AAFP BOARD REVIEW NEWEST EXAM -

AAFP BOARD REVIEW NEWEST EXAM -

QUESTIONS AND CORRECT VERIFIED ANSWERS 100% GUARANTEED

PASS!|ALREADY GRADED A+

options for BPH - ANSWER-1) α-adrenergic blocker 2) 5-α-reductase inhibitor (if evidence of prostatic enlargement or PSA level >1.5 ng/mL), 3) phosphodiesterase-5 inhibitor 4) antimuscarinic therapy

common cause of work related asthma - ANSWER-Dilscocyanates

Tx for pertussis - ANSWER-macrolide (azithromycin)

chronic dyspnea and wheeze in someone with history of prolonged intubation and normal CXR - ANSWER-tracheomalacia

testing for adult with new onset asthma - ANSWER-spirometry with and without bronchodilators

management of pneumomediastinum in setting of asthma exacerbation - ANSWER-inhaled bronchodilaters and systemic steroids

what test do you do when patient has dermatomyositis as part of a paraneoplastic syndrome - ANSWER-CT chest, abdomen, and pelvis

Tx for tender erythema nodosum - ANSWER-ibuprofen

work up for unilateral wheezing unresponsive to bronchodialtors - ANSWER- bronchoscopy

• concern for endobronchial lesion/ obstruction

monteleukast - ANSWER-can be associated with vivid dreams and nightmares

follow up for smoker with single lung nodule found 6- 8 mm - ANSWER-repeat CT in 6 months

tx for hypersensitivity pneumonitis - ANSWER-oral prednisone

vocal cord dysfunction can cause episodic wheezing and dyspnea - ANSWER-- do larygnoscopy

lung cancer with paraneoplastic syndrome of hypercalcemia - ANSWER- squamous cell carcinoma of the lung

when is it time to refer for mitral valve repair? - ANSWER-mitral regurg with EF < 60%

drugs that limit the frequency of COPD exacerbations - ANSWER-rofumilast and azithromycin

what do you do with warfarin for a patient with a mechanical mitral valve going for surgery? - ANSWER-discontinue warfarin 5 days before surgery, start IV heparin when INR < 2.5

resp status for someone in status asthmaticus - ANSWER-resp acidosis (high co2), and high bicarb (metabolic alkalosis to compensate)

next best workup for man with dec libido and fatigue is check Testosterone.If testosterone is low, indicating hypogonadism, whats the next best test? - ANSWER-- FSH and LH levels (high= primary, normal/low= secondary)

- to work up secondary: pituitary, Hgb, others

Tx for constipated kid - ANSWER-miralax

Bicep tendinitis - ANSWER-- pain with resisted supination of the hand with the elbow flexed to 90 deg

medication to use for a chronic refractory cough - ANSWER-gabapentin (after asthma, GERD, and upper airway cough are ruled out)

when is it appropriate to check vitamin D levels? - ANSWER-1) kidney disease 2) skeletal disorders 3) hypercalcemia

stabbing pain over the anteromedial plantar aspect of the heel - ANSWER- plantar fasciiitis

inducers of p450 (dec INR) - ANSWER-mona steals phen phen and never refuses greasy carbs

Modafanil, St john wart, phenytoin, phenobarbital, nevirapine, rifampin, griseofulvan, carbemazepine

1st line for primary dysmenorrhea - ANSWER-NSAIDS

positive PPD guidelines (within 48-72 hours) - ANSWER->5 mm - increased risk (exposure, immunosuppressed, prior TB) >10 mm-ppl at increased risk >15 mm - no known risk factors

Tx for Bartholin gland abscess (fluctuant mass) - ANSWER-- marsupialization 0% recurrence rate at 6 months.

NYHA HF classifications - ANSWER-I- no sx or limitations II- mild sx w normal physical activities III- sig limitations on activities, sx with less than normal activities IV- sx at rest, unable to carry on activities without discomfort

kid with asthma, fail to improve with nebs x 3 what should you give next? - ANSWER-IV magnesium sulfate

• can reduce the likelihood of hospital admission

Tresiba (degludec) is ultra long lasting - 42 hours - ANSWER-

Signs that asthma exacerbation may be life threatening - ANSWER-- AMS

• absence of wheezing
• paradoxical chest or abdominal mvmt

• PaC02> 42 may indication severe resp failure