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Family Medicine Shelf (USPSTF + Blueprints + AAFP) Questions and Answers
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Family Medicine Shelf (USPSTF + Blueprints + AAFP) Questions and Answers
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Family Medicine Shelf (USPSTF + Blueprints+ AAFP) Questions and Answers
12 Month Vaccines - ANSWER-Hib-4
PCV-4
MMR-1
Varicella-1
HepA-1
2 Month Vaccines - ANSWER-HepB-2
RV-1
DTaP-1
Hib-1
PCV-1
IPV-1
4 Month Vaccines - ANSWER-RV-2
DTap-2
Hib-2
PCV-2
IPV-2
4 Year Old Vaccines - ANSWER-DTaP-4
IPV-4
Influenza
MMR
Varicella
6 Month Vaccines - ANSWER-HepB (3rd dose by 18 months)
RV (3rd dose before 8 months)
DTaP-3
Hib-3
PCV-3
IPV (3rd dose by 18 months)
Annual Influenza
Acne Rosacea - ANSWER-Affects adults in 30-50 years range
Vascular component with eruptive component
Sensitive to extreme heat or cold, excessive sunlight, ingesting highly seasoned or
spicy foods
Acute Angle Closure Glaucoma - ANSWER-Pain
Dilated pupil
Shallow anterior chamber
Halos around lights
,Most common in adults >50
Acute Exacerbation of COPD Tx - ANSWER-Oral CS for 2 weeks, tapering off
Abx (Doxy, Augmentin, Levofloxacin)
O2 supplementation
SABA or Anticholinergic
Acute HIV infection - ANSWER-Fever
Fatigue
Rash
Headache
LAD
Pharyngitis
Acute Tx for Glaucoma - ANSWER-Acetazolamide and Topical pilocarpine ophthalmic
solution
AD and Vaccine reaction - ANSWER-Smallpox --> can cause life-threatening severe
reactions
Adenocarcinoma of Lung - ANSWER-Peripheral
More common in Women
Most common in nonsmokers and overall
Bronchioalveolar subtype = lepidic, with hazy infiltrates similar to pneumonia
Allergic Conjunctivitis - ANSWER-Itching
Allergic shiners
Rhinorrhea
Alpha Glucosidase Inhibitors - ANSWER-Inhibit intestinal brush-border enzymes
Acarbose and Miglitol
Can cause GI disturbances
AMA Abs - ANSWER-Primary Biliary Cirrhosis
Middle aged women
Tx with Ursodiol
Amsel Criteria - ANSWER-Need 3/4:
1. Fishy odor with addition of KOH
2. Vaginal pH >4.7
3. Clue cells on wet mount
4. Thin, homogenous discharge
Anemia of Chronic Disease Iron Studies - ANSWER-TIBC is decreased
Decreased serum iron
,Decreased Ferritin
Ankylosing Spondylitis - ANSWER-HLA-B27
Morning spinal stiffness, IBD, sacroiliitis, bamboo spine on XR
Anti-SM Abs - ANSWER-Autoimmune Hepatitis
Atopic Dermatitis Symptoms - ANSWER-Pruritus
Papules and vesicles (acute)
Scaling plaques and lichenification (chronic)
Flexural creases
B/L Leg Edema That Doesn't Respond to Diuretics - ANSWER-Chronic Venous
Insufficiency or Lymphedema
B12 is Absorbed Where - ANSWER-Terminal Ileum --> Crohn's disease can lead to
deficiency
Bacterial Vaginosis Screening in Pregnant Women - ANSWER-The USPSTF DOES
NOT recommend this due to lack of evidence that it reduces mortality or morbidity
Barium Studies - ANSWER-Reveals anatomic abnormalities, such as esophageal
spasm and possibly reflux
Basophilic Stippling - ANSWER-Lead Poisoning or Thalassemia
Beck's Triad - ANSWER-Jugular Venous distension, muffled heart sounds, decreased
BP -----> Cardiac Tamponade
Behavioral Counseling for STDs - ANSWER-Do intensive behavioral counseling for all
sexually active adolescents and adults at increased risk for STDs
Bicipital Tendonitis - ANSWER-Often accompanies rotator cuff tendonitis
Pain can be sever and radiates down anterior aspect of humerus
Bilious Vomitus - ANSWER-Open Pylorus
Blepharitis - ANSWER-Infection, inflammation and scaling of eyelid margins
BRCA-Related Cancer Screening - ANSWER-All women with family members who had
breast, ovarian, tubal, and/or peritoneal cancers
Breastfeeding recommendations - ANSWER-Interventions to educate and encourage
women during pregnancy and postnatal period to breastfeed
, Bronchial Carcinoid Tumor - ANSWER-Central
Mass effect symptoms
Carcinoid syndrome with right-sided heart problems
C. difficile Diarrhea - ANSWER-Pseudomembranous colitis
Abx usage recently
Tx: Metronidazole or oral Vancomycin
CAGE Test - ANSWER-Felt the need to Cut down on drinking?
Annoyed by people criticizing your drinking?
Felt Guilty about your drinking?
Need an Eye-opener in the morning?
Campylobacter Diarrhea - ANSWER-Seagull-shaped organisms, grown at 42* C
Common with poultry
Bloody stools
Tx: Erythromycin or Fluoroquinolone
Carotid Artery Stenosis Screening - ANSWER-USPSTF DOES NOT recommend
screening for the general population for asymptomatic carotid stenosis
Categories of BP - ANSWER-Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
Causes of HTN - ANSWER-Sleep Apnea
Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone)
Chronic kidney disease
Primary Aldosteronism (Conn's Syndrome)
Cushing's Syndrome
Pheochromocytoma (MEN II and III)
Coarctation of aorta (Turner's)
Thyroid/Parathyroid disease
Caution in Using O2 with COPD Patients - ANSWER-Can cause hypercarbia due to
decreased respiratory drive
Just keep O2 sats >90%
Celiac Sprue - ANSWER-Gluten-sensitive enteropathy
Diarrhea, malabsorption, weight loss
Test for Tissue Transglutimase antibody and Endymysial antibody
Gluten restriction
Centor Criteria - ANSWER-Exudative pharyngitis
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