Family Medicine Board Review| 204 questions| with complete solutions

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Nausea in pregnancy Correct Answer: Vitamin B6 When to give flu vaccine in pregnancy Correct Answer: Anytime • According to the American Heart Association's 2007 guidelines, prophylaxis to p... revent bacterial endocarditis associated with dental, gastrointestinal, or genitourinary procedures Correct Answer: indicated only for high-risk patients with prosthetic valves, a previous history of endocarditis, unrepaired cyanotic congenital heart disease (CHD), or CHD repaired with prosthetic material, and for cardiac transplant recipients who develop valvular disease Approximately 0.3% of patients taking methimazole develop Correct Answer: agranulocytosis Outcomes for both the mother and infant improved with pharmacologic management of GDM Correct Answer: decreased risk for operative delivery, large-for-gestational-age infants, shoulder dystocia, and maternal preeclampsia Motor side effects of the antipsychotic drugs can be separated into five general categories: Correct Answer: dystonias, parkinsonism, akathisia, withdrawal dyskinesias, and tardive dyskinesia. Akathisia is a syndrome marked by motor restlessness Erythrasma fluoresces with Correct Answer: Wood's light Erythrasma Correct Answer: A superficial gram-positive bacterial infection caused by Corynebacterium minutissimum. The fluorescence is caused by porphyrins. Erythrasma is most often seen between the toe web spaces, followed by the groin and axillae. There are multiple treatments, including topical and oral erythromycins and clindamycins Drugs appropriate for uterine atony and postpartum hemorrhage Correct Answer: Carboprost (Hemabate), Methylergonovine, Misoprostol (Cytotec), Oxytocin (Pitocin) Carboprost Correct Answer: contraindicated in patients with asthma Methylergonovine Correct Answer: contraindicated in hypertensive patients but may be used in patients with asthma. Acute parotitis common cause Correct Answer: commonly caused by dehydration Acute parotitis treatment Correct Answer: Empiric treatment is directed toward gram-positive and anaerobic organisms, with the most common pathogen being Staphylococcus. These are often penicillin resistant so a β-lactamase inhibitor (Augmentin) is the agent of choice The American Heart Association and the American College of Cardiology recommend that asymptomatic patients with mild aortic stenosis undergo repeat echocardiography ________________ Correct Answer: every 3-5 years the barometer for vitamin D status Correct Answer: 25-hydroxyvitamin D Only medication with consistent evidence showing that it improves depression symptoms in children and adolescents Correct Answer: Fluoxetine Body lice transmit _______________________________ Correct Answer: Bartonella quintana Bartonella quintana causes Correct Answer: trench fever The laboratory finding most classically associated with giant cell arteritis Correct Answer: Elevated (ESR) Sedimentation Rate The best regimen for the treatment of exercised-induced bronchospasm Correct Answer: An inhaled daily low-dose corticosteroid plus occasional use of as-needed inhaled albuterol The recommended management for patients who have non-severe Salmonella infection and are otherwise healthy is ____________________ Correct Answer: no treatment Patients with salmonella with high-risk conditions that predispose to bacteremia, and those with severe diarrhea, fever, and systemic toxicity or positive blood cultures __________________________ Correct Answer: should be treated with levofloxacin, 500 mg once daily for 7-10 days (or another fluoroquinolone in an equivalent dosage) Graves disease Correct Answer: high uptake of radioactive iodine on scan Leading cause of death in world Correct Answer: ischemic heart disease Diagnosis of acute compartment syndrome Correct Answer: Tissue pressure studies Truvada Correct Answer: Used for pre-exposure prophylaxis for HIV. Check Ab for HIV first. Recommended after DVT diagnosis Correct Answer: Early ambulation Anthrax incubation period is _____________________ Correct Answer: 60 days Croup Rx for all mild to severe disease __________________ Correct Answer: oral dexamethasone [Show More]

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