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ABFM Practice Study Guide Questions with Distinction level Marking scheme version 2024/2025
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ABFM Practice Study Guide Questions with Distinction level Marking scheme version 2024/2025 Polymyalgia Rheumatica (PMR) - correct answer a geriatric inflammatory disorder of the muscles and joints characterized by pain and stiffness. hallmark of this condition is the rapid and often dramatic re...

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  • September 24, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • dermatomyositis
  • chronic urticaria
  • polymyalgia rheumatica pmr
  • post exposure prophylaxis for meningitis
  • abfm practice study guide questions with distincti

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  • ABFM
  • ABFM

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ABFM Practice Study Guide Questions with
Distinction level Marking scheme version
2024/2025

Polymyalgia Rheumatica (PMR) - correct answer a geriatric
inflammatory disorder of the muscles and joints characterized by
pain and stiffness. hallmark of this condition is the rapid and
often dramatic response, typically within a few days, to low-dose
corticosteroids. In fact, the lack of response to low-dose
prednisone in such a case should prompt the physician to
consider another diagnosis


Post exposure prophylaxis for meningitis - correct answer
ciprofloxacin, 500 mg orally one time; azithromycin, 500 mg
orally one time; ceftriaxone, 250 mg intramuscularly one time; or
rifampin, 600 mg orally twice daily for 2 days. Treatment should
begin as soon as possible after exposure but no later than 14
days.


Dermatomyositis - correct answer chronic systemic
immunological disease involving inflammation of the skin,
connective tissue, and muscles


distinct dermatologic findings, including Gottron's sign
(nonpalpable macules over the extensor surface of joints).
Patients may also have dilated nail-fold capillaries and ragged,
thickened cuticles.


jones fracture - correct answer The treatment plan for this type
of fracture needs to account for the activity level of the patient. It
has been shown that active patients have shorter healing times

,and return to activity sooner with surgical management. A
competitive dancer would be best managed with surgery. If the
nonsurgical option is chosen the patient is given an initial
posterior splint and followed up in 3-5 days, then placed in a
short non-weight-bearing cast for 6 weeks, at which time a
repeat radiograph is taken. If the radiograph shows healing, the
patient can return to gradual weight bearing. If the radiograph
does not show proper healing, then the period of non-weight
bearing is extended.


what do asplenic patients do if they have fever and get in to see
doctor for eval in 2 hours? - correct answer Amoxicillin,
levofloxacin, and moxifloxacin should be taken by asplenic
patients with a new onset of fever if they cannot get to a medical
facility within 2 hours for evaluation. Fever should be reported
immediately due to the lifelong significant risk of sepsis. Unless
otherwise contraindicated, asplenic patients should receive
annual influenza immunization. Pneumococcal polysaccharide
vaccine (PPSV23) should be given twice, with the second dose
given 5 years after the first.


chronic urticaria, what do you do if antihistamines don't work? -
correct answer add H2 blockers (doxepin can be used off label,
blocks antihistamine receptors) steroids UV therapy 2nd line
therapies


what can you use for sensoneural hearing loss short term to
reduce long term sequelae - correct answer Prednisone!


greatest improvement in hearing tends to occur in the first 2
weeks, corticosteroid treatment should be started immediately.
The recommended dosage is 1 mg/kg/day with a maximum
dosage of 60 mg daily for 10-14 days.

, if patient has shellfish allergy, do you wait or give steroids and
epi for IV contrast? - correct answer NO! There is no
correlation! Just do the damn CT!


Rotator Cuff Muscles (SITS) - correct answer S = supraspinatus
- abduction (along with deltoid)
I = infraspinatus - external rotation
t = teres minor - external rotation
S = subscapularis - internal rotation


sickle cell kids ages 2-16 should be screened for and with what? -
correct answer Individuals with sickle cell disease are at
increased risk for vascular disease, especially stroke. All sickle
cell patients 2-16 years of age should be screened with
transcranial Doppler ultrasonography (SOR A).


fetal alcohol syndrome - correct answer a medical condition in
which body deformation or facial development or mental ability
of a fetus is impaired because the mother drank alcohol while
pregnant


associated with clinodactyly, camptodactyly (flexion deformity of
the fingers), other flexion contractures, radioulnar synostosis,
scoliosis, and spinal malformations. It is also associated with
many neurologic, behavioral, and cardiovascular abnormalities,
as well as other types of abnormalities.


Dix-Hallpike maneuver - correct answer Rapidly moving the pt
from a sitting position to the supine position with the head

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