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abfm 2018 > ABFM 2018 50-100 > Flashcards

ABFM 2018 50-100 Flashcards

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1
Q

34 y/o F with 3 month history of nonproductive cough.

Exam-negative.

A

Rx: intra-nasal corticosteroid.

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2
Q

68-year-old female presents with a history of episodic severe lower abdominal pain relieved by defecation.
Dx:IBS

A

Rx: Polyethylene glycol.

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3
Q

Distal biceps tendon rupture.

A

Dx: MRI of elbow.

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4
Q

72-year-old male with DM II takes Glucophage 1000 mg twice a day; BMI 32; hemoglobin A1c 9.5 .

A

Rx: Start basal insulin at 10 u/ day.

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5
Q

47-year-old male with bilateral L/Ext. edema with fatigue. Lipid levels were high; thyroid function normal with a positive periorbital edema

A

Dx: Nephrotic Syndrome; + urine proteinuria.

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6
Q

66-year-old female with bone metastasis having breakthrough pain. Given 10 mg of oxycodone 15 minutes ago.

A

Last dose peak effect one hour after given.

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7
Q

62-year-old female with history of COPD FEV1 165% PaO2 57; Dx: Pulmonary hypertension.

A

Rx: supplemental oxygen.

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8
Q

Antihypertensive drug that may reduce severity of sleep apnea.

A

Spironolactone (Aldactone).

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9
Q

US preventative services task force absolute risk reduction for developing diabetes mellitus.

A

1/7

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10
Q

25-year-old female with irregular menses, her to resume and moderate acne prefers not to be pregnant.

A

Rx: Levonorgestrel/ethinyl estradiol

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11
Q

68-year-old male with chronic right knee pain from osteoarthritis. Tylenol and NSAIDs - limited help.

A

Rx: A low impact aerobic exercise program.

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12
Q

52-year-old female with a history of gastric bypass, DJD of both knees and shoulder and chronic LBP.

A

Rx: Taper oxycodone by 5%-10% every 1-4 weeks.

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13
Q

13-year-old male with pain and throwing arm with no history of acute injury.+Tenderness over proximal and lateral humerus.

A

Dx: Plain x-ray to distinguish rotator cuff pathologies from disruption o proximal growth plate of the humerus.

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14
Q

30-year-old female with an episode of recurrent painful vesicular lesions on the labia with tingling sensation a few days before the lesions appeared.

A

Rx: Valacyclovir (Valtrex).

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15
Q

62-year-old Asian female with pain and redness in her left eye since last night. Now has headache, light sensitive sensitivity and mild nausea. Visual acuity 20/100 on left,

A

Rx: Emergent evaluation by ophthalmologist.
Dx: Acute angle-closure glaucoma.

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16
Q

24-year-old female with a history of bulimia nervosa . Which drugs has an increased risks of seizures in these patients?

A

Bupropion (Wellbutrin).

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17
Q

3-year-old male with in turning toes and clumsy gait. Dx: Internal tibial torsion.

A

Rx: Observation;Surgery after age 8, if no resolution.

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18
Q

24-year-old female with recent onset of coughing when running. Normal spirometry..

A

Rx: An inhaled short-acting beta 2 agonist 15 minutes before running.

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19
Q

Malignancy associated w Hereditary Hemochromatosis

A

Hepatocellular Carcinoma.

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20
Q

62-y/o F admitted to hospital for intractable nausea and vomitinng with volume depletion and hypotension. Living in New Mexico; cleaning out chicken coop with rodents. Blood cultures positive for gram-negative rods.

A

Dx: Yersinia pestis. (Western U.S.)

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21
Q

21-year-old female with secondary re hypertension. What test is most specific for fibromuscular dysplasia?

A

Magnetic resonance angiography of the renal arteries.

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22
Q

Greatest risks for developing knee osteoarthritis as an older adult.

A

Obesity.

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23
Q

88-year-oldd female at assisted living facilities with chronic urinary incontinence. Afebrile with urine culture greater than 100,000 Escherichia coli.

A

Rx: No antibiotics. (Asymptomatic bacteriuria).

