AAFP Mixed 5

Question 1

most common cause of abnormal liver tests in the developed world? Associated with?

Answer 1

Non-alcoholic fatty liver disease

#BMI
#Triglycerides
#DIabetes
#HTN

Question 2

In patients with severe pneumonia, the urine should be tested for?

Answer 2

Legionella and pneumococcus

Question 3

Post-op patient gets hypotension that is resistant to intravenous fluid resuscitation - suspected cause?

Answer 3

Cortisol deficiency

Question 4

poorly controlled asthma?

Answer 4

#under 12 - use a β-agonist more than 2x/week, had 2+/month nocturnal awakenings or had 2+/year exacerbations requiring systemic corticosteroids
#over 12 - Over 2 nocturnal awakenings per month

Question 5

earliest and most specific sign of autism?

Answer 5

Delayed attainment of social skill milestones

Question 6

Test for patient with chronic neck pain and no history of trauma, malignancy, or surgery.

Answer 6

cervical spine series

Question 7

practice to reduce the incidence of atopic dermatitis in children

Answer 7

Breast feeding

Question 8

pes anserine bursitis?

Answer 8

associated with the tendinous insertion of the sartorius, gracilis, and semitendinosus muscles into the medial aspect of the proximal tibia

Question 9

Intervention shown to relieve IBS symptoms?

Answer 9

peppermint oil

Question 10

general screening for COPD?

Answer 10

none

Question 11

preferred initial test for renovascular hypertension in patients with impaired renal function

Answer 11

Duplex Doppler ultrasonography

Captopril renography is not reliable in the setting of poor renal function

Question 12

first-line therapy for nausea and vomiting associated with pregnancy

Answer 12

vitamin B 6 and doxylamine

Question 13

treatment for performance anxiety or speech phobia

Answer 13

β-blockers

Question 14

suspected PCOS - test for?

Answer 14

Testosterone

Question 15

High carboxyhemoglobin levels are associated with

Answer 15

secondary polycythemia

Question 16

Diuretic for ascities? Not recommended?

Answer 16

Aldosterone antagonists (spirolactone)&raquo_space; loop diuretics

Thiazide

Question 17

larvae that can enter foot and create serpiginous, erythematous tracks? (class?)

Answer 17

cutaneous larva migrans (hookworm)

Question 18

indications for open reduction of a clavicular fracture in a child

Answer 18

Only neurovascular injury. Otherwise font do it

Question 19

presentation of pityriasis rosea

Answer 19

#mild prodrome
# ovoid salmon-colored, slightly raised herald patch
#outbreak of multiple smaller, similar lesions (pruritic)

Question 20

Guttate psoriasis

Answer 20

#post streptococcal infection
 #erythematous lesions