ABFM Exam/288 Questions And Answers Download
To Pass!!!
Quiz :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
Quiz :young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - Answer :transient synovitis
rx: nsaids
Quiz :rx for SVTs but short-term and llong term - Answer :CCB eg verapamil,
diltiazem
Quiz :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
Quiz :Signs of ALS
- mainly motor sx - Answer :asymmetrical weakness in legs, feet, ankles
slurred speech
trouble swallowing
SOB
wt loss
Quiz :mcc urge incontinence in elderly - Answer :detrusor instability
Quiz :what diabetes medications are good for prevention of developing DM in
pre-diabetes pt - Answer :metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
Quiz :most specific sign of peritonsillar abscess - Answer :difficulty opening
mouth
Quiz :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.
Quiz :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.
Quiz :non-medical indicated (elective) induction of labor or C-section
deliveries should be scheduled at what GA? - Answer :39wks 0 d
,Quiz :drug to prevent seizure in alcohol withdrawal - Answer :benzos
Quiz :most effective medication to prevent relapse in alcohol abuse -
Answer :naltrexone
do not use acamprosate if renal disease
Quiz :which SSRI should be prevented in elderly - Answer :paroxetine
- anticholinergic effects
Quiz :screen for autism at what age in kids? - Answer :18 - 24months
Quiz :bacterial vaginosis has vagina pH ? - Answer :>4.5
Quiz :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
Quiz :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
Quiz :mcc med-induced adverse drug events in US - Answer :anti-coags
Quiz :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
, Quiz :first line rx primary dysmenorrhea - Answer :nsaids
Quiz :surveillance for barett's esophagus without dyspasia -
Answer :endoscopy q 3 years
Quiz :rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % -
Answer :20%
Quiz :pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - Answer :calcium and vit d supplements
Quiz :test for meniscus tears - Answer :thessaly test
Quiz :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.
Quiz :pt with exercise induced asthma
pt can prevent this by? - Answer :albuterol 10-15min before exercise
Quiz :does ankylosing spondylitis improve with exercise and activity? - Answer
:yes
also note:
- pain worse in evening
- stiffness worse in morning
Quiz :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
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