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24
Q

61-year-old white M w DM II- wll-controlled BP 156/94;

A

Rx: Add an Ace Inhibitor.

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25
Q

66-year-old w previous h utilized motivationalx of HTN, and carotid endarterectomy presents with acute upper abdominal pain past 3 hours. (Suspect Mesenteric Ischemia)

A

Dx: CT angiography.

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26
Q

38-year-old female with migraine headaches wishes to start contraception.

A

Rx: Estrogen-containing products including patch and vaginal ring are contraindicated in patients with migraines.

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27
Q

45-year-old M truck driver with HTN and DM and obesity.. His BP is 166/94 and hemoglobin A1c is 9.7

A

Rx: Utilized motivational interviewing to explore patient’s level of desire to change.

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28
Q

47-year-old male attempts to climb Mt. Rainier. First day he ascends to 11,000 feet. Next morning he has a headache nausea dizziness and fatigue. As he climbs a becomes ataxic and confused

A

Rx: Administration of oxygen and immediate descent.

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29
Q

68 y/o M with basal cell CA; which procedure has highest rate of cure?

A

Rx: Mohs surgery.

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30
Q

55-year-old female pre-op evaluation for cataract surgery. Previous history of diabetes mellitus I. cardiovascular and pulmonary examinations are unremarkable.

A

No further preoperative evaluation necessary.

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31
Q

New anticoagulants-Eliquis. Pradaxa, Savaysa & Xarelto before starting get:

A

Renal Function.

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32
Q

42-year-old male alcoholic with his last drink 7 days ago asked for medication.

A

Rx: Acamprosate (ETOH).

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33
Q

46 y/o M 40 pp year hx of smoking presents with 2 month history of dyspepsia and difficulty swallowing reports 20 lb weight loss & takes Prilosec.

A

Dx: Upper endoscopy (Esophageal CA ?)

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34
Q

16-year-old white male with sports preop:Ht.-6’2”,wt.-152 lbs. w long arms,high arched palate, kyphosis,myopia,& pectus excavatum.

A

Dx: Marfan’s Syndrome (Aortic Insufficiency).

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35
Q

46 y/o M with 30 year hx of smoking w multiple episodes of quarter size bloody emesisis over the past few days; chest x-ray negative.

A

Dx: CT of chest with contrast.

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36
Q

68 y/o F with SOB with activity over the past few weeks, also reports lower extremity edema patient has hx of by tricuspid aortic valve and aortic stenosis. Ejection fraction estimated at 50%.

A

Rx: Referral for aortic valve replacement.

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37
Q

45 y/o F with IBS as a six-month hx of crampy, diffuse abdominal painn associated with defecation. According to the for Rome IV criteria and associated Sx would be-?

A

A change in stool frequency.

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38
Q

the U.S. Preventatiive Services Task Force recommend diabetes mellitus no sooner than:

A

24 weeks gestation.

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39
Q

20-year-old football player presents with pain in the fifth proximal metatarsal. + tenderness to palpation. Plain films show no signs of fracture.

A

Dx: MRI of foot. (Stress fracture ?).

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40
Q

84 y/o F with severe dementia secondary to Alzheimer’s disease is a resident of long-term care facility. She has shown increase aggression staff and other residents. Unsuccessful management of Sx’s; suggests starting low-dose Risperdal.

A

Potential side-effect: Inc. risk of mortality.

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41
Q

Diabetes treatment most likely to cause weight gain?

A

Glimepiride (Amaryl).

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42
Q

34-year-old healthy female presents with 1 hour history of palpitations. (EKG shows atrial fib).

A

Dx: Get TSH ( Subclinical Hyperthyroidism).

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43
Q

14-year-old male with 2 month history of left breast lump. PE: Slightly tender area of concentric firm mobile tissue under left areola No skin changes, nipple disch or at the adenopathy.

A

Rx: F/U in 6-12 months (Gynecomastia).

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44
Q

52y/o M presents with long-standing facial rash that is itchy, flaking and scaling around his mustache and nasolabial folds.

A

Dx: Seborrheic dermatitis;Rx: Topical fungal agents.

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45
Q

58-year-old male routine health visit has 20-pack-year smoking history but has stopped 1 year ago. U.S. Preventative Services Task Force recommends:

A

Hepatitis C Screening.

