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WorksheetsAAFP Board Review, Set #1
Total questions: 10
Worksheet time: 8mins
A 4-week old white M is brought to your office with a 2-week hx of increasing dyspnea, cough, and poor feeding. The child appears nontoxic and is afebrile. On exam, you note conjunctivitis, and a chest exam reveals tachypnea and crackles. A chest film shows hyperinflation and diffuse interstitial infiltrates and a WBC count reveals eosinophilia. What is the most likely etiologic agent?
Staphylococcus species
Chlamydia trachomatis
RSV
Parainfluenza virus
A 52 y/o M presents with moderate sx of prostatism. A prostate exam is normal. His PVR is 90mL. His PSA level is 0.75ng/mL (nml 0.0-4.0). He says his nocturia has become troublesome and you decide to initiate therapy. This pt does NOT meet the criteria for use of which one of the following?
Doxazosin (Cardura)
Finasteride (Proscar)
Tadalafil (Cialis)
Tamsulosin (Flomax)
Silodosin (Rapaflo)
A factory worker sustains a forced flexion injury of the distal interphalangeal (DIP) joint, resulting in a small bone fragment at the dorsal surface of the proximal distal phalanx (mallet fracture). Which one of the following is the most appropriate management strategy?
Buddy taping and early range of motion
Splinting the DIP joint in extension
Splinting the DIP joint in flexion
Referral for surgical repair
Which one of the following drugs is NOT effective for maintenance therapy in bipolar disorders?
Haloperidol (Haldol)
Lamotrigine (Lamictal)
Lithium
Quetiapine (Seroquel)
Valproate sodium (Depacon)
A 30 y/o ill-appearing M presents with Rt hand and arm pain and a rapidly expanding area of redness. On exam, he has T 38.9C (102F), HR 120, BP 116/74. He also has erythema from the dorsal hand to the elbow, violaceous bullae on the dorsal hand and wrist, and severe pain with dorsiflexion of the wrist or fingers. Which one of the following is the most appropriate initial step in the management of this pt?
Oral dicloxacillin and OP f/u within the next 24 hours
IV metronidazole
Consultation with ID for abx management
Immediate surgical consultation for operative debridement
Incision and drainage with wound cx in the ED
Patients being treated with amiodarone (Cardone) should be monitored periodically with serum levels of:
Cortisol
Creatine phosphokinase
Creatine
LDH
TSH
A mother brings her 2 y/o daughter to your office because the child is not using her Lt arm. Earlier in the day, the mother left the toddler under the supervision of her 12y/o sister while she went to the store. When she returned, the toddler was playing with toys using only her Rt arm, and was holding the Lt arm slightly pronated, flexed, and close to her body. The older daughter was unaware of any injury to the girl's arm, and the child does not seem distressed or traumatized. PE of the child's clavicle, shoulder, wrist, and hand do not elicit any signs of pain or change in function. She does seem to have some tenderness near the lateral elbow and resists your attempts to examine the area. There is no ecchymosis, swelling, or deformity of the elbow. Which one of the following would be most appropriate at this point?
Plain radiographs of the affected elbow
Ultrasonography of the affected elbow
Evaluation by an orthopedic surgeon within 24 hours
Attempted reduction of the subluxed radial head
Placement in a splint and f/u in the office if there is no improvement in the next 1-2 weeks
A 12y/o M uses a short-acting bronchodilator 3x per week to control his asthma. Lately he has been waking up about 2x per week because of his sx. Which one of the following medications would be most appropriate?
Inhaled medium-dose corticosteroids
A scheduled short-acting bronchodilator
A scheduled long-acting bronchodilator
A leukotriene inhibitor
Ordering a free T4
Which one of the following is the most appropriate first-line therapy for primary dysmenorrhea?
Combined monophasic OCPs
Combined multiphasic OCPs
Subdermal etonogestrel (Nexplanon)
Intramuscular medroxyprogesterone (Depo-Provera)
NSAIDs
While performing a routine PE on a 42y/o F you discover an apparent nodule in the Lt lobe of the thyroid measuring approximately 1cm in diameter, which is confirmed on ultrasonography. The most appropriate next step in the evaluation of this finding is a...
Serum calcitonin level
Serum free T3 level
Serum TSH level
Serum thyroglobulin level
Radionuclide thyroid scan
