ABFM Practice Quiz Questions - from APP with complete solutions

ABFM Practice Quiz Questions - from APP with complete solutions Frequent associated condition with hereditary hemorrhagic telangictasia - ANSWERSpulmonary arteriovenous malformation - screen for this with contrast echocardiogram - Sx of recurrent unprovoked epistaxis (w/HHT) starting dose of warafin in elderly pts (and in pts w/HF, liver dx, hx of recent surgery) - ANSWERS5 mg (per American College of Chest Physicians) LDL target in (1) high-risk pts (2) very high risk pts - ANSWERS<100 mg/dl and < 70 mg/dl Rx to improve depression in terminal dying pt - ANSWERSRitalin (methylphenidate) Tx for venous ulcers - ANSWERScompression Tx, and Trental (pentoxifyline) - shown effective when used WITH compression tx pt with pain in bil wrists, exam shows warm wrists, foggy on palpation, and lack 30 degrees both flexion and extension, x-rays normnal, mild inc sed rate, negative RF - ANSWERSRheumatoid arthritis - usu symmetrical, usu wrist and joints with high ratio of synovium to articular cartilage, RF often Neg in early months of Dx, may be positive later LBP after inc activity, w/o neuro Sx or radiculopathy - ANSWERSTx - nonbenzodiazepine mm relaxants (ie, cyclobenzaprine/Flexeril), shows relief of acute LBP 1st 7-14 days after onset Sxs; (NOT bed rest) Greatest potential to be misinterpreted by pt when discussing end-of-life issues - ANSWERS"It is time to consider withdrawal of care" - may think physician no longer wants to care for pt