ABFM HYPERSTENSION EXAM: A+ GUIDE WITH LATEST
KEY QUESTIONS AND ANSWERS
pt with thyroid nodule >1cm
next step?
measure TSH
if results abnormal, do a radionuclide thyroid scan
>=2 cases of influenza A (H1N1) in a nursing home is an outbreak
what is management?
Chemoprophylaxis with appropriate medications for all residents
2day old infant with flesh-colored papules with an erythematous base
located on the face and trunk, containing eosinophils.
what to do?
observation only
benign eruption in newborns
self-limiting
what is the definition of asymptomatic microscopic hematuria
A) >=1 RBCs/hpf
B) >=3 RBCs/hpf
C) >=10 RBCs/hpf
D) A positive dipstick reading for blood
B) >=3 RBCs/hpf
rx dyspnea in terminally ill patient
morphine
opioids
others:
- inhaled bronchodilator or steroids for COPD pt
- diuresis for HF pt
Which one of the following is associated with treatment of COPD with inhaled corticosteroids?
A) An increased risk of monilial vaginitis
B) An increased risk of bruising
, C) Consistent improvement in FEV1
D) A decreased risk of pneumonia
E) Decreased mortality
An increased risk of bruising, candida infection oropharynx, pneumonia
4 - 6 yo
nocturnal pains in thigh, shin or calf
no limping
no fever
no rash
no wt change
normal PE
normal CBC and ESR
dx?
rx?
growing pains
no further work up
first line rx HTN
acei
arb
ccb
thiazide
severe Dm foot ulcer. rx with:
A) Amoxicillin/clavulanate (Augmentin)
B) Linezolid (Zyvox)
C) Ciprofloxacin (Cipro)
D) Ceftriaxone (Rocephin) and levofloxacin (Levaquin)
E) Piperacillin/tazobactam (Zosyn) and vancomycin (Vancocin)
Piperacillin/tazobactam and vancomycin
- covers MRSA, pseudomonas, strep
- covers gram +ve, gram -ve and anerobes
2-18 yo BMI categories
<5th percentile
5 - 85th percentile
85 - 94th percentile
>95 percentile
KEY QUESTIONS AND ANSWERS
pt with thyroid nodule >1cm
next step?
measure TSH
if results abnormal, do a radionuclide thyroid scan
>=2 cases of influenza A (H1N1) in a nursing home is an outbreak
what is management?
Chemoprophylaxis with appropriate medications for all residents
2day old infant with flesh-colored papules with an erythematous base
located on the face and trunk, containing eosinophils.
what to do?
observation only
benign eruption in newborns
self-limiting
what is the definition of asymptomatic microscopic hematuria
A) >=1 RBCs/hpf
B) >=3 RBCs/hpf
C) >=10 RBCs/hpf
D) A positive dipstick reading for blood
B) >=3 RBCs/hpf
rx dyspnea in terminally ill patient
morphine
opioids
others:
- inhaled bronchodilator or steroids for COPD pt
- diuresis for HF pt
Which one of the following is associated with treatment of COPD with inhaled corticosteroids?
A) An increased risk of monilial vaginitis
B) An increased risk of bruising
, C) Consistent improvement in FEV1
D) A decreased risk of pneumonia
E) Decreased mortality
An increased risk of bruising, candida infection oropharynx, pneumonia
4 - 6 yo
nocturnal pains in thigh, shin or calf
no limping
no fever
no rash
no wt change
normal PE
normal CBC and ESR
dx?
rx?
growing pains
no further work up
first line rx HTN
acei
arb
ccb
thiazide
severe Dm foot ulcer. rx with:
A) Amoxicillin/clavulanate (Augmentin)
B) Linezolid (Zyvox)
C) Ciprofloxacin (Cipro)
D) Ceftriaxone (Rocephin) and levofloxacin (Levaquin)
E) Piperacillin/tazobactam (Zosyn) and vancomycin (Vancocin)
Piperacillin/tazobactam and vancomycin
- covers MRSA, pseudomonas, strep
- covers gram +ve, gram -ve and anerobes
2-18 yo BMI categories
<5th percentile
5 - 85th percentile
85 - 94th percentile
>95 percentile
