AAFP BOARD REVIEW FINAL EXAM AAFP BOARD

AAFP BOARD REVIEW FINAL EXAM /AAFP BOARD

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Which one of the following statements is TRUE regarding the use of antidepressants for smoking cessation? - ANSWER-Bupropion is contraindicated in a patient with an eating disorder

The number 1 cause of preventable morbidity and mortality in the US today is which of the following? - ANSWER-Tobacco

Which of the following statements is true regarding alcohol abuse counseling? - ANSWER-The USPSTF recommends screening and counseling adults the risks of alcohol misuse

Which immunization would be considered safe to administer during pregnancy? - ANSWER-Tdap

Self-help measures recommended for patients with NYHA class 2 HF is on optimal medications include which one of the following? - ANSWER-Avoiding NSAID use

How much daily vitamin D supplementation do infants need during the first month of life? - ANSWER-Breastfed infants should have 400 IU of Vitamin D

Following a scheduled repeat C-section delivery, a term infant has a respiratory rate >60. What is the most common cause of this presentation? - ANSWER- Transient tachypnea of the newborn

Breastfeeding jaundice is characterized by - ANSWER-insufficient feeds

What advice would you give parents to reduce the risk of death from sudden infant death syndrome (SIDS) in their infant? - ANSWER-Avoid exposure of the infant to second-hand smoke

The majority of failure to thrive cases in infants is due to - ANSWER-inadequate caloric intake

What will Medicare cover for an elderly couple asks you how they will pay to live in facility. Which of the following is NOT true? - ANSWER-Medicare will pay once a medical need for services is clearly documented

The largest portion of the Medicare budget is spent on - ANSWER-the 20% of Medicare recipients with five or more chronic diseases

Patient on meds including risperdone, metoclopramide, and valproate presents with Parkinson's symptoms (trouble standing, walking then freezing, flat affect), so your next step is - ANSWER-stop his risperdone, metoclopramide, and valproate

Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about dyskinesia. Which would be a good choice to decrease long term effects of this? - ANSWER-Dopamine agonist, such as ropinirole

Elderly patient develops C. Diff, so your next step is - ANSWER-begin PO vancomycin 125mg QID

What causes peripheral vision loss? - ANSWER-glaucoma

Presbycusis is typically associated with the reduction in what type of hearing loss? - ANSWER-hearing threshold at higher frequencies

Elderly woman presents with 4 week history of early morning shoulder and hip discomfort and ESR of 52. What condition associated this primary diagnosis is she at risk for developing? - ANSWER-giant cell arteritis (polymyalgia rheumatica)

A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray confirms T4 vertebral compression fracture and diffuse osteopenia. Your next

step: - ANSWER-work up for secondary causes of osteoporosis

Which of the following has been shown to have analgesic benefit in acute osteoporotic fractures? - ANSWER-calcitonin

A demented 70 yo, widowed woman is admitted to your service and determined to lack capacity. There are no advance directives. Who is typically

next in line for decision making: - ANSWER-her sister

Patient with dementia says no to pacemaker but DPOA/daughter says yes to pacemaker procedure for sick sinus syndrome. The most appropriate next step is - ANSWER-not proceed with the procedure (has capacity)

The most common cause of lack of sexual activity in older heterosexual couples is - ANSWER-male's medical condition

An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000 e. coli. You should prescribe antimicrobials if - ANSWER-she has frequency, urgency, dysuria, or suprapubic pain

Of the following recommendations, which has not been shown to be helpful for recovery of acute low back strain? - ANSWER-corticosteroids

Which of the following is the USPSTF's recommendation regarding daily supplementation of vitamin D and calcium for postmenopausal women to prevent fracture? - ANSWER-supplementation of vitamin D3 and calcium is not recommended for primary prevention only

Type 2 DM, acute low back pain with dorsal foot paresthesias and dorsiflexion weakness, and positive straight leg test on right. Which of the following recommendations is best supported by the clinical evidence? - ANSWER- consider surgical intervention due to motor deficit

Which of the following statements best describes an overuse tendonopathy such as lateral epicondylosis or patellar tendonosis? - ANSWER-rehabilitation with eccentric contractions are recommended to resolve these overuse tendinopathies

New overweight runner with pain in patella first late in run and now earlier in run and after run along with crepitus. No acute injury. Which of the following is the most appropriate treatment for her condition? - ANSWER-reduction in running distance and physical therapy

Which of the following is the most sensitive finding in patients with carpal tunnel syndrome? - ANSWER-Flick sign