Family Medicine Board Review| 204
questions| with complete solutions
Nausea in pregnancy Correct Answer: Vitamin B6
When to give flu vaccine in pregnancy Correct Answer: Anytime
• According to the American Heart Association's 2007 guidelines, prophylaxis to prevent
bacterial
endocarditis associated with dental, gastrointestinal, or genitourinary procedures Correct
Answer: indicated only for high-risk patients with prosthetic valves, a previous history of
endocarditis, unrepaired cyanotic congenital heart disease (CHD), or CHD repaired with
prosthetic material, and for cardiac transplant recipients who develop valvular disease
Approximately 0.3% of patients taking methimazole develop Correct Answer: agranulocytosis
Outcomes for both the mother and infant improved with pharmacologic management of GDM
Correct Answer: decreased risk for operative delivery,
large-for-gestational-age infants, shoulder dystocia, and maternal preeclampsia
Motor side effects of the antipsychotic drugs can be separated into five general categories:
Correct Answer: dystonias, parkinsonism, akathisia, withdrawal dyskinesias, and tardive
dyskinesia. Akathisia is a syndrome marked by motor restlessness
Erythrasma fluoresces with Correct Answer: Wood's light
Erythrasma Correct Answer: A superficial gram-positive bacterial infection caused by
Corynebacterium minutissimum. The fluorescence is caused by porphyrins. Erythrasma is most
often seen between the toe web spaces, followed by the groin and axillae. There are multiple
treatments, including topical and oral erythromycins and clindamycins
Drugs appropriate for uterine atony and postpartum hemorrhage Correct Answer: Carboprost
(Hemabate), Methylergonovine, Misoprostol (Cytotec), Oxytocin (Pitocin)
Carboprost Correct Answer: contraindicated in patients with asthma
Methylergonovine Correct Answer: contraindicated in hypertensive patients but may be used in
patients with asthma.
Acute parotitis common cause Correct Answer: commonly caused by dehydration
,Acute parotitis treatment Correct Answer: Empiric treatment is directed toward gram-positive
and anaerobic organisms, with the most common pathogen being Staphylococcus. These are
often penicillin resistant so a β-lactamase inhibitor (Augmentin) is the agent of choice
The American Heart Association and the American College of Cardiology recommend that
asymptomatic patients with mild aortic stenosis undergo repeat echocardiography
________________ Correct Answer: every 3-5 years
the barometer for vitamin D status Correct Answer: 25-hydroxyvitamin D
Only medication with consistent evidence showing that it improves depression symptoms in
children and adolescents Correct Answer: Fluoxetine
Body lice transmit _______________________________ Correct Answer: Bartonella quintana
Bartonella quintana causes Correct Answer: trench fever
The laboratory finding most classically associated with giant cell arteritis Correct Answer:
Elevated (ESR) Sedimentation Rate
The best regimen for the treatment of exercised-induced bronchospasm Correct Answer: An
inhaled daily low-dose corticosteroid plus occasional use of as-needed inhaled albuterol
The recommended management for patients who have non-severe Salmonella infection and are
otherwise healthy is ____________________ Correct Answer: no treatment
Patients with salmonella with high-risk conditions that predispose to bacteremia, and those with
severe diarrhea, fever, and systemic toxicity or positive blood cultures
__________________________ Correct Answer: should be treated with levofloxacin, 500 mg
once daily for 7-10 days (or another fluoroquinolone in an equivalent dosage)
Graves disease Correct Answer: high uptake of radioactive iodine on scan
Leading cause of death in world Correct Answer: ischemic heart disease
Diagnosis of acute compartment syndrome Correct Answer: Tissue pressure studies
Truvada Correct Answer: Used for pre-exposure prophylaxis for HIV. Check Ab for HIV first.
Recommended after DVT diagnosis Correct Answer: Early ambulation
Anthrax incubation period is _____________________ Correct Answer: 60 days
Croup Rx for all mild to severe disease __________________ Correct Answer: oral
dexamethasone
, Treatment for bee sting anaphylaxis Correct Answer: IM epinephrine initial
Pet reptiles can cause what infection? Correct Answer: Salmonella
Infection caused by dog and cat bites Correct Answer: Pasteurella multocida
Plague is caused by what pathogen? Correct Answer: Yersinia pestis
Rodents and their fleas can carry ____________________ Correct Answer: Yersinia pestis that
causes plague
Supplement needed with beastfeeding Correct Answer: Vitamin D
When treating with testosterone replacement, need to check ____________ Correct Answer:
Hematocrit
60-70% of resistant HTN cases are caused by ___________ Correct Answer: Obstructive sleep
apnea
Definition of Sensitivity Correct Answer: % of patients with disease who test positive
Definition of Specificity Correct Answer: % of patient without disease who test negative
The probability of disease before test is performed Correct Answer: Pre-test probability
% patients who test positive who are confirmed with disease Correct Answer: Positive
predictive value
The initial treatment for obesity Correct Answer: Behavioral counseling
CPS referral is recommended for ______________________ Correct Answer: Child with a
posterior rib fracture
Opt-out HIV screen for all patients ages? Correct Answer: 15-65 years old
Medical treatment for narcolepsy & cataplexy Correct Answer: Ritalin (methylphenidate)
Drugs that can cause interstitial pneumonitis? Correct Answer: Amiodorone, Macrobid
Medical treatment for IBS Correct Answer: Tricyclic antidepressants (TCAs) such as
amitriptyline have shown benefit in patients with irritable bowel syndrome (IBS), as have SSRIs.
