2014 ABFM Practice Questions VI &
Answers
Which sleep disturbance in children occur during:
- the first half of the night
- the second half of the night - ANSWERSFIRST HALF (non-REM sleep)
- Nocturnal limb pain
- Sleepwalking
- Night terrors
- Confusion and arousal
SECOND HALF (REM)
- Nightmares
Choice of anti-psychotic for dementia in Parkinson's disease
- explain - ANSWERSQuetiapine (seroquel)
- it has less anti-dopaminergic properties than other atypical antipsychotics
Timing criteria for diagnosis of schizophrenia - ANSWERSSymptoms of disturbance for at least 6 months,
with at least 1 month of positive symptoms during the 6 months
SSRI with least Cyt-P 450 inhibition (least drug-drug interaction) - ANSWERScelexa
- good choice for patient on multiple meds
Earliest presenting symptom in open-angle glaucoma - ANSWERStunnel vision (loss of peripheral vision)
Outpatient treatment for dental abscess - ANSWERS- penicillin
- Clinda if allergic to PCN
, Describe the lesion of keratoacanthoma
- describe nature of lesion - ANSWERS- has a CENTRAL PLUG in the middle
- will appear rapidly and may resolve spontaneously and rapdily
Xerosis vs. lichen simplex chronicus - ANSWERSXerosis = excessive dry skin
Lichen Simplex Chronicus = pathology after persistent rash (a consequence of xerosis)
Main difference between Acne Neonatorum and Erythema Toxicum
- describe milia - ANSWERSACNE NEONATORUM: open and closed comedones and pustules *without
erythema*
ERYTHEMA TOXICUM NEONATORUM: open and closed comedones and pustules *with erythema*
MILIA: plugged keratin plugs without erythema
Risk factor for cutaneous leishmaniasis
- describe lesions - ANSWERS- Travel internationally, military
- 2 cm minimally tender lesions with central ulceration and crust
Ingrown toe nail tx - ANSWERS- lateral removal of affected side nail plate with lateral matricectomy
* do not remove entire toenail*
Recommendation for topical antibiotics post surgical wound - ANSWERSAGAINST it.
- topical pretoleum jelly only.
How does mild cognitive impairment defer from dementia - ANSWERSnormal ADL
- only presence of objective evidence of memory decline
- in between normal and dementia
Answers
Which sleep disturbance in children occur during:
- the first half of the night
- the second half of the night - ANSWERSFIRST HALF (non-REM sleep)
- Nocturnal limb pain
- Sleepwalking
- Night terrors
- Confusion and arousal
SECOND HALF (REM)
- Nightmares
Choice of anti-psychotic for dementia in Parkinson's disease
- explain - ANSWERSQuetiapine (seroquel)
- it has less anti-dopaminergic properties than other atypical antipsychotics
Timing criteria for diagnosis of schizophrenia - ANSWERSSymptoms of disturbance for at least 6 months,
with at least 1 month of positive symptoms during the 6 months
SSRI with least Cyt-P 450 inhibition (least drug-drug interaction) - ANSWERScelexa
- good choice for patient on multiple meds
Earliest presenting symptom in open-angle glaucoma - ANSWERStunnel vision (loss of peripheral vision)
Outpatient treatment for dental abscess - ANSWERS- penicillin
- Clinda if allergic to PCN
, Describe the lesion of keratoacanthoma
- describe nature of lesion - ANSWERS- has a CENTRAL PLUG in the middle
- will appear rapidly and may resolve spontaneously and rapdily
Xerosis vs. lichen simplex chronicus - ANSWERSXerosis = excessive dry skin
Lichen Simplex Chronicus = pathology after persistent rash (a consequence of xerosis)
Main difference between Acne Neonatorum and Erythema Toxicum
- describe milia - ANSWERSACNE NEONATORUM: open and closed comedones and pustules *without
erythema*
ERYTHEMA TOXICUM NEONATORUM: open and closed comedones and pustules *with erythema*
MILIA: plugged keratin plugs without erythema
Risk factor for cutaneous leishmaniasis
- describe lesions - ANSWERS- Travel internationally, military
- 2 cm minimally tender lesions with central ulceration and crust
Ingrown toe nail tx - ANSWERS- lateral removal of affected side nail plate with lateral matricectomy
* do not remove entire toenail*
Recommendation for topical antibiotics post surgical wound - ANSWERSAGAINST it.
- topical pretoleum jelly only.
How does mild cognitive impairment defer from dementia - ANSWERSnormal ADL
- only presence of objective evidence of memory decline
- in between normal and dementia
