AAFM question review Flashcards
what is the most appropriate test to assess for Vitamin D deficiency
25-hydroxyvitamin D
what is a pet reptile most likely to transmit to human contacts
salmonella
what is the treatment of choice for kawasaki disease
IVIG and high-dose aspirin
when should all pregnant women be screened for asymptomatic bacteriuria
between 11 and 16 weeks gestation
when should group B strep (GBS) screening occur during pregnancy
between 35 and 37 weeks gestation
when should diabetes screening occur during pregnancy
between 24 and 28 weeks egestation
what is the initial treatment for hypotension in patients with septic shock
aggressive fluid resuscitation
what treatment should be given if fluid resuscitation is not successful at restoring blood pressure in hypotensive septic shock
norepinephrine
what is the most effective medication for motion sickness
scopolamine
what is the first line treatment for severe hyperkalemia in pt with CKD
intravenous insulin followed by glucose
what is the definitive treatment for preeclampsia
delivery
what testing should you get to screen for oxycodone
order chromatography
what is the first diagnostic test in the workup in a patient with hyperkalemia
EKG
what is the preferred treatment for lupus arthritis
hydroxychloroquine
what medications are indicated for severe lupus or lupus arthritis
cyclosporine and azathioprine
what medication is indicated for refractory lupus or lupus arthritis
mycophenolate
what is the initial management of hypercalemia of malignancy
fluid replacement with normal saline to correct the volume depletion that is invariable present and to enhance renal calcium excretion
what is the most appropriate first line therapy for primary dysmenorrhea
NSAIDs
what is the annual failure rate for combined oral contraceptive pills, levonorgestrel IUD, injectable progestin and male condoms
9%, 0.2%, 6%, 18%
what is considered the first line therapy for ITP
corticosteroids
what is the appropriate treatment for bioterrorism anthrax
doxycycline and fluoroquinolone
what is the treatment for pneumonic plague
10 day course of an amino glycoside or doxycycline
what is the first line treatment for impetigo
mupirocin (bactroban)
what is the best initial treatment for a keloid
intralesional corticosteroid injections
what is the preferred treatment and prophylaxis for pertussis
azithromycin (zithromax)
what is the recommended HPV testing for an average-risk 21 year old female
cytology without HPV testing
in a patient with high probability of pulmonary embolism and elevated D-dimer, what should be the next test
CT angiography (CTA)
why should hematocrit be monitored during testosterone replacement therapy
because it can case erythrocytosis
what is the most common form of child abuse in the united states
neglect
what is the preferred method for diagnosing psychogenic non-epileptic seizures (pseudo seizures)
video-electroencephalopgraphy (vEEG) monitoring
what is first line therapy for GAD
SSRIs
what is the first line treatment for rosacea
metronidazole
what is the best for making a diagnosis of fibromyalgia
structured symptom history
what commonly used antidepressants can prolong the QT interval
citalopram and escitalopram
what is usually the first line outpatient treatment for acute pyelonephritis
cipro
what is one of the preferred narcotics in patients with end stage renal disease
fentanyl
what are 2 serious reactions associated with methimazole (tapazole)
agranulocytosis and hepatotoxicity
what is the only prophylaxis for DVT in critically ill adult patients that decreases mortality risk
anticoagulation therapy
what is a common treatment used for female pattern hair loss
minoxidil,
what is the diagnostic criterial for severe sepsis
increase in serum creatinine level >0.5, thrombocytopenia, and hyperbilirubinemia
what is the only medication that has consistent evidence for decreasing depressive symptoms in children and adolescents
fluoxetine (prozac)
