AAFP - Review of Board Review Questions AND ANSWERS| GRADED A
Absolute contraindications to electroconvulsive therapy (ECT) Correct Answer: There are
... [Show More] no absolute contraindications to ECT
Treatment of community acquired pneumonia in infants and children Correct Answer: - Diagnosis of *community-acquired pneumonia* is mostly based on the history and physical examination
- Pneumonia should be suspected in any child with *fever, cyanosis, and any abnormal respiratory finding* in the history or physical examination
- Outpatient antibiotics are appropriate if the child *does not have a toxic appearance, hypoxemia, signs of respiratory distress, or dehydration*
- *High-dose amoxicillin* is the drug of choice
Current practice is to introduce solid foods into the diet at what age for normal term infants Correct Answer: 4-6 months of age as the extrusion reflex disappears by the age of 4 months
Treatment of midshaft posteromedial tibial stress fractures Correct Answer: An air stirrup leg brace (Aircast)
Most appropriate test to screen for late-onset male hypogonadism Correct Answer: Total testosterone
Treatment of pediatric HSV-1 infection Correct Answer: Acyclovir suspension
Most accurate maneuver for detecting an ACL tear Correct Answer: - Lachman test (sensitivity 60%-100%, mean 84%),
- Anterior drawer test (sensitivity 9%-93%, mean 62%)
- Pivot shift test (sensitivity 27%-95%, mean 62%)
Diagnosis of multiple myeloma is based on Correct Answer: Evidence of myeloma-related end-organ impairment (hypercalcemia, renal failure, anemia, skeletal lesions) in the presence of M protein, monoclonal plasma cells, or both
Findings are typical of femoral neuropathy Correct Answer: - History of weakness of the lower left leg, giving way of the knee, and discomfort in the anterior thigh
- Femoral neuropathy is a mononeuropathy commonly associated with diabetes mellitus
Women who use low-dose estrogen oral contraceptives have a 50% lower risk of cancer of the: Correct Answer: Ovary
Clinical hallmarks of polymyalgia rheumatica Correct Answer: - Pain and stiffness in the shoulder and pelvic girdle
- Dramatic response to corticosteroids
3 subtypes of frontotemporal dementia Correct Answer: - Behavioral variant
- Semantic dementia
- Progressive nonfluent aphasia
Hallmark biochemical feature of refeeding syndrome Correct Answer: Hypophosphatemia
Methods to reduce risk of oral candidiasis with inhaled corticosteroids for asthma Correct Answer: - Rinse mouth after each administration
- Use valved holding chamber
When to recommend laryngoscopy for hoarseness Correct Answer: When hoarseness does not resolve within 3 months or when a serious underlying cause is suspected
Causes of right heart failure Correct Answer: - Left heart failure (most common)
- Myocarditis
- Pulmonic stenosis
- Ventricular septal defects
Metabolites of codeine-containing medications and diazepam Correct Answer: - Morphine for codeine-containing medications
- Oxazepam for diazepam
Most appropriate initial management of hypercalcemia of malignancy Correct Answer: Normal saline intravenously
Reason for preference of myomectomy over fibroid embolization in symptomatic patient with uterine fibroids responsive to medical therapy Correct Answer: Desire for future pregnancy
Hallmarks of melanosis coli Correct Answer: - Brown to black leopard spotting of the colonic musoca
- Results from abuse of anthraquinone laxatives (cascara, senna, aloe)
What happens to the murmur of mitral valve prolapse with the Valsalva maneuver? Correct Answer: Becomes longer and louder
Most common hip disorder in 8-15 year-old males & overweight/obese children Correct Answer: Slipped capital femoral epiphysis
PEG tubes are associated w/ an ↑ use of Correct Answer: Restraints
Highest risk group for colorectal cancer & recommending screening age/interval Correct Answer: - Patients who have 1 first degree relative diagnosed with colorectal cancer or adenomatous polyps before age 60, or at least 2 second degree relatives with colorectal cancer
- Start *screening at age 40 or 10 years before the earliest age at which an affected relative was diagnosed* (whichever comes first) **with rescreening every 5 years* [Show Less]