AAFP Mixed 6

Question 1

most common risk factor for frozen shoulder? symptoms?

Answer 1

Diabetes ;

#shoulder stiffness
# loss of active and passive shoulder rotation
#severe pain, especially at night

Question 2

torsades de pointes treatement?

Answer 2

Intravenous magnesium

Question 3

Use of Inhaled corticosteroids in acute COPD exacerbation?

Answer 3

Not useful

Question 4

most important preventive measure for SIDS?

Answer 4

infant in a supine position

Question 5

serum glucose target in critically ill patients?

Answer 5

140–180 mg/dL

Question 6

intrahepatic cholestasis of pregnancy - treatment?

Answer 6

Ursodiol >cholestyramine

Question 7

Sever’s apophysitis?

Answer 7

inflammation of the calcaneal apophysis, and causes pain in the heel.

Question 8

Fusion of two or more tarsal bones - aka? occurs when?

Symptoms?

Answer 8

Tarsal consolidation; adolescence;

#Pain occurs around the ankle
#decreased range of motion of the hindfoot
# pain on foot inversion

Question 9

antidepressant least likely to cause weight gain?

Answer 9

Bupropion

Question 10

Herpangina caused by? symptoms?

Answer 10

ulcers in the posterior pharyngeal

coxsackieviruses and echoviruses;

Question 11

Rosacea treatment?

Answer 11

#Oral antibiotics - metronidazole, doxycycline, or tetracycline
#flushing -  clonidine or a nonselective β-blocker

Question 12

Amiodarone useful for?

prophylactically?

Answer 12

#sustained ventricular tachyarrhythmias (even in hemodynamically stable)
#First line for AFIB in symptomatic patients with LV dysfunction and heart Failure

perioperative period of cardiac surgery.

Question 13

Management of thoracic vertebral compression fracture?

Answer 13

#decreased activity until the pain lessens, and follow-up in 1 week 
#If no improvement by 2 weeks, Vertebroplasty

Question 14

Muscle tension aphonia presents with

Answer 14

#strained, effortful phonation, 
#vocal fatigue
#normal vocal cords

Question 15

spasmodic dysphonia - aka? Presents with?

Answer 15

halting, strangled vocal quality

laryngeal dystonia;

Question 16

initial evaluation for chronic pelvic pain should include

Answer 16

#UA/UCx
#GC/Chlam swabs
#ESR
#B-hCG

Question 17

Pt with exercise-induced asthma but does not respond to β-agonists before exercise - suspected diagnosis? PFTs will show?

Answer 17

normal expiratory portion but a flattened inspiratory phase

Question 18

tendinopathy of the posterior tibial tendon - symptoms? Management?

Answer 18

#pain and swelling posterior to the medial malleolus
#worse with weight bearing
#worse with inversion of the foot
#Plantar flexion against resistance elicits pain (cannot perform heel rise)

Immobilization

Question 19

clues that suggest a diagnosis of renal-artery stenosis

Answer 19

#onset of stage 2 hypertension (>160/100) after 50 OR without FHx
#HTN associated with renal failure (esp if renal function worsens after drug that blocks RAAS)
#HTN with CHF

Question 20

Management of restless legs syndrome?

Answer 20

#lower-body resistance training
#Avoid caffeine, SSRIs, tricyclics
#Iron if ferritin below 50
#Ropinirole

Question 21

Treatment of HIT?

Answer 21

discontinuation of heparin and treatment with a non-heparin anticoagulant