ABFM Exam/288 Questions And Answers Download To u u u u u u u
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Quiz :child with head lice u u u u
rx'd with shampoo permethrin
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still has nits in her u u u u
can she go to school? - Answer :yes
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as long as continue home remedy, nit combing and repeat permethrin shampoo i
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n 6 days u u
Quiz :is diverticular bleeding painful? - Answer :no
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- abdominal pains
u u
Quiz :BP recommendation for >65 - Answer :150/90
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uQuiz :young boy u u u
left hip pain u u u
afebrile
ESR normal u u
WBC normal u u
Radiograph knee and hip normal u u u u u
dx?
rx? - Answer :transient synovitis
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rx: nsaids u
Quiz :rx for SVTs but short-term and llong term -
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Answer :CCB eg verapamil, diltiazem
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uQuiz :16 yo u u u
fatigue
on OCPs u
low bleed on periods u u u
normal TSH u
normal Hct u u
normal RBC count u u
MCV <80 u u
what lab test next? - Answer :Hgb electrophoresis
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- check beta thalassemia
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Quiz :Signs of ALS
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- mainly motor sx - Answer :asymmetrical weakness in legs, feet, ankles
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slurred speech u
trouble swallowing u u
SOB u
wt loss u
Quiz :mcc urge incontinence in elderly - Answer :detrusor instability
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Quiz :what diabetes medications are good for prevention of developing DM in pr
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e-diabetes pt - Answer :metformin u u uu u
"alpha-glucosidase inhibitors (acarbose) u u
orlistat
thiazolidinediones
Quiz :most specific sign of peritonsillar abscess -
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Answer :difficulty opening mouth
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Quiz :rx management for concussion - Answer :physical and cognitive rest
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- avoid physical activity that exacerbate sx
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- avoid activities that require
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concentration or attention, such as schoolwork and electronics use. u u u u u u u u
uQuiz :lung cancer screening recommendation - Answer :ANNUAL
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low-dose noncontrast CT u u u
Asymptomatic adults 55-80 yo who have a 30-pack- u u u u u u u
year smoking history and currently smoke or have quit smoking within the past 1
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5 years. u
Quiz :non-medical indicated (elective) induction of labor or C-
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section deliveries should be scheduled at what GA? - Answer :39wks 0 d
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Quiz :drug to prevent seizure in alcohol withdrawal - Answer :benzos
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Quiz :initial rx allergic rhinitis - Answer :intranasal steroids
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Quiz :most effective medication to prevent relapse in alcohol abuse -
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Answer :naltrexone
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do not use acamprosate if renal disease
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Quiz :which SSRI should be prevented in elderly - Answer :paroxetine
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- anticholinergic effects
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Quiz :screen for autism at what age in kids? - Answer :18 - 24months
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Quiz :bacterial vaginosis has vagina pH ? - Answer :>4.5
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Quiz :29 yo woman
u u u u u
30weeks gestation u u
received Tdap 3 years ago u u u u
what vaccine should she receive? - Answer :Tdap again
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27 -36 weeks gestation, regardless of when they last received it
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Quiz :rx for acute gout
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pt has HTN and CKD - Answer :prednisone
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note: nsaids, colchicine and steroids can be used for acute gout...but prednisone i
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s best in CKD
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Quiz :mcc med-induced adverse drug events in US - Answer :anti-coags
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Quiz :most common risk factor for uncomplicated cystitis -
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Answer :Frequent sexual intercourse
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others: u
- spermicide use
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- previous UTI
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- new sex partner
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- fam hx UTI in first degree female relative
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Quiz :first line rx primary dysmenorrhea - Answer :nsaids
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Quiz :surveillance for barett's esophagus without dyspasia -
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Answer :endoscopy q 3 years
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Quiz :best initial rx for keloid - Answer :intralesional corticosteroid injections.
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Quiz :rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % -
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Answer :20%
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Quiz :pt with osteopenia (T <2.5)
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risk of fracture <20%
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what meds do you start on - Answer :calcium and vit d supplements
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Quiz :test for meniscus tears - Answer :thessaly test
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Quiz :This patient has low energy, menstrual irregularities, and a history of stress
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fractures, BMI <18...is consistent with ______ dx?
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what test does she need? - Answer :the female athlete triad.
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She is at risk for altered bone density and needs a bone mineral density test.
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Quiz :pt with exercise induced asthma
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pt can prevent this by? - Answer :albuterol 10-15min before exercise
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Quiz :does ankylosing spondylitis improve with exercise and activity? -
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Answer :yes
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also note: u
- pain worse in evening
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- stiffness worse in morning
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Quiz :pt wwith ASCVD risk >7.5% should be started on? - Answer :moderate-or-
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high intensity statin
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note:
-
fibrates don't have effect on CVD and are not part of recommendation guidelines
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