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Flashcards in AAFP Review Questions Deck (466)
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421

Positive PPD + negative CXR

Latent TB (9 mo INH + B6)

422

Tinea versicolor treatment

Topical selenium sulfide

423

Shingles vaccine

Shingrix everyone after 50 regardless of whether they've had singles or Zostavax

424

Pap smear

Every 3 years

Every 3 years with cervical cytology alone in women aged 21 to 29 years.

For women aged 30 to 65 years, screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting).

425

Lipid guidelines

F: >45 unless RFs (start 20)
M: >35 unless RFs (start 20)

426

Routine asymptomatic CBC and electrolytes?

NO

427

What vaccine should asthma patients get?

PPSV 23 (Pneumovax)

428

DM screening

40-70 y.o. who are overweight

A1c

429

Hep C screen

High risk (injection drugs users, transfusions before 1992, long term hemodialysis, incarceration), born 1945-1965

430

ASCUS + HPV+

Colposcopy

431

ASCUS + HPV-

Pap in 4-6 mo or 1 year or colposcopy

Low risk, 1 yr

432

Low grade SIL on Pap

Colposcopy

433

Atypical glandular cells on Pap

Colposcopy or endometrial biopsy (if of endometrial origin)

434

RDW in iron deficiency anemia

Elevated

435

How to clinically distinguish folate from B12 deficiency

Neurologic symptoms are only present in B12 deficiency

436

Lyme disease treatment

Early localized: oral doxycycline or amoxicillin
Late disseminated: IV ceftriaxone

437

Lice treatment

Permethrin 1%

438

Palpable breast mass that is mammogram negative

US and biopsy

439

Acoustic neuroma symptoms

Unilateral tinnitus and hearing loss

Eventually may have vertigo, facial weakness, and ataxia

440

Menière disease symptoms

Discrete attacks of vertigo lasting several hours, associated with nausea, vomiting, hearing loss, and tinnitus

441

Distinguish central vs. peripheral vertigo

Dix-Hallpike maneuver is negative in central

442

First-line therapy for peripheral vestibular disorders

Antihistamines (meclizine, diphenhydramine)

443

BNP measurement

Can rule out CHF (has 99% NPV)

444

Low vs high D-dimer

Low: high NPV --> no PE
High: low PPV --> confirmatory spiral CT (or pulmonary angiogram which is the gold standard)

445

Interstitial cystitis symptoms

Dysuria and hematuria without pyuria

Dx: cystoscopy

446

Sleep onset vs sleep maintenance pharmacotherapy

Onset: zolpidem (Ambien) or eszopiclone (Lunesta)
Maintenance: zaleplon (Sonata)

447

Most common cause of primary amenorrhrea

(Def: absence of menses at 16)

Gonadal dysgenesis (e.g., Turner syndrome)

448

Palpable preauricular lymph node

Viral conjunctivitis

449

Short acting insulin

Aspart (Novolog), lispro (Humalog), glulisine (Apidra): onset between 15-30 min, peak between 30-60 min, last 3-5 hrs

450

Intermediate acting insulin

Regular insulin: onset between 30-16 min, peaks 2-3 hrs, last 4-12 hrs