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46
Q

a 30-year-old female postpartum 3 months mild depressions in the past 7 weeks. Little joy in daily activities and not interacting with baby. U rule out postpartum psychosis and bipolar disorder

A

Rx: Appropriate treatment is referral to psychotherapy.

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47
Q

Preferred treatment for rheumatoid arthritis.

A

Rx: Methotrexate (Trexall).

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48
Q

68 y/o F with controlled HTN and OA of knee with BMI of 36. Scheduled for elective total knee replacement.

A

Rx: Start statin immediately to decrease risks of cardiovascular disease & peri-operative mortality

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49
Q

40 y/o M presents with clean catch U/A -5 red blood cells/hpf on microscopy.

A

Dx: Cystoscopy.

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50
Q

68-year-old female presents with a 3 month history of low back pain and fatigue. She also has unintentionally lost 15 pounds. Positive PE for vertebral point tenderness over t lumbar vertebrae. Lab: Normocytic anemia elevated total protein and mild decrease in renal function.

A

Dx: Serum protein electrophoresis (multiple myeloma).

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51
Q

48-year-old female with type 2 diabetes mellitus first line for initiating treatment.

A

Metformin (Glucophage).

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52
Q

22-year-old female prevent for evaluation of nasal and sinus congestion, frequent sneezing and itchy red eyes.

A

RX: Intranasal Budesonide (Rhinocort).

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53
Q

Elderly male presents with venous ulcer,

A

Rx: Compression therapy.

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54
Q

Most reliable measure to protect children from lead toxicity in the US

A

Eliminating the sources of lead in the community.

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55
Q

64 y/o female with HTN, DM, HLD and CKD with headaches.

A

Dx: MRI should not include use of gadolinium contrast,

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56
Q

29-year-old gravida 2 para 1 scchedule for induction of labor, Which one should be avoided to minimize the risks of postpartum hemorrhage in this patient

A

Routine episiotomy.

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57
Q

64-year-old male with midsternal chestt pain in ER with oxygen and IV line in place. Shortly after a viral he loses consciousness and be called once apnei and pulseless; CPR is initiated V. tach at 160.

A

Rx: Defibrillation.

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58
Q

Patients with COPD shown to reduce exacerbations with—-

A

Rx: Tiotropium (Spiriva).

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59
Q

52-year-old male with a BMI of 33.2 with mild elevations in ALT and AST.

A

Dx: Get serum ferritin (R/O Hereditary Hemachromatosis).

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60
Q

62-year-old white male with a 3 month history of diabetes mellitus with hemoglobin A1c of 7.8. Which test indicates whether he can safely take metformin (Glucoophage).

A

Estimated glomerular filtration rate’

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61
Q

43-year-old male with 6 week history off right ankle pain. No history of fall pain localized inn the right Achilles tendon area proximal to the insertion.

A

Initial treatment: Eccentric gastrocnemius-strengthening program.

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62
Q

45-year-old male presents with a Hx of 2 months nonpproductive cough, SOB, fatigue and 5 pound weight loss. Examination PPD negative lungs clear, chest x-ray shows bilateral hilar adenopathy and angiotensin converting enzyme level is elevated. Biopsy of lymph node showed noncaseating granuloma.

A

Rx: Prednisone.

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63
Q

40-year-old white female with history of anxiety, insomnia, fatigue, persistent depressed mood and low libido.

A

Dx: Dysthymia.

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64
Q

Vaccine recommended for all women with each pregnancy.

A

Tdap.

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65
Q

26-year-old male presents with rash on his anterior neck in the area of his beard past year with curly facial hair and tender red papules on the superior anterior neck.

A

Rx: Shave with electric clippers.

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66
Q

54-year-old male with past history of hypertension treated with lisinopril and hydrochlorothiazide has not taken medicine for over a year. BP is 200/115 on 2 separate readings 5 minutes apart. PE–Nl.

A

Rx: Restart prior HTN treatment follow-up in 1 week.

