AAFP questions- second

Question 1

_______. medication helps with the symptoms of leg claudication

Answer 1

cilastazol

Question 2

SCFE has a very characteristic physical examination finding : ________

Answer 2

limited IR of the hip

Question 3

____________________ is a test that is highly sensitive and specific to celiac disease

Answer 3

IgA anti-endomysial Ab

costs ~$100-200

Question 4

Main mechanism of action of metformin?

Answer 4

blocks gluconeogenesis in the liver

Question 5

_______________ medication is the only nasally inhaled anticholinrgic recommended for a cough caused by common cold.

Answer 5

ipratropium

helps rhinorrhea. not nasal congestion.

Question 6

Sevelamer: reduces calcium by what method?

Answer 6

it is a phosphate binder and will excrete phosphate, decrease negative feedback of PTH&raquo_space; and that will decrease Ca

Question 7

Urine should be acidified for prevention of which kidney stone?

Answer 7

calcium phosphate and struvite stones

FYI cranberry juice can lower urine pH

Question 8

Centor criteria

Answer 8

The key factors in diagnosing streptococcal pharyngitis are a
fever over 100.4°F
, tonsillar exudates
anterior cervical lymphadenopathy
absence of cough.

Question 9

shipyard worker exposed to ____ that affects the lung

Answer 9

asbestosis

Question 10

________ is a medication used to treat osteoporosis and is useful in the management of pain Iwith acute or chronic vertebral fractures.

Answer 10

Calcitonin

it has modest analgesic properties that make it useful in the treatment of the pain associated with vertebral fractures.

Question 11

Extracorporeal shock wave therapy is effective for ______

Answer 11

calcific tendinitis of the rotator cuff.

Question 12

Treatment of
-thrombosed external hemorrhoid
-internal hemorrhoid

Answer 12

elliptical excision
banding or infrared coagulation

Banding an external hemorrhoid would cause exquisite pain.

Question 13

__________ all have evidence that they may improve IBS symptoms (SOR B).

Answer 13

Exercise, probiotics, antibiotics, antispasmodics, antidepressants, psychological treatments, and peppermint oil

NOT FIBER SUPPLEMENTS

Question 14

Treat subclinical hypothyroidism if…
TSH < ___ and age > ___

Answer 14

0.1 and 65

Question 15

Treatment for a unilateral undescended testis should be started at _______ of age

Answer 15

6–12 months

to avoid testicular damage.

Question 17

Ingestion of _________ juice can increase absorption and serum levels of statins, leading to an increased risk of muscle injury.

Answer 17

grapefruit

Question 18

The only IV antibiotic that can be used to treat C diff is?

Answer 18

Metronidazole

Metronidazole, vancomycin, and fidaxomicin are the three medications recommended for tx.

Only metronidazole is effective intravenously, because its biliary
excretion and possibly exudation through the colonic mucosa allows it to reach the colon via the
bloodstream