WorksheetsAAFP Board Review Set 15
Total questions: 10
Worksheet time: 10mins
•A 4-year-old male is brought to your office by his adoptive parents who are concerned about his poor behavior and intellectual development. The patient is in the 7th percentile for height and weight. There have been some indications of alcohol abuse by his biological mother.
Which one of the following facial dysmorphologies would be most consistent with a diagnosis of fetal alcohol syndrome?
A. A central chin "dimple"
B. Low-set ears
C. A smooth philtrum
D. A widened vermillion border of the lower lip
E. Elongated palpebral fissures
•A 7-year-old female is brought to your office by her mother, who says that the child has developed underarm odor and is beginning to develop acne. The patient has an unremarkable history, was born at full term, and has no chronic medical problems. There is no family history of endocrine disorders or precocious puberty.
An examination reveals normal vital signs and a normal BMI, and her height is stable on the growth curve with no increased velocity. Her sexual maturity rating is stage 1. She has some open and closed comedones on her forehead and back.
Which one of the following would be most appropriate at this point?
A. Reassurance and surveillance over the next 3–6 months
B. TSH, LH, and FSH levels
C. Bone age radiography
D. Bone age radiography and TSH, LH, and FSH levels
•An otherwise asymptomatic 7-year-old male has a blood pressure above the 95th percentile for gender, age, and height on serial measurements. Which one of the following studies would be most appropriate at this time?
A. Renin and aldosterone levels
B. 24-hour urinary fractionated metanephrines and normetanephrines
C. Renal ultrasonography
D. Doppler ultrasonography of the renal arteries
E. A sleep study
•A 58-year-old female presents to your office after being seen in the emergency department last weekend for her first episode of renal colic. After undergoing CT urography she passed a calcium phosphate kidney stone.
Which one of the following medications in her current regimen places her at higher risk for kidney stone formation?
A. Escitalopram (Lexapro)
B. Levothyroxine (Synthroid)
C. Lisinopril (Prinivil, Zestril)
D. Metformin (Glucophage)
E. Topiramate (Topamax)
•A 30-year-old female presents with pain over the proximal fifth metatarsal after twisting her ankle. Radiographs reveal a nondisplaced tuberosity avulsion fracture of the fifth metatarsal.
Which one of the following would be the most appropriate initial management?
A. A short leg walking boot
B. A compressive dressing with weight bearing and range-of-motion exercises as tolerated
C. A posterior splint with no weight bearing, and follow-up in 3–5 days
D. A short leg cast with no weight bearing
E. Surgical fixation
•A 48-year-old male presents with psychogenic erectile dysfunction in conjunction with depression. You decide that treatment of his underlying mood disorder is the best initial step.
Which one of the following antidepressants would be most appropriate?
A. Bupropion (Wellbutrin)
B. Citalopram (Celexa)
C. Nortriptyline (Pamelor)
D. Sertraline (Zoloft)
E. Venlafaxine (Effexor XR)
•A 14-year-old male sees you for a well child examination. He had one dose of HPV vaccine at his last well child examination 1 year ago.
Which one of the following is true regarding HPV vaccine for this patient?
A. He does not require additional HPV vaccine
B. He should receive one dose of the vaccine now and no additional HPV vaccine in the future
C. He should receive the vaccine now and again in 4 months
D. He should receive the vaccine now and again in 6 months
E. He should receive the vaccine now, in 2 months, and in 4 months
Which one of the following is an indication for considering atrial ventricular nodal ablation in a patient with atrial fibrillation?
A. Hemodynamic instability
B. Successful cardioversion to sinus rhythm
C. Inability of the patient to be anticoagulated
D. Atrial fibrillation refractory to medical therapy
E. Persistent atrial fibrillation in a patient who has been successfully rate controlled and anticoagulated for several years
•An otherwise healthy 42-year-old male presents to your office with low back pain that started a week ago after he lifted a heavy box. Since the time of his injury he has been having consistent pain, numbness, and tingling that radiates down the back of his right leg to his calf.
Which one of the following would you order at this time?
A. No imaging
B. Plain radiography
C. CT
D. MRI
•A 34-year-old female presents to your office after she was bitten on the hand by a neighbor’s cat. The patient has no allergies and has been in good health. You decide to treat the patient with a prophylactic antibiotic.
Which one of the following would be the antibiotic of choice?
A. Amoxicillin/clavulanate (Augmentin)
B. Azithromycin (Zithromax)
C. Cephalexin (Keflex)
D. Clindamycin (Cleocin)
E. Metronidazole (Flagyl)
