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AAFP Board Exam Review 2022 COMPLETE SOLUTION 325 Questions with 100% Correct Answers|AAFP Board Review| 160 Questions| with complete solutions|AAFP Family Med Shelf Review| 403 QUESTIONS| WITH COMPLETE SOLUTIONS|AAFP Family Medicine Board EXAM Review 785 Questions with 100% Correct Answers

What screening test has most potential for overdx? Correct Answer: PSA- Overdiagnosis is the diagnosis of a disease that will not produce symptoms during a patient's lifetime. It tends to occur ... with cancers that have very slow rates of growth. Prostate cancer is most often a slow-growing cancer and is often present without symptoms in older men. The introduction of prostate-specific antigen (PSA) screening was accompanied by a marked rise in the rate of diagnosis of prostate cancer while mortality decreased much less significantly, and this decrease was probably largely attributable to improved treatment. What is the treatment for mallet fracture? Correct Answer: The recommended treatment for a mallet fracture is splinting the distal interphalangeal (DIP) joint in extension (SOR B). The usual duration of splinting is 8 weeks. It is important that extension be maintained throughout the duration of treatment because flexion can affect healing and prolong the time needed for treatment. If the finger fracture involves >30% of the intra-articular surface, referral to a hand or orthopedic surgeon can be considered. However, conservative therapy appears to have outcomes similar to those of surgical treatment and therefore is generally preferred.how to differentiate between chlamydial and RSV infections Correct Answer: chlamydia: hx of conjunctivitis, subacute onset, absence of fever, mild wheezing meds for BPH and lower urinary tract symptoms Correct Answer: alpha blocker, 5-a-reductase inhibitor (if there's evidence of prostatic enlargement or PSA > 1.5 ng/mL), phosphodiesterase-5 inhibitor, and antimusc therapy tx for mallet fracture - forced flexion injury of DIP resulting in a small bone fragment at dorsal surface of proximal distal phalanx Correct Answer: splinting the DIP in extension duration of 8 wks if fx involves > 30% of intra-articular surface - referral to specialist tx for acute depression and maintenance therapy of bipolar disorders Correct Answer: Li valproate lamotrigine some antipsychotics (including quetiapine) necrotizing fasciitis Correct Answer: severe pain and skin changes outside the realm of cellulitis - including bullae and deeper discoloration tx: aggressive surgical debridement w/in 12 hrs Pt on amiodarone what hormone should be monitored? Correct Answer: TSH f/u q6 months______ is a metabolite of codeine that can be found in urine of someone taking a codeine- containing medication Correct Answer: morphine Initial management of hypercalcemia of malignancy Correct Answer: fluid replacement with NS Symptomatic uterine fibroid treatment for woman who wants to get pregnant Correct Answer: myomectomy Benign condition resulting from abuse of anthraquinone laxatives (cascara, senna, or aloe) --> leopard spotting of colonic mucosa Correct Answer: melanosis coli HCM becomes louder during this maneuver, due to decreased venous return to heart --> decreasing cardiac output Correct Answer: Valvalsa Limping and pain w/ limited rotation in overweight boys Correct Answer: slipped capital femoral epiphysis Percutaneous endoscopic gastronomy (PEG) tubes associated w/ Correct Answer: increased use of restraints Best for diagnosis of COPD Correct Answer: spirometry Pain with eye movement Correct Answer: orbital condition Drugs causing drug-induced lupus pleuritis Correct Answer: -Hydralazine -Procainamide -Quinidine Treatment of choice for Wolff-Parkinson White syndrome Correct Answer: Procainamide Why Metformin should be stopped temporarily before CT angiograms Correct Answer: temporary reduction in renal function (like during pyelography or angiography) can cause lactic acidosis in pts on metforminAbsolute contraindications to electroconvulsive therapy (ECT) Correct Answer: There are no absolute contraindications to ECT Treatment of community acquired pneumonia in infants and children Correct Answer: - Diagnosis of *community-acquired pneumonia* is mostly based on the history and physical examination - Pneumonia should be suspected in any child with *fever, cyanosis, and any abnormal respiratory finding* in the history or physical examination - Outpatient antibiotics are appropriate if the child *does not have a toxic appearance, hypoxemia, signs of respiratory distress, or dehydration* - *High-dose amoxicillin* is the drug of choice Current practice is to introduce solid foods into the diet at what age for normal term infants Correct Answer: 4-6 months of age as the extrusion reflex disappears by the age of 4 months Treatment of midshaft posteromedial tibial stress fractures Correct Answer: An air stirrup leg brace (Aircast) Most appropriate test to screen for late-onset male hypogonadism Correct Answer: Total testosterone Treatment of pediatric HSV-1 infection Correct Answer: Acyclovir suspension Most accurate maneuver for detecting an ACL tear Correct Answer: - Lachman test (sensitivity 60%-100%, mean 84%), - Anterior drawer test (sensitivity 9%-93%, mean 62%) - Pivot shift test (sensitivity 27%-95%, mean 62%) Diagnosis of multiple myeloma is based on Correct Answer: [Show More]

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