67
Q

Follow-u p in 17-year-old female presents with a month history of menorrhea irregular menses with a BMI of 16.1

A

Dx: RED-S ( female athletic triad). Rule out osteoporosis-get DEXA scan.

68
Q

45-year-old male with bump on left denies trauma. PE movable, slightly tender.

A

Dx: Olecranon Bursitis; no further evaluation.

69
Q

25-year-old gravida 1 para 0, 24 weeks gestation with right lower DVT.

A

Rx: Lovenox (subcutaneous enoxaparin).

70
Q

46-year-old female with history of polycystic ovary syndrome and migraine headaches presents with bilateral hyperpigmented patches along her mandible.

A

Dx: Malasma ( probably caused by oral contraceptives).

71
Q

73-y with memory changes with Hx of HTN, depression and hypothyroidism.
Which medicines should be stopped because of possible hypoglycemia?

A

Glyburide.

72
Q

75-year-old white male with a history of CHF. Which medicine would improve symptoms and decrease mortality risks?

A

Rx: Spironolactone (Aldactone).

73
Q

67-year-old female with colon cancer and acute SOB X 2 days, diagnosed with PE.

A

Rx: Continue enoxaparin upon discharge.

74
Q

32-year-old Iraqi female refugee should be screened–

A

Dx: posttraumatic stress disorder.

75
Q

35-year-old m smokes half pack cigarettes a day and 3-4 beers per week. SGOT of 84. Lab findings suggest?

A

Dx: Alcoholic liver disease.

76
Q

48-year-old female presents with dyspnea with exertion. Non-smoker chest x-ray–hyperexpansion of chest, FEV1/FVC ratio 0.67.

A

Dx: COPD; @1-Antitrypsin deficiency.

77
Q

52-year-old pianist with carpal tunnel syndrome.

A

Dx: decreased sensation over the palmar aspect of the thumb, index, and middle finger.

78
Q

67-year-old female with HTN and A. fib taking Coumadin for the past 10 years. Scheduled for elective bladder sling surgery. surgery.

A

Rx: Discontinue Coumadin 5 days prior to surgery and restart it 12-24 hours post-op.

79
Q

48-year-old female smoker with solid discharge or, sometimes regurgitating food sticking below the suprasternal notch.

A

Dx: Endoscopy ( esophageal dysphagia).

80
Q

7-year-old female with fivve-day history of abdominal pain and low-grade fever of 100.1 with non-pleuritic or painful rash; positive for micro-hematuria.

A

Dx: Henoch-Schonlein purpura.
Rx: sSupportive care only.

81
Q

18-month old F with barking cough ,fever, hoarseness with X 2 days.

A

Dx: Croup.
Rx: Single dose of oral dexamethasone.

82
Q

Hypoxemia during an acute illness is often short-lived.

A

Oxygen supplementation should be re-evaluated and most often discontinued.

83
Q

26-year-old female with polycystic ovary disease (PCOS) would like to become pregnant.

A

Rx: Letrozole (Femara) —best treatment for live birth and ovulation rates.

84
Q

58-year-old male with history of tobacco and alcohol abuse with sudden onset of well circumcised , old for,, rough papules on trunk and proximal extremities.(with “stuck-on” appearance).

A

Dx: R/O Adenocarcinoma of the stomach– Get upper and lower endoscopy.

85
Q

6-yar-old male presents with fever and you suspect RMSF.

A

Rx: Doxycycline.

86
Q

38 y/o F w DM, obesity & chronic abd. pain (Hx pancreatitis). HbA1c-9.0;Gluc.-200-300
Did poorly on Glucophage;Doesn’t want insulin.

A

Rx: Start Jardiance (empagliflozin).

87
Q

AAof Peds: Suspicion of head lice.

A

Rx: Child to stay in class with no Rx, unless clear Dx with live lice seen.

88
Q

False lowering of HbA1c w DM

A

Hemolytic Anemia.

89
Q

52-year-old male w hx HTN,COPD, DM II, & bipolar disorder w new onset of tremors.

A

Most likely caused by Lithium Rx.

90
Q

57-year-old patient is hospitalized for community-acquired pneumonia and treated with fluoroquinolone. Compared to 5 day course of antibiotics with longer course.

