2024 AAFP Board Review Course
Questions
Which one of the following statements is TRUE regarding the use of antidepressants for
smoking cessation? - answerBupropion is contraindicated in a patient with an eating
disorder
The number 1 cause of preventable morbidity and mortality in the US today is which of
the following? - answerTobacco
Which of the following statements is true regarding alcohol abuse counseling? -
answerThe USPSTF recommends screening and counseling adults the risks of alcohol
misuse
Which immunization would be considered safe to administer during pregnancy? -
answerTdap
Self-help measures recommended for patients with NYHA class 2 HF is on optimal
medications include which one of the following? - answerAvoiding NSAID use
How much daily vitamin D supplementation do infants need during the first month of
life? - answerBreastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory rate
>60. What is the most common cause of this presentation? - answerTransient
tachypnea of the newborn
Breastfeeding jaundice is characterized by - answerinsufficient feeds
What advice would you give parents to reduce the risk of death from sudden infant
death syndrome (SIDS) in their infant? - answerAvoid exposure of the infant to second-
hand smoke
The majority of failure to thrive cases in infants is due to - answerinadequate caloric
intake
What will Medicare cover for an elderly couple asks you how they will pay to live in
facility. Which of the following is NOT true? - answerMedicare will pay once a medical
need for services is clearly documented
The largest portion of the Medicare budget is spent on - answerthe 20% of Medicare
recipients with five or more chronic diseases
,Patient on meds including risperdone, metoclopramide, and valproate presents with
Parkinson's symptoms (trouble standing, walking then freezing, flat affect), so your next
step is - answerstop his risperdone, metoclopramide, and valproate
Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about
dyskinesia. Which would be a good choice to decrease long term effects of this? -
answerDopamine agonist, such as ropinirole
Elderly patient develops C. Diff, so your next step is - answerbegin PO vancomycin
125mg QID
What causes peripheral vision loss? - answerglaucoma
Presbycusis is typically associated with the reduction in what type of hearing loss? -
answerhearing threshold at higher frequencies
Elderly woman presents with 4 week history of early morning shoulder and hip
discomfort and ESR of 52. What condition associated this primary diagnosis is she at
risk for developing? - answergiant cell arteritis (polymyalgia rheumatica)
A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray
confirms T4 vertebral compression fracture and diffuse osteopenia. Your next step: -
answerwork up for secondary causes of osteoporosis
Which of the following has been shown to have analgesic benefit in acute osteoporotic
fractures? - answercalcitonin
A demented 70 yo, widowed woman is admitted to your service and determined to lack
capacity. There are no advance directives. Who is typically next in line for decision
making: - answerher sister
Patient with dementia says no to pacemaker but DPOA/daughter says yes to
pacemaker procedure for sick sinus syndrome. The most appropriate next step is -
answernot proceed with the procedure (has capacity)
The most common cause of lack of sexual activity in older heterosexual couples is -
answermale's medical condition
An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000
e. coli. You should prescribe antimicrobials if - answershe has frequency, urgency,
dysuria, or suprapubic pain
Of the following recommendations, which has not been shown to be helpful for recovery
of acute low back strain? - answercorticosteroids
, Which of the following is the USPSTF's recommendation regarding daily
supplementation of vitamin D and calcium for postmenopausal women to prevent
fracture? - answersupplementation of vitamin D3 and calcium is not recommended for
primary prevention only
Type 2 DM, acute low back pain with dorsal foot paresthesias and dorsiflexion
weakness, and positive straight leg test on right. Which of the following
recommendations is best supported by the clinical evidence? - answerconsider surgical
intervention due to motor deficit
Which of the following statements best describes an overuse tendonopathy such as
lateral epicondylosis or patellar tendonosis? - answerrehabilitation with eccentric
contractions are recommended to resolve these overuse tendinopathies
New overweight runner with pain in patella first late in run and now earlier in run and
after run along with crepitus. No acute injury. Which of the following is the most
appropriate treatment for her condition? - answerreduction in running distance and
physical therapy
Which of the following is the most sensitive finding in patients with carpal tunnel
syndrome? - answerFlick sign
Medial left heel pain for 5 weeks. Burning and worse with weight bearing or standing
and better with rest. Aggravated by full passive dorsiflexion of the ankle .You conclude
that: - answershe has tarsal tunnel syndrome and you provide an orthotic
The developmental examination on a 6-month-old boy reveals an infant who follows
past midline, laughs, turns toward your voice, and has clenched fists. With these
findings you - answerrefer to specialist for further evaluation
A mother brings her 9-month-old daughter in for routine care. Which of the following
should be addressed at this visit? - answerstating table food
At his well-child check, a 5-year-old boy is noted to have occasional bedwetting. You
advise the parents that - answerthis occurs in 20-25% of boys this age
What is the most appropriate automobile seating for a 7-year-old who is 50 inches tall? -
answerrear seat in belt-positioning booster seat with lap/shoulder belt
You are seeing a young girl for her pre-high school physical. The form asks for Tanner
stage. She has small but developed breasts and a small amount of dark, straight pubic
hair. She is Tanner stage - answerIII
Which of the following is true of bulimia nervosa in adolescent females? - answermore
prevalent than anorexia nervosa
