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3rd year/clinical > AAFM question review > Flashcards

AAFM question review Flashcards

1
Q

what is the most appropriate test to assess for Vitamin D deficiency

A

25-hydroxyvitamin D

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2
Q

what is a pet reptile most likely to transmit to human contacts

A

salmonella

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3
Q

what is the treatment of choice for kawasaki disease

A

IVIG and high-dose aspirin

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4
Q

when should all pregnant women be screened for asymptomatic bacteriuria

A

between 11 and 16 weeks gestation

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5
Q

when should group B strep (GBS) screening occur during pregnancy

A

between 35 and 37 weeks gestation

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6
Q

when should diabetes screening occur during pregnancy

A

between 24 and 28 weeks egestation

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7
Q

what is the initial treatment for hypotension in patients with septic shock

A

aggressive fluid resuscitation

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8
Q

what treatment should be given if fluid resuscitation is not successful at restoring blood pressure in hypotensive septic shock

A

norepinephrine

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9
Q

what is the most effective medication for motion sickness

A

scopolamine

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10
Q

what is the first line treatment for severe hyperkalemia in pt with CKD

A

intravenous insulin followed by glucose

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11
Q

what is the definitive treatment for preeclampsia

A

delivery

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12
Q

what testing should you get to screen for oxycodone

A

order chromatography

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13
Q

what is the first diagnostic test in the workup in a patient with hyperkalemia

A

EKG

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14
Q

what is the preferred treatment for lupus arthritis

A

hydroxychloroquine

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15
Q

what medications are indicated for severe lupus or lupus arthritis

A

cyclosporine and azathioprine

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16
Q

what medication is indicated for refractory lupus or lupus arthritis

A

mycophenolate

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17
Q

what is the initial management of hypercalemia of malignancy

A

fluid replacement with normal saline to correct the volume depletion that is invariable present and to enhance renal calcium excretion

18
Q

what is the most appropriate first line therapy for primary dysmenorrhea

A

NSAIDs

19
Q

what is the annual failure rate for combined oral contraceptive pills, levonorgestrel IUD, injectable progestin and male condoms

A

9%, 0.2%, 6%, 18%

20
Q

what is considered the first line therapy for ITP

A

corticosteroids

21
Q

what is the appropriate treatment for bioterrorism anthrax

A

doxycycline and fluoroquinolone

22
Q

what is the treatment for pneumonic plague

A

10 day course of an amino glycoside or doxycycline

23
Q

what is the first line treatment for impetigo

A

mupirocin (bactroban)

24
Q

what is the best initial treatment for a keloid

A

intralesional corticosteroid injections

25
Q

what is the preferred treatment and prophylaxis for pertussis

A

azithromycin (zithromax)

26
Q

what is the recommended HPV testing for an average-risk 21 year old female

A

cytology without HPV testing

27
Q

in a patient with high probability of pulmonary embolism and elevated D-dimer, what should be the next test

A

CT angiography (CTA)

28
Q

why should hematocrit be monitored during testosterone replacement therapy

A

because it can case erythrocytosis

29
Q

what is the most common form of child abuse in the united states

A

neglect

30
Q

what is the preferred method for diagnosing psychogenic non-epileptic seizures (pseudo seizures)

A

video-electroencephalopgraphy (vEEG) monitoring

31
Q

what is first line therapy for GAD

A

SSRIs

32
Q

what is the first line treatment for rosacea

A

metronidazole

33
Q

what is the best for making a diagnosis of fibromyalgia

A

structured symptom history

34
Q

what commonly used antidepressants can prolong the QT interval

A

citalopram and escitalopram

35
Q

what is usually the first line outpatient treatment for acute pyelonephritis

A

cipro

36
Q

what is one of the preferred narcotics in patients with end stage renal disease

A

fentanyl

37
Q

what are 2 serious reactions associated with methimazole (tapazole)

A

agranulocytosis and hepatotoxicity

38
Q

what is the only prophylaxis for DVT in critically ill adult patients that decreases mortality risk

A

anticoagulation therapy

39
Q

what is a common treatment used for female pattern hair loss

A

minoxidil,

40
Q

what is the diagnostic criterial for severe sepsis

A

increase in serum creatinine level >0.5, thrombocytopenia, and hyperbilirubinemia

41
Q

what is the only medication that has consistent evidence for decreasing depressive symptoms in children and adolescents

A

fluoxetine (prozac)

3rd year/clinical (9 decks)

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