A

Rx: No difference in clinical outcome.

91
Q

45-year-old female with intermittent asthma only taking albuterol inhaler. She is using inhaler daily and waking up at night once or twice a week with a cough.

A

Rx: add Advair ( Fluticasone/salmetterol).

92
Q

In addition to group B-Streptococcus, the most common cause of neonatal sepsis.

A

E coli.

93
Q

The US preventative services task force force recommends screening for major depression disorder in adolescence 12-18 years of age.

A

Screen if systems are in place for diagnosis, treatment and follow-up.

94
Q

64-year-old male with tinnitus in both ears for the past 3 years. Troublesome at bedtime. Only medication iss Zyloprrim for gout. Cause of tinnitus most likely—

A

Dx: Sensorineural hearing loss.

95
Q

49-year-old male with lesions on his penis over the past 6 months. Denies pain, itching or dysuria. Exam reveals multiple reddish-blue papules on the scrotum and shaft of penis.

A

Dx: Angiokeratoma’s (Fabry disease).

96
Q

36-year-old female with 10 year history of daily headaches. Headaches are bilateral lateral and not aggravated by activity. Worse at night. Neurological exam-normal.

A

Rx: Amitriptyline ( chronic tension-type headache).

97
Q

38-year-old female with five-year history of diabetes mellitus developed “pins and needles” sensation in her feet.

A

Rx: Pregabalin (first line therap painful diabetic peripheral neuropathy).

98
Q

32-year-old female presents for evaluation of hair loss. PE: smooth circular area of hair loss on scalp.

A

Rx: Intralesional corticosteroids. (Alopecia Areata).

99
Q

64-year-old female in ER for polynephritis.. Her temp 102, pulse rate 110, respiratory rate 24, blood pressure 136/72 and oxygen sat 94% on room air. Venous lactate level is 4.0

A

Dx: Sepsis
Rx: Normal Saline at 3000 ml. over 3 hrs.

100
Q

54-year-old female in for wellness exam. She had screening mammography 10 years ago with dense breasts otherwise normal. Need for MRI of the breasts—

A

Chest radiation for Hodgkin’s disease.

101
Q

To reduce dosing issues a nurse should supply parents with—-

A

An oral syringe.

102
Q

26-year-old female presents with a skin rash and chronic diarrhea. Transaminase antibody is positive

A

Dx: Dermatitis herpetiformis

103
Q

26-year-old male with a history of major 4-5 years;Rx: contraindicated—

A

Fluoxetine (Prozac)

104
Q

35-year-old With a history of recurrent wheezing and coughing over the past few weeks brown sputum plugs.

A

Dx: Allergic bronchopulmonary aspergillosis

105
Q

89-year-old female with a history of glaucoma and hypertension;EKG–Lt. Ventricular ballooning,

A

Dx: Takotsubo cardiomyopathy.

106
Q

Leading cause of cancer death in men in the US.

A

Lung cancer.

107
Q

Patient treated with buprenophine . Which is best adjuvant treatment?

A

Clonidine (Catapres).

108
Q

5-month-oold female with temp 103.1 over the past 2 days . she does not appear ill on physical examination.

A

Dx: Urinalysis and culture with outpatient follow-up.

109
Q

Medical directors edict for appropriate antibiotic use.

A

By writing a delayed antibiotic prescription when appropriate.

110
Q

Presence of RBC casts on microscopic spun urine sediment.

A

Dx: Acute Glomerulonephritis.

111
Q

15-year-old male injuring right index finger playing volleyball with flexion deformity at DIP joint.

A

Further evaluatiion before splinting: Inability to passively fully extend the joint. (Mallet Finger).

112
Q

42-year-old male presents with fever, cough, and chest pain. is positive.

A

Rx: ibuprofen.

113
Q

55-year-old male smoker with a history of diabetes mellitus, hypertension and hyperlipidemia. MI 2 years ago with stent

A

Rx: Stop taking Clopidogrel.

114
Q

60-year-old male should take both Prevnar 13 and Pneumovax 23 with a diagnosis of:

A

Chronic renal failure.

115
Q

36-year-old male with a 2 day history of painless right-sided facial droop.

