WorksheetsAAFP Part 2 #18
Total questions: 10
Worksheet time: 5mins
A 52-year-old female with morbid obesity is incidentally noted to have mildly elevated AST (SGOT) levels. She does not consume alcohol and denies using recreational drugs. A workup for chronic viral hepatitis and hemochromatosis is negative.Which one of the following is most likely to improve her hepatic condition?
Pentoxifylline
Simvastatin
L-Carnitine
Vitamin E
Weight loss
A 44-year-old male with papulopustular rosacea sees you for follow-up. You have been treating his condition with topical azelaic acid (Finacea), and although his condition is improved he is not satisfied with the results. You suggest adding which one of the following oral medications?
Clarithromycin
Clindamycin
Doxycycline
Erythromycin
Metronidazole
A 52-year-old male has a skin lesion removed from his arm with appropriate sterile precautions. Which one of the following would be most appropriate to use on this surgical wound?
Petrolatum
Silver sulfadiazine (Silvadene) cream
Mupirocin (Bactroban) ointment
Polymyxin B/bacitracin ointment (Polysporin)
Triple-antibiotic (neomycin/polymyxin B/bacitracin) ointment
A 15-year-old male is brought to the office for a well child visit. His parents report that he has had a nighttime cough and wheezing for the past several months. He is otherwise healthy and up-to-date on all of his immunizations. You suspect that he has asthma. Which one of the following would be most appropriate at this point?
Treat empirically with a short-acting β-agonist
Perform spirometry
Order radiologic testing
Start an inhaled corticosteroid
Start a leukotriene inhibitor
A 36-year-old female presents with a several-week history of polyuria and intense thirst. She currently takes no medications. On examination her blood pressure and pulse rate are normal, and she is clinically euvolemic. Laboratory tests, including serum electrolyte levels, renal function tests, and plasma glucose, are all normal. A urinalysis is significant only for low specific gravity. Her 24-hour urine output is >5 L with low urine osmolality. The most likely cause of this patient’s condition is a deficiency of?
angiotensin II
aldosterone
renin
insulin
arginine vasopressin
A 39-year-old female presents with lower abdominal/pelvic pain. On examination, with the patient in a supine position, you palpate the tender area of her lower abdomen. When you have her raise both legs off the table while you palpate the abdomen, her pain intensifies. Which one of the following is the most likely diagnosis?
Appendicitis
A hematoma within the abdominal wall musculature
Diverticulitis
Pelvic inflammatory disease
An ovarian cyst
Which one of the following is one of the five basic principles of the patient-centered medical home?
Utilizing the latest research and advances in treatment and diagnosis
Coordinating a patient’s care across all elements of the health care system
Acting as a gatekeeper to limit access to specialist care
Serving as the base of a pyramid in support of a complex health care system
Transitioning away from delivering care in an office, and focusing on meeting patients in their own homes
Mild cognitive impairment is characterized by which one of the following?
Localized motor dysfunction
Impairment in at least one activity of daily living
Impairment in at least one instrumental activity of daily living
The presence of the APO E4 allele
Objective evidence of memory decline
A healthy 24-year-old male presents with a sore throat of 2 days’ duration. He reports mild congestion and a dry cough. On examination his temperature is 37.2°C (99.0°F). His pharynx is red without exudates, and there are no anterior cervical nodes. His tympanic membranes are normal, and his chest is clear. Which one of the following would be most appropriate at this point?
Analgesics and supportive care only
A rapid strep test
A throat culture and empiric treatment with penicillin
Azithromycin (Zithromax)
Routine vaccination against which one of the following organisms has significantly reduced the risk of bacterial meningitis among young children?
Borrelia burgdorferi
Escherichia coli
Haemophilus influenzae
Listeria monocytogenes
Mycoplasma pneumoniae
