AAFP Mixed 3

Question 0

Apraxia?

Answer 0

Disturbance in skilled movements. Patient understands request but is unable to perform task (but pt may be able to perform task after significant delay)

Question 1

Ehrlichosis?

Answer 1

Tickborne bacterial infection that causes headache, muscle aches, fatigue, and rash

Question 2

At what fetus size should you consider C-section without trial of labor?

Answer 2

#4500 g in mother with diabetes
#5000 g if no diabetes

Question 3

Intertrigo?

Erythrasma?

Treatment of intertrigo complicated by erythrasma?

Answer 3

Inflammation of the skin folds cause friction

Corynebacterium infection that presents and small reddish-brown macules or patches

Oral erythromycin

Question 4

Treatment of chronic paronychia?

Answer 4

Topical corticosteroid cream

Question 5

Pt with E. coli food poisoning. Need to monitor?

Answer 5

Renal function (HUS)

Question 7

Ideal hemoglobin level for patient with chronic normocytic anemia?

Answer 7

10-12

Question 8

Patient presents with laceration. Last tetanus booster was 12 years ago. Management?

Answer 8

#If Clean wound, tetanus vaccine
#if dirty, tetanus immune globulin

Question 9

SIDS most likely to occur when?

Answer 9

First 6 months

Question 10

When to suspect ethylene glycol poisoning? Treatment?

Answer 10

#Appears intoxicated without alcohol level
#anion gap acidosis
#Urinary crystals
#Hypocalcemia 

Fomepizole

Question 11

Alleviating factor in pain from spinal stenosis versus herniated disc?

Answer 11

Better when sitting and aggravated by standing

Better when standing aggravated when sitting

Question 12

Non-smoking tobacco – what is most effective therapy?

Answer 12

Behavioral therapy > everything else