A

Dx: Bell’s palsy.
Rx: Valacyclovir & a tapering dose of prednisone.

116
Q

35-year-old female presents with fatigue her menstrual cycle has been irregular & heavy X 2 months.

A

Dx: B-hCG.

117
Q

Patient presents with truncal obesity, hypertension, type 2 DM, osteopenia, and skin fragility.

A

Dx: Cushing Syndrome (Urinary free cortisol).

118
Q

42-year with SOB over the past 6 months. 20-year-old cigarette smoker who quit 6 years ago. Serum bicarbonate level 35 mEq per liter.

A

DX: Obesity hyperventilation syndrome.

119
Q

58-year-old female with drug eluding-stent the past 10 days for acute CAD.

A

Rx: Clopidogrel and aspirin for one year, then aspirin alone.

120
Q

45-year-old female with throbbing right heel pain the past few weeks. Denies history of trauma. Tenderness along the plantar fascia.

A

Dx: Plantar fasciitis.

121
Q

36-year-old female singer with 10 day history of hoarseness. Nonsmoker; normal PE.

A

Dx: Short duration laryngitis.
Rx: No talking, whispering, or throat clearing for 48 hours.

122
Q

74-year-old female with long-standing history of CAD hospitalized for pneumonia. EKG: second-degree Mobitz I.

A

Rx: cardiac rhythm monitoring with no additional treatment.

123
Q

Rx: For anaphylaxis—

A

Epinephrine.

124
Q

A 50-year-oold male with hypertension should begin low-dose aspirin for what 10 year risk level for CVD?

A

10%.

125
Q

Baby-friendly hospital initiative must include–

A

Providing no other food or fluids to breastfeeding infants without a medical indication.

126
Q

50-year-old gravida 2 para 23 years postmenopausal presents with fatigue, headache, galactorrhea, and loss of libido. Evaluation reveals elevated serum prolactin and pituitary adenoma of 5-6 mm.

A

Dx: Pituitary microadenoma.
Rx: bromocriptine (Parlodel).

127
Q

Referral for bariatric surgical evaluation is indicated for patients with a BMI of :

A

36 kg/m2 and DM II.

128
Q

75-year-old patient requires medica reconciliation on admission and discharge to detect—

A

Medication discrepancies.

129
Q

29-year–old male smoker with a 10 day history of cough. Low-grade fever X 2 days-resolved.. PE: mild rhinorrhea;lungs-clear.

A

Dx: Acute bronchitis-viral (90%).
Rx: Supportive care only.

130
Q

According to the American heart association patients that need prophylaxis—

A

A 35-year-old female with a history of infectious endocarditis that was related to intravenous drug use.

131
Q

69-year-old male presents with acute right hip pain. Denies history of trauma. PE: limited ROM; C-reactive protein mildly elevated.

A

Dx; Arthrocentesis; (Septic Arthritis).

132
Q

Rx for obsessive-compulsive disorder.

A

Cognitive-behavioral therapy.

133
Q

63-year-old female taking omeprazole 20 months.

A

Dx: Rx associated with hip fracture.

134
Q

4-year-old male for well-child visit new skin lesions first appearing on back and now behind right knee. PE: Flesh-colored, dome shaped papules.

A

Dx: Molluscum contagiosum.
Rx: Observation only.

135
Q

34 y/o M with 3 day history of runny nose, postnasal drainage, sinus congestion, and left- sided facial pain.

A

Dx: Acute Rhinosinusitis
Rx: Mometasone ( Nasonex).

136
Q

What age to switch to universal screening strategy for colon cancer ?

A

Age 75.

137
Q

18-month-old male for well child visit has suggestion finding of muscular dystrophy.

A

Dx: . Head lag when sitting up.

138
Q

Commonly associated with oligohydraminios–

A

Posterior urethral valves.

139
Q

47-year-old female carpenter secondary to trauma. Best coverage for MRSA or Strep pyogenes

A

Rx: Trimethoprim/sulfamethoxazole & Cephalexin..

140
Q

65-year-old male with hemoglobin 10.2 mean corpuscular volume 80 ferritin level/millimeter, reticulocyte index 0.3%.

