ABFM Exam Questions and answers

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child with head lice rx'd with shampoo permethrin still has nits in her can she go to school? yes as long as continue home remedy, nit combing and repeat permethrin shampoo in 6 days is dive... rticular bleeding painful? no - abdominal pains 00:04 01:13 BP recommendation for >65 150/90 young boy left hip pain afebrile ESR normal WBC normal Radiograph knee and hip normal dx? rx? transient synovitis rx: nsaids rx for SVTs but short-term and llong term CCB eg verapamil, diltiazem 16 yo fatigue on OCPs low bleed on periods normal TSH normal Hct normal RBC count MCV <80 what lab test next? Hgb electrophoresis - check beta thalassemia Signs of ALS - mainly motor sx asymmetrical weakness in legs, feet, ankles slurred speech trouble swallowing SOB wt loss mcc urge incontinence in elderly detrusor instability what diabetes medications are good for prevention of developing DM in pre-diabetes pt metformin "alpha-glucosidase inhibitors (acarbose) orlistat thiazolidinediones most specific sign of peritonsillar abscess difficulty opening mouth rx management for concussion physical and cognitive rest - avoid physical activity that exacerbate sx - avoid activities that require concentration or attention, such as schoolwork and electronics use. lung cancer screening recommendation ANNUAL low-dose noncontrast CT Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently smoke or have quit smoking within the past 15 years. non-medical indicated (elective) induction of labor or C-section deliveries should be scheduled at what GA? 39wks 0 d drug to prevent seizure in alcohol withdrawal benzos initial rx allergic rhinitis intranasal steroids most effective medication to prevent relapse in alcohol abuse naltrexone do not use acamprosate if renal disease which SSRI should be prevented in elderly paroxetine - anticholinergic effects screen for autism at what age in kids? 18 - 24months bacterial vaginosis has vagina pH ? >4.5 29 yo woman 30weeks gestation received Tdap 3 years ago what vaccine should she receive? Tdap again 27 -36 weeks gestation, regardless of when they last received it rx for acute gout pt has HTN and CKD prednisone note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best in CKD mcc med-induced adverse drug events in US anti-coags most common risk factor for uncomplicated cystitis Frequent sexual intercourse others: - spermicide use - previous UTI - new sex partner - fam hx UTI in first degree female relative first line rx primary dysmenorrhea nsaids surveillance for barett's esophagus without dyspasia endoscopy q 3 years best initial rx for keloid intralesional corticosteroid injections. rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % 20% pt with osteopenia (T <2.5) risk of fracture <20% what meds do you start on calcium and vit d supplements test for meniscus tears thessaly test This patient has low energy, menstrual irregularities, and a history of stress fractures, BMI <18...is consistent with ______ dx? what test does she need? the female athlete triad. She is at risk for altered bone density and needs a bone mineral density test. pt with exercise induced asthma pt can prevent this by? albuterol 10-15min before exercise does ankylosing spondylitis improve with exercise and activity? yes also note: - pain worse in evening - stiffness worse in morning pt wwith ASCVD risk >7.5% should be started on? moderate-or-high intensity statin note: - fibrates don't have effect on CVD and are not part of recommendation guidelines what pneumococcal vaccine should 65yo receive PCV13 now and PPSV23 in 1 year mcc hearing loss in newborn genetics A 32-year-old female at 12 weeks gestation presents with an itchy vulvar lesion, which you diagnose as external genital warts. Which one of the following would be accurate advice regarding treatment? - The recurrence rate is low with treatment - Cryotherapy is the most effective treatment - Treatment should be based on patient preference - Treatment is effective in preventing congenital transmission Treatment of genital warts should be based on patient preference and cost. There is no treatment that is more effective than others, and the recurrence rate for any treatment is [Show More]

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