2021 AAFP Board Review Course Questions and Verified Correct Answers Latest Update 2023- 2024 Guaranteed Success
- yo M walking home with mom and cries of pain when elbow is moved and keeping it
to left side. Negative x-rays. Using an evidence-based approach to your patient, what
would be the best treatment? - Correct Answer: hyperpronation of the forearm
- yo M with Hb SS disease and taking penicillin daily. Parents want to know if he
should continue. You should recommend: - Correct Answer: Take penicillin V 250mg PO BID until age 5 at least
- weeks after initiating therapy with levothyroxine, you check a steady-state TSH level.
The TSH decreased from 9.3 to 7.21. All of the following factors are barriers to reaching a therapeutic TSH level EXCEPT? - Correct Answer: treating with levothyroxine (T4) rather than liothyronine (T3)
- yo F has been more clumsy and falling more. Patellae and toes point inward. Normal
neuro exam. What is the most likely diagnosis? - Correct Answer: femoral anteversion
- yo F with right hip pain and new limp abruptly over the last 12 hours. No trauma.
Antalgic gait. Febrile. Hip radiographs are normal. Which of the following is most useful
in determining your treatment plan? - Correct Answer: CBC, ESR, CRP
11 yo male with bilateral posterior heel pain when you passively and fully dorsiflex the ankles. Better with rest and worse with activity. Which one of the following is the most
likely diagnosis? - Correct Answer: Sever's disease
12 month old M for fever, cough, and pulling on left ear. Afebrile, slightly red TM but won't allow pneumatic otoscopy. Your diagnosis is? - Correct Answer: URI, acute otitis media uncertain
12 yo M with limp for the past 3 days. Antalgic gait, overweight, and painful right hip with ROM. No trauma. Radiographs are normal. What is your presumptive diagnosis? -
Correct Answer: slipped capital femoral epiphysis
12 yo M with right elbow pain and is a pitcher. 3 weeks he has had pain aggravated by throwing and better with rest. Tenderness of the right medial epicondyle. You conclude
the following. - Correct Answer: this is an apophysitis
17 yo with neck swelling for 2-3 weeks, 5lb weight gain, and feeling more tired. Exam shows diffusely enlarged, smooth, and non-tender thyroid. What initial test would you
order for this patient? - Correct Answer: TSH
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19 yo at 40 weeks with painful contractions. No prenatal care. Severe headaches for 3 days with 3+ protein on urine, elevated BP and swelling in hands and feet. She has seizure when you placed IV so which of the following is the most appropriate immediate course of action? - Correct Answer: magnesium sulfate, 4g loading dose IV, followed by a drip at 2g/hr
19 yo F with intermittent abdominal cramping and bloating, diarrhea, fatigue, and weight loss. Initially diagnosed with IBS, but now concern for celiac disease. Which one of the following should be used to establish the diagnosis? - Correct Answer: serologic testing initially, followed by endoscopy if test results are positive
19 yo male admitted with ketoacidosis. Glucose 670, pH 7.12, K+ 6.8, Na+ 130.Treatment with fluids and IV insulin is initiated and 3 hours later glucose is 220, pH 7.25, K+ 5.1. What is now most appropriate? - Correct Answer: change IV fluid to 1/2 normal saline with dextrose and K+
20 yo college student with 3 year history of cramping, bloating abdominal pain and better with defecation. Bowel movements are firm and difficult to pass. Denies risk factors of alarm. Uses soluble fiber daily. Negative family history. Normal physical exam. Diagnose IBS. Which ONE of the following would be most appropriate at this
time? - Correct Answer: therapeutic trial of lubiprostone
21 yo college student who swallowed a bunch of Tylenol along with drinking alcohol.Which of the following would be the best course of action - Correct Answer: administer activated charcoal
22 yo G0 woman with 2 days of vaginal discharge. Cervix appears reddened almost strawberry texture. Generous amount of yellowish, malodorous leukorrhea, but not pus at the os. Of the following, which is the most likely diagnosis? - Correct Answer: trichomonas vaginalis infection
24 yo F has SVT. You try valsalva, and it doesn't work. Which of the following is the
next best step in treatment? - Correct Answer: IV adenosine
24 yo M with 3 day rash that is getting bigger with central clearing. No other symptoms or bites that he knows of. Went to Martha's Vineyard. In this case, you would treat with -
Correct Answer: doxycycline 100mg BID for 10 days
26 yo F with positive urine pregnancy but then BHCG 2500. US shows no gestational sac in uterus. Has IM methotrexate. 4 days later, BHCG is 3800 and then 7 days later is
- Which one the following is the most appropriate next test? - Correct Answer:
laparoscopy with salpingectomy
26 yo G2P1 at 30 weeks has severe itching. Had same issue during last pregnancy, and she had intrahepatic cholestasis of pregnancy. Elevation of which of the following is most characteristic of this disorder? - Correct Answer: bile acids 2 / 3
26yo G3P2 with mild chronic HTN and uncomplicated pregnancy that jus delivered a baby via vaginal delivery and is having a postpartum hemorrhage. Which one of the following uterotonic agents is CONTRAINDICATED in the management of this patient's
postpartum hemorrhage? - Correct Answer: methylergonovine
31 yo M brought to ED after trauma to leg with blood positive in dipstick, but no blood seen under microscope. This patient should be admitted for the management of -
Correct Answer: rhabdomyolysis
32 yo breastfeeding F with redness over right breast and fever of 101F. Redness started 3 days ago and fever within the past 12 hours. Had c-section 14 days ago and was in hospital for 7 days after for endomyometritis. Has hard, red, tender, swollen area over right breast measuring 4 x 6cm with no axillary adenopathy . Which one of the
following would be the most appropriate management option? - Correct Answer:
clindamycin
32 yo M wants refill of sulfasalazine for ulcerative colitis that has been well controlled, and he hasn't seen an GI for years. Which one of the following is an appropriate management plan for this patient? - Correct Answer: continue sulfasalazine and arrange for colonoscopy to screen for colorectal cancer
33 yo F had pap that is negative for intraepithelial neoplasia, positive for HPV but negative for serotypes 16 and 18. Which one of the following is the most appropriate
management for this patient? - Correct Answer: repeat Pap and HPV testing in 12
months
34 yo F with SLE has acute pain, rubber, calor, and swelling of the left knee. No trauma and is on hydroxychloroquine and prednisone. SLE symptoms are well controlled . The most likely cause of this patient's knee pain is - Correct Answer: infectious arthritis
35 yo M with 3 month history of asymmetric poly arthritis noted in 6 separate joints and pitting of fingernails along with scaly, silver rash noted on both elbows. Which tx has been shown to delay further progression of this patient's joint erosion? - Correct
Answer: etanercept
35 yo M with parents born in southeast asia, but he was born in the US. No vaccine records. Has a relative that is positive for Hep B. According to the USPSTF, which one of the following screening recommendations is appropriate for this patient? - Correct
Answer: screen for HBV infection because he is at high risk
36 yo G3P2A1 presents with 14 month history of amenorrhea, hot flashes, and vaginal dryness. Used to have normal menses. Negative urine pregnancy with normal TSH, prolactin levels but elevated LH and FSH levels. The most likely diagnosis is: - Correct
Answer: primary ovarian insufficiency
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