A

Dx: Iron deficiency anemia

141
Q

Cross-side baby needs ophthalmology referral by what age?

A

6 months.

142
Q

47-year-old male with three-day history of fever, chills, low back pain, and urinary urgency. Temp 100.6 pulse 88 respiration 14 per minute.

A

Dx; Culture of midstream 40 urine (acute bacterial prostatitis).

143
Q

57-year-old female admitted for lower lobe pneumonia. No history of diabetes mellitus but has a blood glucose level of 172.. At what level should insulin B initiated.

A

180/dL

144
Q

Best prevention for Traveler’s diarrhea?

A

Wash hands frequently.

145
Q

52-year-old smoker presents with respiratory symptoms X 24 hours with rapid onset of fever chills nausea myalgias and sore throat. PE :temp 101.8, O2 sat 94% on room air, heart rate 102, respiration 24.

A

Dx: Influenza
Rx: Tamiflu (Oseltmivir).

146
Q

33-year-old female gravida 2 para 2 presents with one-year history of a menorrhea, hot flashes, and vaginal dryness, Lab: elevated LH and FSH levels.

A

Dx: Primary ovarian insufficiency.

147
Q

2-year-old female presents for health maintenance visit What preventional health screenings does she need.?

A

Screening for hepatitis C virus.

148
Q

69-year-old male presents for follow-up of hypertension treated with spironolactone (Aldactone) and amlodipine. Hx of kidney stone. Lab: CA+ level 12.

A

Dx: Primary Hyperparathyroidism ( hypercalcemia is the most common cause).

149
Q

a 7 year old male admitted for RSV bronchiolitis with attempt of 100.2, pulse 160, respirations 70, oxygen saturation 92% room air. PE: Lungs reveal diffuse wheezing and crackles with nasal flaring and retractions.

A

Rx: Nasogastric fluids (supportive care).

150
Q

30-year-ol with intermittent right upper quadrant pain after meals. Temp is 102.6 and he appears toxic PE examination of abdomen reveals a positive Murphy’s s. Lab: WBCs 3000, ALT 132, AST 123, alkaline phosphatase, 200 bilirubin 2.6

A

Dx: Acute cholangitis.

151
Q

3-year-old female with a three-day history of pain, numbness and weakness in her right arm and shoulder. Positive history

A

Dx: Dislocation of shoulder.
Rx: Shoulder reduction.

152
Q

For women capable or planning pregnancy the US preventative service recommends—-

A

Rx: Folic acid 0.4–0.8 mg daily.

153
Q

11 year old female brought in by her mother for scoliosis. What indicates referral to specialist?

A

A Cobb angle of 20°

154
Q

a 43-year-old execuive with insomnia takes doxepin (Silenor).

A

Rx: Eszopiclone (Lunesta).

155
Q

6-year-old male with persistent cough with no history of URI. Denies history of asthma.

A

Dx: GERD
Rx: PP Inhibitor trial.

156
Q

25-year-old Guatemala female in for routine OB care. She does not speak English.

A

Recommend use of telephone interpreting service.

157
Q

65-year-old female with T score of -2.0 with osteopenia. Treatment for 10 year risk of major fracture is indicated at what percent?

A

20%

158
Q

21-year-olld gravida 1 para 0 diagnosed with hyper thyroidism in first trimester.

A

Rx: Propylthhiouracil..

159
Q

55-year-old male presents with severe pain, swelling and erythema in his left first MT joint

A

Rx: Colchichine (Colcrys).

160
Q

30-year-old male treated for with topical medications for papulopustular rosacea.

A

Rx: doxycycline.

161
Q

25-year-old female with bulge in the vaginal opening..

Initial treatment—-

A

Rx: Ring pessary

162
Q

2 week old infant brought in for well child check.. Primarily breast-fed.

A

he should be given 4000 international units of supplemental vitamin D daily.

163
Q

70-year-old male presents preoperatively for THR replacement. What lab tests should he have?

A

Renal function studies.

164
Q

12-year-old female presents with three-week history of left groin pain. PE: Limited internal rotation of hip.

A

Dx: Slipped capital femoral epiphysis

abfm 2018 (3 decks)

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