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Family Medicine Boards Exam Questions and Answers-Graded A
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Family Medicine Boards Exam Questions and Answers
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Family Medicine Boards Exam Questions and AnswersMost common type of arthritis seen in psoriatic arthritis? - Answer- Oligoarticular artheritis
Characteristic finding in the fingers of psoriatic arthritis - Answer- Sausage Digits
What is the early finding in allopurinol hypersensitivity syndrome? - Answer- Eosinophilia
What antihypertensive is a good uricouric agent? - Answer- Losartan
Where does pseudogout present on board exams in elderly women? - Answer- Wrist
What antibody suggest sjogrens syndrome - Answer- SSA
What connective tissue disease is assoicated with CREST syndrome? - Answer- Scleroderma
What virus can cause mixed cryoglobulinemia, oligoarthritis, and secondary sjogrens - Answer- Hepatitis C
How do you diagnose low T - Answer- Signs and Symptoms with two am testosterones < 300
Most common cause of osteomyelitis? - Answer- Staph A
Most common cause of osteomyelitis in IV drug users? - Answer- Pseudomonas
Most common cause of osteomyelitis in sickle cell patient? - Answer- Salmonella
What MEDD does a patient need a referral to pain management? - Answer- 90
What should all patients who are on chronic pain medication be on? - Answer- Senna or
bisacodyl
Over the counters a patient can take for sleep? - Answer- Melatonin or Valarian root Primary Prevention - Answer- Prevent disease (vaccines)
Secondary prevention - Answer- early detection and treatment of disease
Tertiary prevention - Answer- management of chronic disease
How often should a female have cervical cancer screening? - Answer- Starting at age 21 q 3 years with pap smear until 30 then q 5 years with pap plus HPV until age 65
How often should a female have ovarian cancer screening? - Answer- She shouldn't
How often should a female have breast cancer screening? - Answer- Starting at age 50 q 2 years until 74
When should you screen for AAA? - Answer- 65 years of age male who has ever smoked before
At what age should you start to apply fluoride varnishes? - Answer- > 6 months of life if water is deficient
When should you start to think about medications for BMI? - Answer- > 30
When should you start to think about surgery for BMI? - Answer- BMI > 40 BMI > 35 with comorbidities
What is Marasmus - Answer- Total calorie malnutrition
What is Kwashiorkor? - Answer- Protein Malnutrition
How do you tell the difference between marasmus and kwashiorkor? - Answer- Kwashiorkor has edema and ascites with normal weight while marasmus has wasting
Treatment of both marasmus and kwashiorkor? - Answer- 1 g protein /kg and 30 kcal/kg
enterically
Symptoms of B1 deficiency? - Answer- dry beriberi and wernicke korsakoff syndrome Wet beriberi- high output heart failure
What is dry beriberi? - Answer- Wernicke korsakoff syndrome
What is wet Beriberi? - Answer- High output heart failure
Symptoms of B2 deficiency? - Answer- glossitis, cheilosis, and seborrheic dermatitis
Symptoms of B3 deficiency? - Answer- Pellagra- dermatitis, diarrhea, and dementia Symptoms of B6 deficiency? - Answer- Peripheral neuropathy, anemia, and seizures
Symptoms of Vitamin C deficiency? - Answer- Scurvy- poor wound healing, easy bruising and bleeding gums
Symptoms of biotin deficiency? - Answer- myalgias, dysethesias, anorexia
Symptoms of Vitamin A deficiency? - Answer- Night blindness, Bitot's spots
What are Bitots Spots? - Answer- Seen in Vitamin A Deficiency, white patches n the Conjunctivae
Symptoms of Vitamin E deficiency? - Answer- Areflexia, peripheral neuropathy
What herbals interact with Coumadin? - Answer- Garlic, Ginger, Gingko, Ginseng
What is Garlic powder used for? - Answer- High Cholesterol
What is Ginger root used for? - Answer- Motion Sickness
What is horse chestnut used for? - Answer- Venous Insufficiency
What is Saw Palmetto used for? - Answer- BPH
What percent DEET should travelers use? - Answer- At least 20%
When is Yellow Fever vaccine needed for travel? - Answer- Sub-Saharan africa, south america
Most common bacterial cause of travelers diarrhea? - Answer- Enterotoxigenic E Coli
Why dont we use Bismuth subsalicylate in children? - Answer- Reye Syndrome
Drug of choice for malaria if no resistence? - Answer- Chloroquine phosphate
Drugs of choice for malaria if resistence to Chloroquine - Answer- Doxycycline or malarone
Drug of choice for P vivax malaria? - Answer- Primaquine
What exposures can cause silicosis? - Answer- Silica mining, sandblasting, masonry
What exposures can cause asbestosis? - Answer- Textiles, shipbuilding, cement, insulation
What exposures can cause Toxic organic dust syndrome? - Answer- Moldy Hay Post Exposure protocol for TB - Answer- Offer PPD now and then again at 12 weeks. > 5 mm is (+)
Post Exposure protocol for Hepatitis A virus? - Answer- Immune globulin and first dose of Vaccine now
Post Exposure protocol for Hepatitis B virus? - Answer- Offer Immune globulin and start vaccine
Post exposure protocol for HIV? - Answer- start 4 week course of 2 drug regimen within 72 hours of exposure
Types of Anthrax - Answer- Cutaneous
Inhalation Pharyngeal and GI
How do you diagnose Anthrax? - Answer- Gram Stain with culture, pcr
treatment for cutaneous anthrax? - Answer- Ciprofloxacin or doxycycline
What virus causes small pox? - Answer- Variola Virus
Progression of skin findings in small pox? - Answer- Red spots on tongue or palpate
Papules
Vesicles all same Pustules
What is the difference between Non alcoholic fatty liver and Non alcoholic steatohepatitis? - Answer- NASH has ballooning of the cells, inflammation, and fibrosis
What inheritance pattern is hemochromatosis? - Answer- Autosomal recessive
What gene mutation is found in hemochromatosis? - Answer- HFE gene
Who should you suspect alpha one anti trypsin deficiency disease in? - Answer- Early Onset emphysema with elevated liver enzymes
Test to look for autoimmune hepatitis? - Answer- Anti-smooth muscle antibody and elevated IgG
Pattern of Inheritance of Wilsons disease? - Answer- Autosomal recessive
What extrahepatic things can cause elevated liver enzymes? - Answer- Thyroid Disorders and Celiac Sprue
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