AAFP BOARD REVIEW LATEST
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A 45-year-old female who works as a house cleaner presents with left shoulder
pain. On examination she has pain and relative weakness when pushing toward the
midline against resistance while the shoulder is adducted and the elbow is bent to
90°. With the elbow still at 90° she is unable to keep her left hand away from her
body when you position her hand behind her back.This presentation is most
consistent with an injury of which one of the following tendons? -
ANSWER-subscapularis
1st line imaging for kid with abdominal pain if you suspect appendicitis? -
ANSWER-US
fever, nausea, chills, pneumonia sx after being on a cruise ship - ANSWER-
Legionella
- do urine legionalle pneumonophila Ag test
Prepatellar bursitis - ANSWER-- superficial bursitis caused by microtrauma from
repeated kneeling and crawling.
- Also called housemaid's knee, coal miner's knee, and carpet layer's knee.
END OF
PAGE 1
, AAFP BOARD REVIEW LATEST
- tx: ice, compression, rest, wraps, padding, elevation
Best test to assess someone's response after initiating oral iron supplement? -
ANSWER-reticulocyte count in 1-2 weeks
Tx for chronic urticaria in adult? - ANSWER-- 1st line: daily loratidine (claritin) -
H1 antihistamine
- 2nd line: ranitidine (zantac) - H2 antihistamine
- 3rd line: short course of steroids, narrow- band UV light, cyclosporine
hoarseness for >/3 months? - ANSWER-laryngoscopy
- eval for vocal cord pathology
END OF
PAGE 2
, AAFP BOARD REVIEW LATEST
how long should someone be on thromboprophylaxis after a major orthopedic
surgery? - ANSWER-up to 35 days
Sx of magnesium toxicity and antidote? - ANSWER-Apnea and areflexia
- give calcium gluconate
when do immediate release opiods reach their peak effect? - ANSWER-PO: 1 hour
IM: 20-30 min
IV: 10 min
Supplemental oxygen for pulmonary hypertension from COPD? - ANSWER-only
proven therapy to decrease mortality
- supplement when Pa02 is < 60 mgg Hg
What meds can help decrease the severity of OSA? - ANSWER-spironolactone
and other diuretics
Absolute risk reduction is 1/ NNT - ANSWER-and NNT is 1/ARR
END OF
PAGE 3
, AAFP BOARD REVIEW LATEST
Most specific test for fibromuscular dysplasia? - ANSWER-Magnetic resonance
angiography of the renal arteries
Asx bacteruria in elderly - ANSWER-don't treat
Triquetral fractures - ANSWER-- From hyperextension of the wrist.
- Tenderness on the dorsal wrist on the ulnar side distal to the ulnar styloid.
Acute parotitis - ANSWER-- Tx: augmentin (mcc= staph)
- caused by dehydration
Absolute Contraindications to testosterone therapy: - ANSWER-- breast cancer
- prostate cancer
- PSA >4 ng/dL
- abnormal rectal examination with nodules
- polycythemia with a hematocrit >54%
END OF
PAGE 4
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A 45-year-old female who works as a house cleaner presents with left shoulder
pain. On examination she has pain and relative weakness when pushing toward the
midline against resistance while the shoulder is adducted and the elbow is bent to
90°. With the elbow still at 90° she is unable to keep her left hand away from her
body when you position her hand behind her back.This presentation is most
consistent with an injury of which one of the following tendons? -
ANSWER-subscapularis
1st line imaging for kid with abdominal pain if you suspect appendicitis? -
ANSWER-US
fever, nausea, chills, pneumonia sx after being on a cruise ship - ANSWER-
Legionella
- do urine legionalle pneumonophila Ag test
Prepatellar bursitis - ANSWER-- superficial bursitis caused by microtrauma from
repeated kneeling and crawling.
- Also called housemaid's knee, coal miner's knee, and carpet layer's knee.
END OF
PAGE 1
, AAFP BOARD REVIEW LATEST
- tx: ice, compression, rest, wraps, padding, elevation
Best test to assess someone's response after initiating oral iron supplement? -
ANSWER-reticulocyte count in 1-2 weeks
Tx for chronic urticaria in adult? - ANSWER-- 1st line: daily loratidine (claritin) -
H1 antihistamine
- 2nd line: ranitidine (zantac) - H2 antihistamine
- 3rd line: short course of steroids, narrow- band UV light, cyclosporine
hoarseness for >/3 months? - ANSWER-laryngoscopy
- eval for vocal cord pathology
END OF
PAGE 2
, AAFP BOARD REVIEW LATEST
how long should someone be on thromboprophylaxis after a major orthopedic
surgery? - ANSWER-up to 35 days
Sx of magnesium toxicity and antidote? - ANSWER-Apnea and areflexia
- give calcium gluconate
when do immediate release opiods reach their peak effect? - ANSWER-PO: 1 hour
IM: 20-30 min
IV: 10 min
Supplemental oxygen for pulmonary hypertension from COPD? - ANSWER-only
proven therapy to decrease mortality
- supplement when Pa02 is < 60 mgg Hg
What meds can help decrease the severity of OSA? - ANSWER-spironolactone
and other diuretics
Absolute risk reduction is 1/ NNT - ANSWER-and NNT is 1/ARR
END OF
PAGE 3
, AAFP BOARD REVIEW LATEST
Most specific test for fibromuscular dysplasia? - ANSWER-Magnetic resonance
angiography of the renal arteries
Asx bacteruria in elderly - ANSWER-don't treat
Triquetral fractures - ANSWER-- From hyperextension of the wrist.
- Tenderness on the dorsal wrist on the ulnar side distal to the ulnar styloid.
Acute parotitis - ANSWER-- Tx: augmentin (mcc= staph)
- caused by dehydration
Absolute Contraindications to testosterone therapy: - ANSWER-- breast cancer
- prostate cancer
- PSA >4 ng/dL
- abnormal rectal examination with nodules
- polycythemia with a hematocrit >54%
END OF
PAGE 4
