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ABIM: Gen Med(questions with complete solutions)graded A+
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ABIM: Gen Med(questions with complete solutions)graded A+
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ABIM: Gen MedWhen to screen (asymptomatic) for DM and how often according to USPSTF? - correct answer ✔✔Age
40-70 if overweight or obese
Q3yrs
Young patient who is repeatedly bending knee p/w knee pain. On exam noted to have anterior knee pain
and increased laxity with medial/lateral displacement = think of - correct answer ✔✔Patellar Femoral
Syndrome
Pt with lateral knee pain that is worse with going down stairs or walking down an incline. On exam
tenderness over lateral epicondyle and pain is reproduced with bending/extending knee of supine
patient with finger on lateral epicondyle = think of?
- Also can see weakness of what? - correct answer ✔✔- Ileotibial band syndrome
- Can see weakness of hip abductors
pre-patellar bursitis vs Patellar femoral syndrome - correct answer ✔✔Both with anterior knee pain.
bursitis will have palpable fluid collection anteriorly (small) vs other will have laxity of joint
Chronic Insomnia definition: - correct answer ✔✔Greater than 3 nights per week for 3 months
Lipid screening guidelines
- USPSTF
- Endocrine guidelines - correct answer ✔✔- 40-75 q5yrs okay if levels fine
- M:45-65; W: 55-65 q1-2 yrs; M: 20-45; W: 20-65 q5yrs
When to take Men B vaccine - correct answer ✔✔- Ages 16-23 with preference between 16-18 yrs
High risk of lung cancer: defined as pt's?
, - Next Step - correct answer ✔✔- Pts btw 55-80 yr with >30 pack year history who are still smokers or
who quit <15 yrs ago
- Get low dose CT lung qyr
Treatment options for LUTS (Medications) - correct answer ✔✔- alpha-blockers: tamsulosin -> first line
agents; generally used if score in Mod to Severe range (>7)
- 5 alpha reductase: fiasteride -> used for BPH sxs if enlarged prostate (>40ml), severe BPH sxs, and/or
elevated PSA levels
HRT guidelines
- When to consider - correct answer ✔✔- PO HRT can be consider in pts with Vasomotor sxs who was
<60 yrs old and reached menopause <10 yr ago. -- If uterus still there should given PO supplementation
with progresterone
- If having vaginal sxs: can initially do OTC creams -> if not effective can give local estrogen therapy
What are some high risk factors for statin related adverse risk? - correct answer ✔✔- Age >75,
- CKD
- Hepatic dysfunction
When to consider vibrate therapy (fenofibrate)? - correct answer ✔✔- TG >500
- TG induced pancreatitis
Vaccination recommendations for functional or anatomical asplenia? - correct answer ✔✔- PCV 13 NOW
-> 8wks later 23 and then 5 yrs later another 23 vaccine
- Meningitis
- H.flu if not received previously
*** And other age/seasonal recommended vaccines
Good antidepressant for overweight pt who is experiencing sexual dysfunction on SSRI? - correct answer
✔✔- Wellbutrin
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