ABFM
ABFM EXAM QUESTIONS WITH CORRECT
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PASS (LATEST UPDATE)
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? - ANS ✓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 - ANS ✓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 - ANS
✓Idiopathic osteonecrosis of the hip (Legg-Calvé-Perthes disease)
*adolescent boy*
insidious onset of pain and mild limitation ROM of one hip joint - ANS ✓Slipped
capital femoral epiphysis
first line for n/v in pregnancy - ANS ✓vitamin b6
+/- doxylamine
ABFM EXAM
, 2
ABFM
pt with
obesity
DM
peripheral neuropathy
seizure d/o
newly dx with depression
what rx?
- bupropion
- citalopram
- duloxetine
- nortriptyline - ANS ✓duloxetine
pt with HTN
wants nonpharmacologic intervention to manage BP - ANS ✓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 - ANS ✓one time
abdominal duplex ultrasound
male
ABFM EXAM
, 3
ABFM
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 - ANS ✓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
high testosterone
started on lifestyle modifications (wt loss, exercise)
ABFM EXAM
, 4
ABFM
what meds can be added as part of initial management? - ANS ✓metformin
- helps with abnormal menstruation
diffuse ST elevations on EKG
acute sharp chest pain relieved by leaning fwd
rx? - ANS ✓pericarditis
rx: colchicine +/- NSAIDs
Severe pain and skin changes outside the realm of cellulitis, including bullae and
deeper discoloration, are strong indications of necrotizing fasciitis.
+fever
+ high HR
+ extreme pain movement of joint
rx? - ANS ✓surgical debridement
pt with thyroid nodule >1cm
next step? - ANS ✓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? - ANS ✓Chemoprophylaxis with appropriate medications
for all residents
2day old infant with flesh-colored papules with an erythematous base
ABFM EXAM