AAFM question review

Question 1

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

Answer 1

25-hydroxyvitamin D

Question 2

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

Answer 2

salmonella

Question 3

what is the treatment of choice for kawasaki disease

Answer 3

IVIG and high-dose aspirin

Question 4

when should all pregnant women be screened for asymptomatic bacteriuria

Answer 4

between 11 and 16 weeks gestation

Question 5

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

Answer 5

between 35 and 37 weeks gestation

Question 6

when should diabetes screening occur during pregnancy

Answer 6

between 24 and 28 weeks egestation

Question 7

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

Answer 7

aggressive fluid resuscitation

Question 8

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

Answer 8

norepinephrine

Question 9

what is the most effective medication for motion sickness

Answer 9

scopolamine

Question 10

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

Answer 10

intravenous insulin followed by glucose

Question 11

what is the definitive treatment for preeclampsia

Answer 11

delivery

Question 12

what testing should you get to screen for oxycodone

Answer 12

order chromatography

Question 13

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

Answer 13

EKG

Question 14

what is the preferred treatment for lupus arthritis

Answer 14

hydroxychloroquine

Question 15

what medications are indicated for severe lupus or lupus arthritis

Answer 15

cyclosporine and azathioprine

Question 16

what medication is indicated for refractory lupus or lupus arthritis

Answer 16

mycophenolate

Question 17

what is the initial management of hypercalemia of malignancy

Answer 17

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

Question 18

what is the most appropriate first line therapy for primary dysmenorrhea

Answer 18

NSAIDs

Question 19

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

Answer 19

9%, 0.2%, 6%, 18%

Question 20

what is considered the first line therapy for ITP

Answer 20

corticosteroids

Question 21

what is the appropriate treatment for bioterrorism anthrax

Answer 21

doxycycline and fluoroquinolone

Question 22

what is the treatment for pneumonic plague

Answer 22

10 day course of an amino glycoside or doxycycline

Question 23

what is the first line treatment for impetigo

Answer 23

mupirocin (bactroban)

Question 24

what is the best initial treatment for a keloid

Answer 24

intralesional corticosteroid injections

Question 25

what is the preferred treatment and prophylaxis for pertussis

Answer 25

azithromycin (zithromax)

Question 26

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

Answer 26

cytology without HPV testing

Question 27

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

Answer 27

CT angiography (CTA)

Question 28

why should hematocrit be monitored during testosterone replacement therapy

Answer 28

because it can case erythrocytosis

Question 29

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

Answer 29

neglect

Question 30

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

Answer 30

video-electroencephalopgraphy (vEEG) monitoring

Question 31

what is first line therapy for GAD

Answer 31

SSRIs

Question 32

what is the first line treatment for rosacea

Answer 32

metronidazole

Question 33

what is the best for making a diagnosis of fibromyalgia

Answer 33

structured symptom history

Question 34

what commonly used antidepressants can prolong the QT interval

Answer 34

citalopram and escitalopram

Question 35

what is usually the first line outpatient treatment for acute pyelonephritis

Answer 35

cipro

Question 36

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

Answer 36

fentanyl

Question 37

what are 2 serious reactions associated with methimazole (tapazole)

Answer 37

agranulocytosis and hepatotoxicity

Question 38

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

Answer 38

anticoagulation therapy

Question 39

what is a common treatment used for female pattern hair loss

Answer 39

minoxidil,

Question 40

what is the diagnostic criterial for severe sepsis

Answer 40

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

Question 41

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

Answer 41

fluoxetine (prozac)