AAFP Mixed 4

Question 1

recommended outpatient treatment for presumptive methicillin-resistant Staphylococcus aureus (MRSA) infection

Answer 1

clindamycin and doxycycline.

Question 2

the goal for patients with type 2 diabetes mellitus is to achieve a hemoglobin A1c of?

Answer 2

<7

Question 3

homogeneous, beefy red rash surrounding the vulva and anus of child - suspected diagnosis?

Answer 3

group A streptococcus

Question 4

pt with an initial pneumothorax of <20%. Next step?

Answer 4

chest radiograph to assess stability at 24–48 hours

Question 5

Foods that have the highest association with latex allergy include?

Answer 5

avocados, bananas, chestnuts, and kiwi

Question 6

Which cardiac arrhythmia has been reported with high-dose methadone use?

Answer 6

Torsades de pointes (related to QT prolongation)

Question 7

Afib in pt with CHADS2<1. Tx?

CHADS2 of 2+

Answer 7

aspirin, 81–325 mg daily

warfarin

Question 8

best initial therapy for rheumatoid arthritis?

Answer 8

disease-modifying drugs such as methotrexate

Question 9

thiazolidinediones contraindicated in patients with?

Answer 9

#heart failure (black box warning),
#type 1 diabetes mellitus
#hepatic disease
#premenopausal anovulatory women.

Question 10

breastfeeding women c/o bilateral nipple pain between feedings that persist after initial soreness has resolved - suspected diagnosis?

Answer 10

Candida

Question 11

antibiotics is most appropriate for treatment of Bartonella henselae infection?

Answer 11

Azithromycin

Question 12

mainstay of treatment for allergic rhinitis?

Answer 12

Intranasal corticosteroids

Question 13

When to treat first HTN episode?

Answer 13

Hypertensive emergencies, (BP over 180/120) complicated by target organ dysfunction

Question 14

When to do nothing for localized, well-differentiated prostate cancer?

Answer 14

Men over 65

Question 15

Sensitivity?

Answer 15

percentage of patients with a disease who have a positive test result

Question 16

Specificity

Answer 16

percentage of patients without the disease who have a negative test result

Question 17

First-line agents for ovulation induction and treatment of infertility in patients with polycystic ovary syndrome

Answer 17

#metformin 
#clomiphene
#Rosiglitazone

Question 18

first-line agent for treatment of hirsutism

Answer 18

Spironolactone

Question 19

therapy for venous ulcers?

Answer 19

Compression therapy and pentoxifylline

Question 20

single-dose prophylaxis against Lyme disease after an Ixodes scapularis tick bite

Answer 20

doxycycline

Question 21

Management of solitary pulmonary nodules?

Answer 21

#Under 1.5 cm - serial CT
#1.5-2.2 cm - PET
#Over 2.2 - Surgical Excision