AAFP Mixed 2

Question 0

SSRI that cannot used in pregnancy?

Answer 0

Paroxetine

Question 1

Inpatient HCAP pneumonia tx?

Outpatient?

Answer 1

Ceftazidime, levofloxacin, vancomycin

Ceftriaxone + azithromycin/levofloxacin

Question 2

Common findings in E. coli or staph saprophytacus UTIs? If these symptoms are not seen, and there is no culture growth, suspect what UTI etiology?

Answer 2

#Abrupt onset
#Suprapubic pain
#hematuria

STIs

Question 3

Gait abnormality from visual impairment versus cerebellar dysfunction?

Answer 3

Abducted arms and legs, wide stance, en-bloc turns

Wide-based and staggering

Freezing movements

Question 4

Treatment for adolescents with anorexia nervosa?

Answer 4

Family based treatment >individual focused therapy

Question 5

When should healthy patients get aspirin therapy as primary prevention of stroke?

Answer 5

Men over 45; women over 55

Question 6

One-year-old with mild microcytic hypochromic anemia – management?

Answer 6

Trial of oral iron

Question 7

Patients with CKD should avoid what drugs?

Answer 7

NSAIDs

Question 8

Best drug for symptomatic mitral valve prolapse?

Answer 8

Beta blockers

Question 9

Drug for prevention of altitude sickness? Contraindication? Alternative?

Answer 9

Acetazolamide; sulfa allergy

Dexamethasone

Question 10

Most commonly implicated drugs in interstitial nephritis? Treatment?

Answer 10

#Penicillins
#Cephalosporins
#Sulfonamides

steroids

Question 11

Horse chestnut seed extract shown to have some effect on?

Answer 11

Varicose veins

Question 12

Milk thistle used for?

Answer 12

Hepatic cirrhosis

Question 13

St. John’s wort used for?

Answer 13

Depression

Question 14

Breast-feeding contraindicated with what diseases?

Answer 14

#HSV lesions on the breasts
#Active maternal TB

Question 15

Most common cause of erythema multiforme?

Answer 15

HSV (more than 50% of cases)

Question 16

Patient presents with pain right next finger for past few days. Finger is swollen and flexed. Pain increases with extension of the finger, with tenderness to palpation from the tip of the finger into the palm – diagnosis? Treatment?

Answer 16

Pyogenic tenosynovitis;

#If early (within 48 hours) – antibiotics and splinting
#If later, surgical drainage and antibiotics

Question 17

Scombroid poisoning?

Answer 17

Sit allergic condition resulting from improperly stored fish (tuna, macro, Wahoo, Honeytown parentheses

High levels of histamine and saurine cause flushing, oral paresthesias, pruritus, bradycardia, nausea vomiting, diarrhea

Treatment as anaphylaxis

Question 18

Greatest risk factor for abdominal aortic aneurysm? Disease that is protective?

Answer 18

Cigarette smoking > hypertension

Diabetes is protective

Question 19

Dermatophyte infection that always requires systemic antifungal therapy?

Answer 19

Tinea capitis (systemic therapy needed to penetrate hair shafts)

Question 20

Omeprazole associated with what complications?

Answer 20

# decreased B12 absorption
#Community acquired pneumonia
#C. diff colitis

Question 21

Medication for Atrial flutter?

Answer 21

Verapamil; digoxin

Question 22

Most effective treatments for psoriasis? Which has fewer adverse effects?

Answer 22

Vitamin D and high potency corticosteroids

corticosteroids

Question 23

Child presents with proteinuria. First step?

Answer 23

Morning even protein/creatinine to rule out benign postural proteinuria

Question 24

Patient presents with acute cervical radiculopathy with normal radiographs. Management? When to get cervical MRI? When to refer?

Answer 24

NSAIDs for pain relief

Progressive neurologic defects, fever, myelopathy

6 to 8 weeks without improvement