Questions
Which one of the following statements is TRUE regarding the use of antidepressants for
smoking cessation? - answerBupropion is contraindicated in a patient with an eating
disorder
The number 1 cause of preventable morbidity and mortality in the US today is which of
the following? - answerTobacco
Which of the following statements is true regarding alcohol abuse counseling? -
answerThe USPSTF recommends screening and counseling adults the risks of alcohol
misuse
Which immunization would be considered safe to administer during pregnancy? -
answerTdap
Self-help measures recommended for patients with NYHA class 2 HF is on optimal
medications include which one of the following? - answerAvoiding NSAID use
How much daily vitamin D supplementation do infants need during the first month of
life? - answerBreastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory rate
>60. What is the most common cause of this presentation? - answerTransient
tachypnea of the newborn
Breastfeeding jaundice is characterized by - answerinsufficient feeds
What advice would you give parents to reduce the risk of death from sudden infant
death syndrome (SIDS) in their infant? - answerAvoid exposure of the infant to second-
hand smoke
The majority of failure to thrive cases in infants is due to - answerinadequate caloric
intake
What will Medicare cover for an elderly couple asks you how they will pay to live in
facility. Which of the following is NOT true? - answerMedicare will pay once a medical
need for services is clearly documented
The largest portion of the Medicare budget is spent on - answerthe 20% of Medicare
recipients with five or more chronic diseases
,Patient on meds including risperdone, metoclopramide, and valproate presents with
Parkinson's symptoms (trouble standing, walking then freezing, flat affect), so your next
step is - answerstop his risperdone, metoclopramide, and valproate
Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about
dyskinesia. Which would be a good choice to decrease long term effects of this? -
answerDopamine agonist, such as ropinirole
Elderly patient develops C. Diff, so your next step is - answerbegin PO vancomycin
125mg QID
What causes peripheral vision loss? - answerglaucoma
Presbycusis is typically associated with the reduction in what type of hearing loss? -
answerhearing threshold at higher frequencies
Elderly woman presents with 4 week history of early morning shoulder and hip
discomfort and ESR of 52. What condition associated this primary diagnosis is she at
risk for developing? - answergiant cell arteritis (polymyalgia rheumatica)
A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray
confirms T4 vertebral compression fracture and diffuse osteopenia. Your next step: -
answerwork up for secondary causes of osteoporosis
Which of the following has been shown to have analgesic benefit in acute osteoporotic
fractures? - answercalcitonin
A demented 70 yo, widowed woman is admitted to your service and determined to lack
capacity. There are no advance directives. Who is typically next in line for decision
making: - answerher sister
Patient with dementia says no to pacemaker but DPOA/daughter says yes to
pacemaker procedure for sick sinus syndrome. The most appropriate next step is -
answernot proceed with the procedure (has capacity)
The most common cause of lack of sexual activity in older heterosexual couples is -
answermale's medical condition
An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000
e. coli. You should prescribe antimicrobials if - answershe has frequency, urgency,
dysuria, or suprapubic pain
Of the following recommendations, which has not been shown to be helpful for recovery
of acute low back strain? - answercorticosteroids
, Which of the following is the USPSTF's recommendation regarding daily
supplementation of vitamin D and calcium for postmenopausal women to prevent
fracture? - answersupplementation of vitamin D3 and calcium is not recommended for
primary prevention only
Type 2 DM, acute low back pain with dorsal foot paresthesias and dorsiflexion
weakness, and positive straight leg test on right. Which of the following
recommendations is best supported by the clinical evidence? - answerconsider surgical
intervention due to motor deficit
Which of the following statements best describes an overuse tendonopathy such as
lateral epicondylosis or patellar tendonosis? - answerrehabilitation with eccentric
contractions are recommended to resolve these overuse tendinopathies
New overweight runner with pain in patella first late in run and now earlier in run and
after run along with crepitus. No acute injury. Which of the following is the most
appropriate treatment for her condition? - answerreduction in running distance and
physical therapy
Which of the following is the most sensitive finding in patients with carpal tunnel
syndrome? - answerFlick sign
Medial left heel pain for 5 weeks. Burning and worse with weight bearing or standing
and better with rest. Aggravated by full passive dorsiflexion of the ankle .You conclude
that: - answershe has tarsal tunnel syndrome and you provide an orthotic
The developmental examination on a 6-month-old boy reveals an infant who follows
past midline, laughs, turns toward your voice, and has clenched fists. With these
findings you - answerrefer to specialist for further evaluation
A mother brings her 9-month-old daughter in for routine care. Which of the following
should be addressed at this visit? - answerstating table food
At his well-child check, a 5-year-old boy is noted to have occasional bedwetting. You
advise the parents that - answerthis occurs in 20-25% of boys this age
What is the most appropriate automobile seating for a 7-year-old who is 50 inches tall? -
answerrear seat in belt-positioning booster seat with lap/shoulder belt
You are seeing a young girl for her pre-high school physical. The form asks for Tanner
stage. She has small but developed breasts and a small amount of dark, straight pubic
hair. She is Tanner stage - answerIII
Which of the following is true of bulimia nervosa in adolescent females? - answermore
prevalent than anorexia nervosa
