells, inflammation, and fibrosis
What inheritance pattern is hemochromatosis? Correct Answer: Autosomal recessive
What gene mutation is found in hemochromatosis? Correct Answer: HFE gene
Who should you suspect alpha one anti trypsin deficiency disease in? Correct Answer: Early
Onset emphysema with elevated liver enzymes
Test to look for autoimmune hepatitis? Correct Answer: Anti-smooth muscle antibody and
elevated IgG
Pattern of Inheritance of Wilsons disease? Correct Answer: Autosomal recessive
What extrahepatic things can cause elevated liver enzymes? Correct Answer: Thyroid Disorders
and Celiac Sprue
What is Scrofula? Correct Answer: Tuberculous Lymphadenitis of the cervical lymph nodes
What is incidence? Correct Answer: Number of new cases
What is prevalence? Correct Answer: Number of existing cases
