AMCB Boards Exam Questions with Correct Answers

AMCB Boards Exam Questions with Correct Answers Osteopenia T score - Answer--1.1 to -2.49 Matched to healthy young adult Osteoporosis T score - Answer--2.5 or less When to start screening with DXA - Answer--65+ -age 50+ or postmenopausal and FRAX 10%+ When do you use Z scores? - Answer-matched reference population for premenopausal women 2.5 is less than expected range, evaluate for secondary causes of osteoporosis FRAX score - Answer---Survey used to assess fracture risk --Used *ONLY* if the patient is *OSTEOPENIC* --*Treat like osteoporosis if:* 1. Hip Fracture likelihood is greater than 3% in the next 10 years or 2. Other major osteopathic fracture likelihood is greater than 20% in the next 10 years signs of pregnancy (3 categories) - Answer-Presumptive Probable Positive normal AFI - single deepest pocket - Answer-2-8cm Normal AFI - Answer-5-24cm BPP interpretation - Answer-8-10= normal unless oligo 6 = equivocal,repeat testing 4 or less = abnormal, likely will need to deliver weight gain by bmi - Answer-underweight (18.5): 28-40lbs Normalweight: 18.5-24.9 25-35lbs overweight: 25.0-29.9 15-25lbs obese: 30+ 11-20lbs gynecoid pelvis - Answer-round-shaped transverse slightly wider than AP 50% of white women android - Answer-heart shaped/triangular shaped posterior pelvis is wider than anterior pelvis more likely to need c/s anthropoid pelvis - Answer-oval shaped, with a wider anteroposterior diameter more likely to be OP platypelloid pelvis - Answer-pelvis that is flat in its dimensions with a very narrow anterior-posterior diameter and a wide transverse diameter; this shape makes it extremely difficult for the fetus to pass through the bony pelvis Hct - Answer-normal non pregnant: 37-42% pregnancy:33/32/33 black women: 31/30/31 Hbg - Answer-normal non pregnancy: 12-16 pregnancy: 11/10.5/11 black women: 10.2/9.7/10.2 wbc - Answer- platelets - Answer-150,000-400,000 Fasting glucose - Answer-Normal: 70-99 mg/dL pre-diabetes: 100-125 mg/dL diabetes: 125 mg/dL 2hr glucose tolerance test - Answer-normal:140 prediabetes:140-199 diabetes:200+ ADA diagnostic criteria for DM - Answer-1. any random glucose of 200+ 2. fasting 126+ 3. 2hr: 200+ 4. HgbA1c 6.5%+ Hgb A1c - Answer-prediabetes: 5.7-6.4 diabetes 6.5+ good diabetic control:7 Diagnosis of gestational diabetes - Answer-Fasting: 95-105+ (CC v. NDDG) 1 hr: 180-190+ 2 hr: 155-165+ 3 hr: 140-145+ or any BG level 200+ changes in thyroid hormones in pregnancy - Answer-TT3 and TT4 increase TSH unchanged free T4 unchanged normal vaginal pH - Answer-3.8-4.5 What may cause elevated vaginal pH - Answer-BV,trich, atrophic vaginitis,breastfeeding normal urine findings - Answer-no nitrites, ketones,crystals, casts, glucose clear, amber yellow, aromatic pH4.6-8 protein 0-8 specific gravity 1.005-1.030 leukocyte esterase negative WBCs 0-4 per high powered field RBCs 2 or less B6 and unisom - Answer-b6: 50mg BID or 25mg TID-QID doxylamine: 12.5 to 25mg PO q8-12hrs what measurements are used for dating 2nd trimester ultrasound - Answer-head circumference, biparietal diameter, abdominal circumference and femur length Naegele's Rule - Answer-add 7 days to LMP, subtract 3 months, add 1 year Beta hcg in pregnancy - Answer-detectable 8-11 days after conception doubles every 2 days until it peaks at 8.5- 10 weeks gestation then rapidly declines between 12 and 16 weeks gestation. first trimester GDM screening - Answer-BMI 25 (23 if asian) + additional risk factors like Hx GDM, 1st degree relative with DM, hx infant 4000g,PCOS,HTN, not white Hep B in pregnancy - Answer-rate of fetal transmission during birth: 90%.