Board Review 1/2022

Board Review 1/2022

(hopefully not BORED review)​

By Heather Autry

Multiple Choice

21. A 30-year-old male is diagnosed with hereditary hemochromatosis. Periodic therapeutic phlebotomy may be appropriate to prevent

• A) chronic liver disease

• B) chronic renal disease

• C) encephalopathy

• D) myelofibrosis

• E) Wilson disease

Multiple Choice

22. The most likely diagnosis is

• A) antisocial personality disorder

• B) attention-deficit/hyperactivity disorder (ADHD)

• C) avoidant personality disorder

• D) conduct disorder

• E) substance abuse

Multiple Choice

23. Which one of the following should you recommend for this patient?

• A) Antibiotic prophylaxis for dental procedures

• B) Transesophageal echocardiography

• C) Repeat echocardiography in 6 months

• D) Referral for aortic valve replacement

Multiple Choice

24. Which one of the following would be most appropriate at this time?

• A) Twice-daily application of a fragrance-free moisturizer with a high lipid-to-water ratio

• B) Twice-daily application of a low-potency topical corticosteroid

• C) Application of a topical calcineurin inhibitor for the facial lesions and a low-potency

  topical corticosteroid for the other areas

• D) Allergy testing

• E) Referral to a dermatologist

Multiple Choice

25. The best treatment for symptomatic relief of his persistent cough would be intranasal

• A) antibiotics

• B) antihistamines

• C) corticosteroids

• D) ipratropium (Atrovent)

• E) saline

Multiple Choice

26. Which one of the following would be most likely to cause a false-negative result on serologic testing for celiac disease?

• A) A recent increase in dietary wheat consumption

• B) Recent use of loperamide (Imodium A-D)

• C) A skin rash consistent with dermatitis herpetiformis

• D) IgA deficiency

• E) Iron deficiency anemia

Multiple Choice

27. Which one of the following would be the most appropriate next step?

• A) Treat symptomatically with ice and an anti-inflammatory medication

• B) Tape the first and second digits together until symptoms resolve

• C) Splint the affected digit for 2–4 weeks

• D) Remove the nail to evaluate for a nail bed injury

• E) Refer to a hand surgeon

Multiple Choice

28. Treatment of this patient with L-thyroxine

• A) has no proven benefit

• B) can increase grip strength

• C) can increase her energy level

• D) can help improve depression symptoms

• E) can reduce her BMI

Multiple Choice

29. Which one of the following would be the most appropriate next step?

• A) Adjust his antibiotic therapy to cover health care–associated pneumonia

• B) Obtain intravenous access and begin fluid resuscitation

• C) Order a procalcitonin level

• D) Order repeat chest radiography

• E) Order CT of the chest

Multiple Choice

30. Which one of the following is most appropriate for the initial management of volume overload due to an acute exacerbation of heart failure with preserved ejection fraction?

• A) Carvedilol (Coreg)

• B) Furosemide (Lasix)

• C) Lisinopril (Prinivil, Zestril)

• D) Sacubitril/valsartan (Entresto)

• E) Spironolactone (Aldactone)

Multiple Choice

31. Which one of the following medications in his current regimen increases the risk of an upper GI bleeding episode?

• A) Atorvastatin

• B) Citalopram

• C) Lisinopril/hydrochlorothiazide

• D) Metformin

• E) Omeprazole

Multiple Choice

32. Which one of the following is the most likely cause of her cough?

• A) Chronic lung disease

• B) Infection

• C) Malignancy

• D) A medication side effect

• E) A psychogenic habit

Multiple Choice

33. Which one of the following would be most appropriate at this point?

• A) Oral diclofenac, 75 mg twice daily

• B) Oral pregabalin (Lyrica), 75 mg twice daily

• C) Physical therapy

• D) Referral to an orthopedic surgeon for elective surgical resolution

• E) Referral to a neurosurgeon for urgent surgical resolution

Multiple Choice

34. If she opts to have a sleeve gastrectomy, which one of the following complications is most likely in the first 6 months?

• A) Cholelithiasis

• B) Dumping syndrome

• C) GERD

• D) Leaking at the surgical site

• E) Small bowel obstruction

Multiple Choice

35. Which one of the following statements describing e-cigarettes is true?

• A) E-cigarettes do not contain heavy metals

• B) The nicotine in e-cigarettes is not addictive

• C) Teens who use e-cigarettes are less likely to use marijuana

• D) More teens use traditional cigarettes than e-cigarettes

• E) E-cigarette use among teens increases the likelihood of cigarette smoking

Multiple Choice

36. Which one of the following would be the most appropriate initial management strategy?

• A) Observation for spontaneous resolution for 1 month

• B) Local application of heat

• C) Oral itraconazole (Onmel)

• D) Oral saturated solution of potassium iodide

• E) Intravenous liposomal amphotericin B (AmBisome)

Multiple Choice

37. When comparing these two options, one advantage of spot albumin/creatinine ratios is that they are:

• A) more convenient for the patient

• B) unaffected by exercise

• C) unaffected by menstruation

• D) elevated only in patients with diabetes mellitus

• E) able to detect lower levels of proteinuria

Multiple Choice

38. A laboratory evaluation should include which one of the following tests?

• A) Angiotensin converting enzyme

• B) Antineutrophil cytoplasmic antibody

• C) Serotonin

• D) TSH

• E) Vitamin B12

Multiple Choice

39. Which one of the following would be the most appropriate next step?

• A) Administer clonidine (Catapres), 0.1 mg orally, and recheck his blood pressure in 30

  minutes

• B) Administer nifedipine (Procardia), 60 mg orally, and recheck his blood pressure in 30

  minutes

• C) Order laboratory studies to look for end-organ damage, and tell him to restart his previous medications

• D) Admit him to the intensive-care unit for intravenous treatment to lower his blood

  pressure

• E) Call 911 and have him transported to the emergency department

Multiple Choice

40. Which one of the following interventions has the strongest evidence for preventing recurrence of her condition?

• A) Exercise

• B) Light therapy

• C) Cognitive-behavioral therapy

• D) Bupropion (Wellbutrin XL)

• E) Fluoxetine (Prozac)