AAFP Family Med Shelf Review Exam questions and answers. Rated A+

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AAFP Family Med Shelf Review Exam questions and answers. Rated A+ ______ is a metabolite of codeine that can be found in urine of someone taking a codeine-containing medication - ✔✔morphine ... Initial management of hypercalcemia of malignancy - ✔✔fluid replacement with NS Symptomatic uterine fibroid treatment for woman who wants to get pregnant - ✔✔myomectomy Benign condition resulting from abuse of anthraquinone laxatives (cascara, senna, or aloe) --> leopard spotting of colonic mucosa - ✔✔melanosis coli HCM becomes louder during this maneuver, due to decreased venous return to heart --> decreasing cardiac output - ✔✔Valvalsa Limping and pain w/ limited rotation in overweight boys - ✔✔slipped capital femoral epiphysis Percutaneous endoscopic gastronomy (PEG) tubes associated w/ - ✔✔increased use of restraints Best for diagnosis of COPD - ✔✔spirometry Pain with eye movement - ✔✔orbital condition Drugs causing drug-induced lupus pleuritis - ✔✔-Hydralazine -Procainamide -Quinidine Treatment of choice for Wolff-Parkinson White syndrome - ✔✔Procainamide Why Metformin should be stopped temporarily before CT angiograms - ✔✔temporary reduction in renal function (like during pyelography or angiography) can cause lactic acidosis in pts on metformin ______ except for Paroxetine are most safe during pregnancy, compared to other psychiatric medications - ✔✔SSRIs (like Fluoxetine) Children under age of 2 with paroxysms of colicky abdominal pain, with a palpable mass in 2/3s of patients - ✔✔Intussusception Indicated for tx of severe osteoporosis, for pts w/ multiple osteoporosis risk factors, or with failure of bisphosphonate therapy - ✔✔teriparatide ASA rec guidelines - ✔✔men 45-79 w/ risk reduction women 55-79 w/ risk reduction insufficient evidence beyond 80+ Medication that should never be used as monotherapy in asthma - ✔✔long-acting B2 agonists Preliminary testing for IBD - ✔✔-CBC -Chem panel -ESR Primary treatment for symptomatic mitral valve prolapse - ✔✔beta blockers Prophylactic tx for altitude sickness with no contra-indication for those w/ sulfa allergy - ✔✔dexamethasone Most common drug-related cause of interstitial nephritis - ✔✔antibiotics Describe scromboid poisoning - ✔✔Rxn from improperly stored fish (tuna, mackerel, wahoo, and bonito) Next step in management for woman > 35 yo with abnormal vaginal bleeding - ✔✔endometrial assessment to exclude endometrial hyperplasia or cancer Adding what to SSRI for tx resistant depression - ✔✔lithium of low dose T3 Test for proteinuria on dipstick w/ no obvious underlying problem - ✔✔urine protein/creatinine ratio Initial treatment of choice for cervical radiculopathy - ✔✔NSAIDs Travel hx, prodrome of delirium/erratic behavior, unarousable coma, generalized convulsion, fever, lack of focal neurologic signs, symmetric encephalopathy - ✔✔malaria Interference with skilled movements, usually from stroke - ✔✔apraxia Tx for cutaneous erythrasma - ✔✔erythromycin Tx for chronic paronychia - ✔✔topical corticosteroid and avoidance of contact irritants/hands in water Inadequate hip abductor and core strength in adolescent females - ✔✔patellofemoral pain Associated with vacuum-assisted delivery - ✔✔higher rates of neonatal cephalhematoma and retinal hemorrhage compared to forceps; increased incidence of shoulder dystocia Best initial imaging study for acute pelvic pain in women - ✔✔transvaginal ultrasound Supplement to take orally when hx of calcium oxalate stones - ✔✔potassium citrate (increases urinary pH and urinary citrate) Standard 1st line imaging for stress fractures - ✔✔plain radiograph Ethylene glycol poisoning antidote - ✔✔Fomepizole (Antizol) Tx for preventing stent thrombosis - ✔✔ASA 162-365 mg/day, plus clopidogrel, 12mo First line tx for urge urinary incontinence - ✔✔behavioral therapy and anticholinergics Daily recommended intake of Vitamin D for infants, children & adolescents - ✔✔400 IU/day Broadest range of efficacy for PTSD - ✔✔SSRIs Increases success of voiding trial at time of insertion of urethral catheter - ✔✔alpha blocker (tamsulosin) Comatose, decreased breathing, slow pulse, miotic pupils - ✔✔narcotic overdose Beefy red rash on child perineum - ✔✔Group A Strep Tx for <15% pneumothorax - ✔✔Observation, f/u radiograph in 24-48 hours Foods with cross-reactivity with latex allergy - ✔✔avocados, bananas, chestnuts, kiwi Cardiac arrhythmia associated w/ high-dose methadone - ✔✔torsades de pointes Best choice for initial tx of RA - ✔✔MTX Tx adjunct with TMP-SMX for Pneumocystis pnuemonia - ✔✔corticosteroids TDZs (pioglitazone) contraindicated in this population - ✔✔heart failure patients Bilateral nipple pain and soreness between feedings - ✔✔Candida infxn Antibx for Bartonella henselae infection - ✔✔macrolides Main tx for mild to moderate cases of allergic rhinits - ✔✔intranasal corticosteroids Bronchilitis tx - ✔✔bronchodilator may be tried once and discontinued if no improvement Mirena contra-indications - ✔✔-uterine anomalies -postpartum endometritis -untreated cervicitis -current PID Diagnostic imaging for cardiac embolization to abdomen - ✔✔celiac and mesenteric arteriography Threshold for prophylactic platelet transfusion - ✔✔10,000/microL Meds that prevent hip fractures - ✔✔-Alendronate -Zoledronic acid -Risedronate First line agents for ovulation induction and tx of infertility in pts w/ PCOS - ✔✔-Metformin -Clomiphene [Show More]

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