ABFM HYPERSTENSION EXAM: A+ GUIDE WITH LATEST
KEY QUESTIONS AND ANSWERS
conditions that increase risk latent TB progress to active disease
lung cancer
DM
alcoholism
immunosuppression
silicosis
when is the only time to give pps antibiotics to prevent bacterial endocarditis with dental/GI
procedures
prosthetic valve
hx endocarditis
heart transplant pt that develop valvular disease
NOTE - NOT mvp or mr
one benefit of treatment of GDM is a decreased risk for
A) maternal type 2 diabetes mellitus after delivery
B) maternal preeclampsia
C) perinatal death
D) a small-for-gestational-age infant
maternal precelampsia
others:
- decrease risk for operative delivery, large-for-GA infant, shoulder dystocia
A 45-year-old male is seen for a well-demarcated, nonpruritic rash in the right axilla. It is
fine-scaled with a cigarette-paper appearance. The rash has a coral-red fluorescence under a Wood's
light.
Which one of the following is the most likely diagnosis?
A) Candidiasis
B) Tinea cruris
,C) Erythrasma
D) Inverse psoriasis
C) Erythrasma
pt delivers placenta and begins to bleed....lead to soft boggy uterus, what is this?
uterine atony and postpartum hemorrhage
these drugs rx uterine atony and postpartum hemorrhage
A) Carboprost (Hemabate)
B) Methylergonovine
C) Misoprostol (Cytotec)
D) Oxytocin (Pitocin)
when are carboprost and methlegonovine CI
carboprost
- CI in asthma
methylegonovine
- CI in HTN pts
rx acute parotitis
amox/clav
asymptomatic pt with aortic stenosis.
Which one of the following should be the next step in the evaluation and management of her
aortic stenosis?
A) Exercise treadmill testing
B) Right heart catheterization
C) Repeat echocardiography in 3 years
D) Cardiothoracic surgery consultation
E) Initiation of statin therapy
repeat echo in 3 - 5 years
elderly pt with hx of dementia undergo knee surgery
post surgery, became
confused and agitated, striking out at nurses, and could not be consoled
rx?
pain control
, best diagnostic test for vitamin D deficiency?
A) Ionized calcium
B) Serum phosphorus
C) 24-hour urine for calcium
D) 1,25-hydroxyvitamin D
E) 25-hydroxyvitamin D
25-hydroxyvitamin D
sharply demarcated rash lesions with raised borders surrounding a paler region containing a darker
center (target lesions)
what is this?
rx?
erythema multiforme
- hsv
- acyclovir
Which one of the following, especially in homeless people, is a vector for Bartonella quintana,
which causes trench fever, an influenza-like syndrome with relapsing fever?
A) Fleas
B) Maggots
C) Bedbugs
D) Scabies
E) Lice
body lice
rx otitis media
A) Amoxicillin, 40-50 mg/kg, for 10 days
B) Amoxicillin, 80-90 mg/kg, for 10 days
C) Amoxicillin/clavulanate (Augmentin), 90 mg/kg/day of amoxicillin and 6.4 mg/kg/day
of clavulanate, divided into two doses, for 7 days
D) Cefdinir, 14 mg/kg/day for 10 days
E) Ciprofloxacin (Cipro), 10-20 mg/kg for 7 days
Amoxicillin, 80-90 mg/kg, for 10 days
UNLESS
- child has recent rx amox in last 30days
- concurrent purulent conjunctivitis
- hx AOM unresponsive to amox
KEY QUESTIONS AND ANSWERS
conditions that increase risk latent TB progress to active disease
lung cancer
DM
alcoholism
immunosuppression
silicosis
when is the only time to give pps antibiotics to prevent bacterial endocarditis with dental/GI
procedures
prosthetic valve
hx endocarditis
heart transplant pt that develop valvular disease
NOTE - NOT mvp or mr
one benefit of treatment of GDM is a decreased risk for
A) maternal type 2 diabetes mellitus after delivery
B) maternal preeclampsia
C) perinatal death
D) a small-for-gestational-age infant
maternal precelampsia
others:
- decrease risk for operative delivery, large-for-GA infant, shoulder dystocia
A 45-year-old male is seen for a well-demarcated, nonpruritic rash in the right axilla. It is
fine-scaled with a cigarette-paper appearance. The rash has a coral-red fluorescence under a Wood's
light.
Which one of the following is the most likely diagnosis?
A) Candidiasis
B) Tinea cruris
,C) Erythrasma
D) Inverse psoriasis
C) Erythrasma
pt delivers placenta and begins to bleed....lead to soft boggy uterus, what is this?
uterine atony and postpartum hemorrhage
these drugs rx uterine atony and postpartum hemorrhage
A) Carboprost (Hemabate)
B) Methylergonovine
C) Misoprostol (Cytotec)
D) Oxytocin (Pitocin)
when are carboprost and methlegonovine CI
carboprost
- CI in asthma
methylegonovine
- CI in HTN pts
rx acute parotitis
amox/clav
asymptomatic pt with aortic stenosis.
Which one of the following should be the next step in the evaluation and management of her
aortic stenosis?
A) Exercise treadmill testing
B) Right heart catheterization
C) Repeat echocardiography in 3 years
D) Cardiothoracic surgery consultation
E) Initiation of statin therapy
repeat echo in 3 - 5 years
elderly pt with hx of dementia undergo knee surgery
post surgery, became
confused and agitated, striking out at nurses, and could not be consoled
rx?
pain control
, best diagnostic test for vitamin D deficiency?
A) Ionized calcium
B) Serum phosphorus
C) 24-hour urine for calcium
D) 1,25-hydroxyvitamin D
E) 25-hydroxyvitamin D
25-hydroxyvitamin D
sharply demarcated rash lesions with raised borders surrounding a paler region containing a darker
center (target lesions)
what is this?
rx?
erythema multiforme
- hsv
- acyclovir
Which one of the following, especially in homeless people, is a vector for Bartonella quintana,
which causes trench fever, an influenza-like syndrome with relapsing fever?
A) Fleas
B) Maggots
C) Bedbugs
D) Scabies
E) Lice
body lice
rx otitis media
A) Amoxicillin, 40-50 mg/kg, for 10 days
B) Amoxicillin, 80-90 mg/kg, for 10 days
C) Amoxicillin/clavulanate (Augmentin), 90 mg/kg/day of amoxicillin and 6.4 mg/kg/day
of clavulanate, divided into two doses, for 7 days
D) Cefdinir, 14 mg/kg/day for 10 days
E) Ciprofloxacin (Cipro), 10-20 mg/kg for 7 days
Amoxicillin, 80-90 mg/kg, for 10 days
UNLESS
- child has recent rx amox in last 30days
- concurrent purulent conjunctivitis
- hx AOM unresponsive to amox