Because of the anticholinergic properties of TCAs it is thought that TCAs may be more
beneficial than SSRIs in patients with diarrhea-predominant IBS
questions| with complete solutions
Nausea in pregnancy Correct Answer: Vitamin B6
When to give flu vaccine in pregnancy Correct Answer: Anytime
• According to the American Heart Association's 2007 guidelines, prophylaxis to prevent
bacterial
endocarditis associated with dental, gastrointestinal, or genitourinary procedures Correct
Answer: indicated only for high-risk patients with prosthetic valves, a previous history of
endocarditis, unrepaired cyanotic congenital heart disease (CHD), or CHD repaired with
prosthetic material, and for cardiac transplant recipients who develop valvular disease
Approximately 0.3% of patients taking methimazole develop Correct Answer: agranulocytosis
Outcomes for both the mother and infant improved with pharmacologic management of GDM
Correct Answer: decreased risk for operative delivery,
large-for-gestational-age infants, shoulder dystocia, and maternal preeclampsia
Motor side effects of the antipsychotic drugs can be separated into five general categories:
Correct Answer: dystonias, parkinsonism, akathisia, withdrawal dyskinesias, and tardive
dyskinesia. Akathisia is a syndrome marked by motor restlessness
Erythrasma fluoresces with Correct Answer: Wood's light
Erythrasma Correct Answer: A superficial gram-positive bacterial infection caused by
Corynebacterium minutissimum. The fluorescence is caused by porphyrins. Erythrasma is most
often seen between the toe web spaces, followed by the groin and axillae. There are multiple
treatments, including topical and oral erythromycins and clindamycins
Drugs appropriate for uterine atony and postpartum hemorrhage Correct Answer: Carboprost
(Hemabate), Methylergonovine, Misoprostol (Cytotec), Oxytocin (Pitocin)
Carboprost Correct Answer: contraindicated in patients with asthma
Methylergonovine Correct Answer: contraindicated in hypertensive patients but may be used in
patients with asthma.
Acute parotitis common cause Correct Answer: commonly caused by dehydration
,Acute parotitis treatment Correct Answer: Empiric treatment is directed toward gram-positive
and anaerobic organisms, with the most common pathogen being Staphylococcus. These are
often penicillin resistant so a β-lactamase inhibitor (Augmentin) is the agent of choice
The American Heart Association and the American College of Cardiology recommend that
asymptomatic patients with mild aortic stenosis undergo repeat echocardiography
________________ Correct Answer: every 3-5 years
the barometer for vitamin D status Correct Answer: 25-hydroxyvitamin D
Only medication with consistent evidence showing that it improves depression symptoms in
children and adolescents Correct Answer: Fluoxetine
Body lice transmit _______________________________ Correct Answer: Bartonella quintana
Bartonella quintana causes Correct Answer: trench fever
The laboratory finding most classically associated with giant cell arteritis Correct Answer:
Elevated (ESR) Sedimentation Rate
The best regimen for the treatment of exercised-induced bronchospasm Correct Answer: An
inhaled daily low-dose corticosteroid plus occasional use of as-needed inhaled albuterol
The recommended management for patients who have non-severe Salmonella infection and are
otherwise healthy is ____________________ Correct Answer: no treatment
Patients with salmonella with high-risk conditions that predispose to bacteremia, and those with
severe diarrhea, fever, and systemic toxicity or positive blood cultures
__________________________ Correct Answer: should be treated with levofloxacin, 500 mg
once daily for 7-10 days (or another fluoroquinolone in an equivalent dosage)
Graves disease Correct Answer: high uptake of radioactive iodine on scan
Leading cause of death in world Correct Answer: ischemic heart disease
Diagnosis of acute compartment syndrome Correct Answer: Tissue pressure studies
Truvada Correct Answer: Used for pre-exposure prophylaxis for HIV. Check Ab for HIV first.
Recommended after DVT diagnosis Correct Answer: Early ambulation
Anthrax incubation period is _____________________ Correct Answer: 60 days
Croup Rx for all mild to severe disease __________________ Correct Answer: oral
dexamethasone
, Treatment for bee sting anaphylaxis Correct Answer: IM epinephrine initial
Pet reptiles can cause what infection? Correct Answer: Salmonella
Infection caused by dog and cat bites Correct Answer: Pasteurella multocida
Plague is caused by what pathogen? Correct Answer: Yersinia pestis
Rodents and their fleas can carry ____________________ Correct Answer: Yersinia pestis that
causes plague
Supplement needed with beastfeeding Correct Answer: Vitamin D
When treating with testosterone replacement, need to check ____________ Correct Answer:
Hematocrit
60-70% of resistant HTN cases are caused by ___________ Correct Answer: Obstructive sleep
apnea
Definition of Sensitivity Correct Answer: % of patients with disease who test positive
Definition of Specificity Correct Answer: % of patient without disease who test negative
The probability of disease before test is performed Correct Answer: Pre-test probability
% patients who test positive who are confirmed with disease Correct Answer: Positive
predictive value
The initial treatment for obesity Correct Answer: Behavioral counseling
CPS referral is recommended for ______________________ Correct Answer: Child with a
posterior rib fracture
Opt-out HIV screen for all patients ages? Correct Answer: 15-65 years old
Medical treatment for narcolepsy & cataplexy Correct Answer: Ritalin (methylphenidate)
Drugs that can cause interstitial pneumonitis? Correct Answer: Amiodorone, Macrobid
Medical treatment for IBS Correct Answer: Tricyclic antidepressants (TCAs) such as
amitriptyline have shown benefit in patients with irritable bowel syndrome (IBS), as have SSRIs.
Because of the anticholinergic properties of TCAs it is thought that TCAs may be more
beneficial than SSRIs in patients with diarrhea-predominant IBS
