ABFM HYPERSTENSION EXAM: A+ GUIDE WITH LATEST
KEY QUESTIONS AND ANSWERS
croup in 2yo
child not in severe distress
only mild disease
rx?
single dose oral corticosteroid
croup in 2 yo
child in distress
lots of nasopharyngeal mucus
severe disease
rx?
Nebulizer treatment with racemic epinephrine
intensive glycemic control in T2DM results in
reduced rate of progression to macroalbuminuria, which is an indicator of the development of diabetic
nephropathy.
how long should pt remain on anti-coags after PE
3 months
risk factors of SIDS
side sleeping
prone sleeping
bed sharing
Natev American
birth wt <2500g
preterm birth
rx of carpal tunnel syndrome
wrist splint
NSAIDs
s/e TZDs
fluid retention
wt gain
peripheral edema
high risk non-osteroporotic bone fractures
,mcc of hypoglycemia in previously stable, well-controlled diabetic patients who have not changed
their diet or insulin dosage
renal disease
In its dental recommendations from birth to 5 years of age, the U.S. Preventive Services Task Force
recommends fluoride supplementation for what kids when the primary water supply is deficient in
fluoride?
All children starting at 6 months of age
baby born at 28weeks gestation
now 5weeks old (<1 month)
here for f/u
what immunization ppx is recommended
palivizumab
for all infants born before 29weeks
pps for RSV
2 - 12 yo boy
insidious onset of pain and mild limitation ROM of one hip joint
Idiopathic osteonecrosis of the hip (Legg-Calvé-Perthes disease)
adolescent boy
insidious onset of pain and mild limitation ROM of one hip joint
Slipped capital femoral epiphysis
first line for n/v in pregnancy
vitamin b6
+/- doxylamine
pt with
obesity
DM
peripheral neuropathy
seizure d/o
newly dx with depression
what rx?
- bupropion
- citalopram
- duloxetine
- nortriptyline
, duloxetine
pt with HTN
wants nonpharmacologic intervention to manage BP
monitor home BP readings
limit sodium 2400mg/day
diet veggies, fruits
limit alcohol 2drinks/day for men and 1drink/day for women
screening rule for AAA
one time
abdominal duplex ultrasound
male
65 - 75 yr
ever smoked 100 cigarettes in lifetime
COPT pt
complain of breathlessness
uses inhalers - albuterol prn and LABA daily and Anticholinergic daily
what can improve his breathing problem?
- Replace his inhaled medications with nebulized alternatives
- Replace his tiotropium with ipratropium (Atrovent)
- Order home oxygen
- Refer for outpatient pulmonary rehabilitation
Pulmonary rehabilitation
- use for COPD pt who are optimally medically managed
- imrpoved exercise capacity, dyspena and health-related QOL
note
oxygen only improve mortality but not sx
pcos pt
amenorrhea
obese
KEY QUESTIONS AND ANSWERS
croup in 2yo
child not in severe distress
only mild disease
rx?
single dose oral corticosteroid
croup in 2 yo
child in distress
lots of nasopharyngeal mucus
severe disease
rx?
Nebulizer treatment with racemic epinephrine
intensive glycemic control in T2DM results in
reduced rate of progression to macroalbuminuria, which is an indicator of the development of diabetic
nephropathy.
how long should pt remain on anti-coags after PE
3 months
risk factors of SIDS
side sleeping
prone sleeping
bed sharing
Natev American
birth wt <2500g
preterm birth
rx of carpal tunnel syndrome
wrist splint
NSAIDs
s/e TZDs
fluid retention
wt gain
peripheral edema
high risk non-osteroporotic bone fractures
,mcc of hypoglycemia in previously stable, well-controlled diabetic patients who have not changed
their diet or insulin dosage
renal disease
In its dental recommendations from birth to 5 years of age, the U.S. Preventive Services Task Force
recommends fluoride supplementation for what kids when the primary water supply is deficient in
fluoride?
All children starting at 6 months of age
baby born at 28weeks gestation
now 5weeks old (<1 month)
here for f/u
what immunization ppx is recommended
palivizumab
for all infants born before 29weeks
pps for RSV
2 - 12 yo boy
insidious onset of pain and mild limitation ROM of one hip joint
Idiopathic osteonecrosis of the hip (Legg-Calvé-Perthes disease)
adolescent boy
insidious onset of pain and mild limitation ROM of one hip joint
Slipped capital femoral epiphysis
first line for n/v in pregnancy
vitamin b6
+/- doxylamine
pt with
obesity
DM
peripheral neuropathy
seizure d/o
newly dx with depression
what rx?
- bupropion
- citalopram
- duloxetine
- nortriptyline
, duloxetine
pt with HTN
wants nonpharmacologic intervention to manage BP
monitor home BP readings
limit sodium 2400mg/day
diet veggies, fruits
limit alcohol 2drinks/day for men and 1drink/day for women
screening rule for AAA
one time
abdominal duplex ultrasound
male
65 - 75 yr
ever smoked 100 cigarettes in lifetime
COPT pt
complain of breathlessness
uses inhalers - albuterol prn and LABA daily and Anticholinergic daily
what can improve his breathing problem?
- Replace his inhaled medications with nebulized alternatives
- Replace his tiotropium with ipratropium (Atrovent)
- Order home oxygen
- Refer for outpatient pulmonary rehabilitation
Pulmonary rehabilitation
- use for COPD pt who are optimally medically managed
- imrpoved exercise capacity, dyspena and health-related QOL
note
oxygen only improve mortality but not sx
pcos pt
amenorrhea
obese
