Wrong AAFP Questions Flashcards
Absolute contraindications to ECT
None
Treatment of pneumonia in children
- Outpatient abx appropriate if child does not have toxic appearance, hypoxemia, signs of respiratory distress, or dehydration
Management of midshaft posteromedial stress fractures
- Relative rest from running and avoiding other activities that cause pain
- Pneumatic stirrup leg brace during treatment
Most appropriate screening test for late-onset male hypogonadism
Serum total testosterone
Management of low TSH in patient being treated for hypothyroidism
Decrease levothyroxine dosage
Management of plantar fasciitis
First-line: NSAIDs and ice, over-the-counter heel inserts
Most accurate test for detecting ACL tear
Lachman test
Colon cancer screening for patients with one first-degree relative diagnosed with colorectal cancer or adenomatous polyps before age 60, or at least 2 second-degree relatives with colorectal cancer
- Begin at age 40 or 10 years before the earliest age at which an affected relative was diagnosed
- Rescreen every 5 years
Medications associated with drug-induced pleuritis
Amiodarone Bleomycin Bromocriptine Cyclophosphamide Methotrexate Minoxidil Mitomycin
Treatment of wide-complex tachycardia in patients with WPW syndrome
Procainamide
Treatment of nursing home-acquired pneumonia
Antipseudomonal cephalosporin, extended-spectrum beta lactam, or antipseudomonal carbapenem
+
Antipsuedomonal fluoroquinolone or aminoglycoside
+
Anti-MRSA agent (linezolid, vancomycin)
Treatment of depression in pregnancy
SSRIs (except paroxetine)
Dysuria, frequency, and pyuria with no bacterial growth on culture
STI such as Chlamydia
Cautious gait with abducted arms and legs, careful “walking on ice” movements, wide-based stance, and “en-bloc” turns
Visual impairment
Intervention for anorexia nervosa
Family-based treatment
Aspirin use for reduction of ischemic strokes
Recommend in women ages 55-79 when potential benefit outweighs potential harm
Aspirin use for reduction of MIs
Recommend in men ages 45-79 when potential benefit outweighs potential harm
Asthma medication that should not be used as monotherapy
Long acting beta2-agonists
Primary treatment for symptomatic mitral valve prolapse
Beta blockers
Prophylaxis for acute mountain sickness in patients with sulfa allergy
Dexamethasone
Most commonly implicated drug in interstitial nephritis
Antibiotics (penicillins, cephalosporins, and sulfonamides)
Supplement useful in treating varicose veins
Horse chestnut seed extract
Contraindications to breast feeding
- Active HSV lesions on the breast
- Active maternal TB
- Administration or use of radioactive isotopes, chemotherapeutic agents, “recreational” drugs, or certain prescription drugs
Most common cause of erythema multiforme
Herpes simplex virus
Treatment of pyogenic tenosynovitis
Splinting and oral antibiotics
Greatest risk factor for AAA
Cigarette smoking
Which tinea infection in children requires systemic antifungals?
Tinea capitis
Adverse effects of PPIs
- Increased risk of CAP and C. diff
- Decreased absorption of vitamin B12
- Decreased calcium absorption
Most effective treatment of chronic plaque psoriasis
High-potency corticosteroids
Most effective adjunctive therapy for patients with unipolar depression who fail to respond with single antidepressant
Lithium bicarbonate
Presentation of malaria
- Recent travel history, prodrome of delirium or erratic behavior, unarousable coma following a generalized convulsion, fever, and lack of focal neurological signs in presence of diffuse, symmetric encephalopathy
- Peripheral blood smear: normochromic, normocytic anemia with P. falciparum trophozoites and schizonts involving erythrocytes
Recommendations for induction of labor based on fetal size
- 4500 g in women without diabetes
- 5000 g in women with diabetes
Treatment of cutaneous erythasma
Topical or oral erythromycin
Treatment of chronic paronychia
- Topical corticosteroids
- Avoiding immersion of hands in water
- Emollients
management of thrombosed external hemorrhoid
Thrombectomy under local anesthesia
Hemoglobin goal in patients with CKD and anemia
10-12 g/dL
Symptoms of asthma with normal pulmonary function tests except for flattening of inspiratory loop
Vocal cord dysfunction
Empiric antibiotic regimen for Neontal sepsis
Ampicillin + cefotaxime
Next step in asthmatic child receiving albuterol and corticosteroids with no improvement
IV magnesium sulfate
Safe medication to treat patient with diabetes who also has renal impairment
Glipizide (Glucotrol)
Treatment of essential tremor in patients intolerant to beta blockers
Primidone (Mysoline)
First-line treatment for urge incontinence
- Pelvic muscle exercises
- Anticholinergic therapy
What symptom is consistent with spinal stenosis but not herniated vertebral disc?
Pain relieved by sitting and worsened with standing (opposite for disc herniation)
Vitamin D recommendation in infants, children, and adolescents
400 IU/day starting within first 2 months of birth in infants
Effect of weight reduction on cardiovascular mortality
None
Effective strategy shown to increase success of voiding trial in hospitalized patients with urinary retention
Initiation of alpha blocker at time of urethral catheter insertion
Most common infectious agent in cat bites
Pasteurella multocida
Management of pneumothorax <20%
If patient has few symptoms, followup should include CXR at 24-48 hours
Other allergies associated with latex allergy
Avocados, bananas, chestnuts, and kiwi
Which cardiac arrhythmia ha s been associated with high-dose methadone use?
Torsades de pointes
Treatment of a-fib
Low risk: aspirin
Moderate-high risk: warfarin
Treatment of persistent urethritis in males
Azithromycin or doxycycline
+
Metronidazole
Bilateral nipple pain with and between feedings after initial soreness has resolved
Candida infection
Treatment of Bartonella henselae infection
Azithromycin, rifampin, ciprofloxacin, TMP-SMX, or gentamicin
Causes of macroglossia
- Developmental conditions (Down syndrome)
- Tumor (hemangioma or lymphangioma)
- Metabolic diseases (amyloidosis)
- Endocrine disturbances (acromegaly or cretinism)
Treatment of mild-moderate allergic rhiniits
Intranasal corticosteroids
Treatment of bronchiolitis
Supportive care
Management of prostate cancer in men >65 wth small-volume, low-grade disease and 10-15 year life expectancy
Watchful waiting
Threshold for prophylactic platelet transfusion
10,000
Which medications have the best evidence for preventing hip fracture?
- Zoledronic acid
- Risdronate
- Alendronate
Which medications have been shown to be an effective adjunctive therapy for venous ulcers?
- Pentoxifylline (Trental)
- Aspirin
Initial treatment of acute low back pain without sciatic features
Return to normal activities
Initial study for patient of any age with chronic neck pain and no history of trauma, malignancy, or surgery
Complete cervical spine series
Which NSAID should be avoided in older patients according to the Beers Criteria?
Indomethacin
Preferred initial test for renovascular hypertension in patients with impaired renal function
Duplex Doppler ultrasonography
Initial dose of warfarin in elderly or patients who have conditions such as heart failure, liver disease, or history of recent surgery
Max dose = 5 mg
Treatment of medial third clavicular fractures in pediatric patients
Sling and swathe (figure-of-8 apparatus)
Treatment of boxer’s fracture
Ulnar gutter splint