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 - ANSWER- 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 - ANSWER- 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) induction 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 relapse 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 - ANSWER- 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 spondylitis 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 CVD 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 - Cryotherapy is the most effective treatmen