ABFM Exam Questions And Answers

ABFM Exam Questions And Answers Child with head lice rx'd with shampoo permethrin still has nits in her can she go to school? - ANSWER - yes as long as continue home remedy, nit combing and repeat permethrin shampoo in 6 days Is diverticular bleeding painful? - ANSWER - no - Abdominal pains BP recommendation for >65 - ANSWER - 150/90 Young boy left hip pain afebrile ESR normal WBC normal Radiograph knee and hip normal dx? rx? - ANSWER - transient synovitis rx: nsaids rx for SVTs but short -term and llong term - ANSWER - CCB eg verapamil, diltiazem 16 yo fatigue on OCPs low bleed on periods normal TSH normal Hct normal RBC count MCV <80 what lab test next? - ANSWER - Hgb electrophoresis - check beta thalassemia Signs of ALS - mainly motor sx - ANSWER - asymmetrical weakness in legs, feet, ankles slurred speech trouble swallowing SOB wt loss mcc urge incontinence in elderly - ANSW ER- detrusor instability what diabetes medications are good for prevention of developing DM in pre -diabetes pt - ANSWER - metformin "alpha -glucosidase inhibitors (acarbose) orlistat thiazolidinediones most specific sign of peritonsillar abscess - ANSWE R- difficulty opening mouth rx management for concussion - ANSWER - physical and cognitive rest - avoid physical activity that exacerbate sx - avoid activities that require concentration or attention, such as schoolwork and electronics use. lung cancer screening recommendation - ANSWER - ANNUAL low-dose noncontrast CT Asymptomatic adults 55 -80 yo who have a 30 -pack -year smoking history and currently smoke or have quit smoking within the past 15 years. non-medical indicated (elective) inducti on of labor or C -section deliveries should be scheduled at what GA? - ANSWER - 39wks 0 d drug to prevent seizure in alcohol withdrawal - ANSWER - benzos initial rx allergic rhinitis - ANSWER - intranasal steroids most effective medication to prevent relaps e in alcohol abuse - ANSWER - naltrexone do not use acamprosate if renal disease which SSRI should be prevented in elderly - ANSWER - paroxetine - anticholinergic effects screen for autism at what age in kids? - ANSWER - 18 - 24months bacterial vaginosis has vagina pH ? - ANSWER - >4.5 29 yo woman 30weeks gestation received Tdap 3 years ago what vaccine should she receive? - ANSWER - Tdap again 27 -36 weeks gestation, regardless of when they last received it rx for acute gout pt has HTN and CKD - ANSWER - prednisone note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best in CKD mcc med -induced adverse drug events in US - ANSWER - anti-coags most common risk factor for uncomplicated cystitis - ANSWER - Frequent sexual intercourse others: - spermicide use - previous UTI - new sex partner - fam hx UTI in first degree female relative first line rx primary dysmenorrhea - ANSWER - nsaids surveillance for barett's esophagus without dyspasia - ANSW ER- endoscopy q 3 years best initial rx for keloid - ANSWER - intralesional corticosteroid injections. rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWER - 20% pt with osteopenia (T <2.5) risk of fracture <20% what meds do you start on - ANSWER - calcium and vit d supplements test for meniscus tears - ANSWER - thessaly test This patient has low energy, menstrual irregularities, and a history of stress fractures, BMI <18...is consistent with ______ dx? what test does she need? - ANSWER - the female athlete triad. She is at risk for altered bone density and needs a bone mineral density test. pt with exercise induced asthma pt can prevent this by? - ANSWER - albuterol 10 -15min before exercise does ankylosing spon dylitis improve with exercise and activity? - ANSWER - yes also note: - pain worse in evening - stiffness worse in morning pt wwith ASCVD risk >7.5% should be started on? - ANSWER - moderate -or-high intensity statin note: - fibrates don't have effect on C VD and are not part of recommendation guidelines what pneumococcal vaccine should 65yo receive - ANSWER - PCV13 now and PPSV23 in 1 year mcc hearing loss in newborn - ANSWER - genetics A 32-year-old female at 12 weeks gestation presents with an itchy vulvar lesion, which you diagnose as external genital warts. Which one of the following would be accurate advice regarding treatment? - The recurrence rate is low with treatment - Cryot herapy is the most effective treatment - Treatment should be based on patient preference - Treatment is effective in preventing congenital transmission - ANSWER - Treatment of genital warts should be based on patient preference and cost. There is no t reatment that is more effective than others, and the recurrence rate for any treatment is relatively high. pt took extra pill prescribed by psychiatrist PMH: depression normal RR, HR diaphoretic resting symmetrical tremor 4+ reflexes dx? - ANSWER - derotonin syndrome