NMS Q&A Family Medicine

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100 NMS Q&A Family MedicineReferencesAmerican Academy of Family Physicians. Family MedicineBoard Review 2009. May 3–9, 2009. Kansas City, Missouri.Bellows CF , Berger DH , Crass RA . Management of gallstones .Am Fam Physician . 2005 ; 72 : 637 – 642 .Brown CM . Surgical issues of the gastrointestinal tract . In: RudyDR , Kurowski K , eds. Family Medicine: House Officer Series .Baltimore, MD : Williams & Wilkins ; 1997 : 235 – 254 .Layke JC , Lopez PP . Gastric cancer: Diagnosis and treatment options. Am Fam Physician . 2004 ; 69 : 1133 – 1140 , 1145 – 1146 .McQuaid KR . Alimentary tract . In: Tierney LM , McPhee SJ ,Papadakis MA , eds. Current Medical Diagnosis and Treatment. 43rd ed . New York : McGraw-Hill/Appleton & Lange ;2004 : 515 – 622 .Old H , Dusing RW , Tap W , et al. Imaging for suspected appendicitis. Am Fam Physician . 2005 ; 71 : 71 – 78 .
chap ter 16Problems of the LiverExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 A 33-year-old woman has a diagnosis of post-inflammatorycirrhosis after suffering a bout of hepatitis B.Recently, on upper endoscopy, she demonstratedpresence of esophageal varices, and a decision wasmade to utilize nonselective beta-adrenergic blockadeto prevent bleeding of the varices. Which of thefollowing is the parameter that in follow-up indicatesthe therapeutic endpoint has been reached?(A) Hemoglobin increases by 2 g/dL(B) Pulse rate drops by about 25%(C) Rise in blood pressure by 10%(D) Normalization of AST and ALT(E) Normalization of serum bilirubin2 A man who weighs 220 pounds at a height of 5 ft10 in. undergoes a routine physical examination.The physician finds the liver to be palpable at 6 cm(2 in.) below the right costal margin. A chemicalprofile shows AST elevated threefold above normaland the ALT twice normal. A needle biopsy showsfatty infiltration (steatohepatosis). Each of the followingconditions is in the top four most likely causesexcept for which one?(A) Iatrogenic of pathophysiologic glucocorticoideffects(B) Alcoholic liver disease(C) Obesity(D) Diabetes(E) Hypertriglyceridemia3 The list of drugs that can idiosyncratically causesevere liver toxicity, that is, not dose related and relativelyunpredictable, is large. However, the commonlyused antipyretic analgesic drug acetaminophen (e.g.,Tylenol) causes drug-induced hepatitis in a dose-relatedfashion. Which of the following is the toxic singledose of acetaminophen in an average sizeperson?(A) 4 g(B) 6 g(C) 10 g(D) 16 g(E) 20 g4 A 28-year-old woman who admits to a history of intravenousdrug abuse is planning a serious new relationshipand is concerned about the possibility of passinghepatitis to her new sex partner. A screening test foranti-hepatitis C antibody was negative. You obtain ahepatitis B panel. Which of the following sets of laboratoryfindings make the diagnosis of hepatitis B carrier?(A) HBsAg negative, anti-HBc negative, anti-HBsnegative unexposed(B) HBsAg negative, anti-HBc positive, anti-HBsnegative(C) HBsAg negative, anti-HBc negative/positive,anti-HBs positive(D) HBsAg positive, anti-HBc positive,immunoglobulin M (IgM) anti-HBc positive,anti-HBs negative(E) HBsAg positive, anti-HBc positive, IgM anti-HBc negative, anti-HBs negative5 Which of the following is the best indicator of a highdegree of hepatitis B virus (HBV) replication, hencemarker of infectivity?(A) HBsAg(B) HBcAg(C) HBeAg(D) Anti-HBs(E) Anti-HBc6 The woman seeking testing for hepatitis B before startinga serious relationship exhibits the following results:HBeAg negative, HBc antibody positive, HBs antibodypositive, ALT, and AST levels normal. What is youradvice to the patient vis-a-vis her prospective fiancée’?(A) He should take the three injection series ofhepatitis vaccine.(B) He should have hepatitis B immune globulininjection.(C) The couple should be advised to use a barriermethod of contraception for protection of theman from hepatitis B.101
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NMS Q&AFamily Medicine3rd EDITION
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Acquisitions Editor: Susan RhynerPr
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Foreword to the First EditionFamily
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AcknowledgmentsFor the contribution
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xivContentsChapter 15 Surgical Issu
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SECTION IUrgent Carechapter 1Urgent
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Urgent Care in Family Practice 3(A)
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Urgent Care in Family Practice 5Exa
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Urgent Care in Family Practice 7rem
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12 NMS Q&A Family MedicineExaminati
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chapter 3Otolaryngology inPrimary C
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Otolaryngology in Primary Care 17tr
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Otolaryngology in Primary Care 1924
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Otolaryngology in Primary Care 21of
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Otolaryngology in Primary Care 23co
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30 NMS Q&A Family MedicineQuestions
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36 NMS Q&A Family Medicine80 mm Hg.
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SECTION IIICardiovascular Diseasesi
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Cardiology 41(A) Systolic crescendo
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Cardiology 43Examination Answers1.
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Cardiology 4516. The answer is C. T
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chapter 7Peripheral Vascular Diseas
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Page 85 and 86: chap ter 10HypertensionExamination
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Page 125 and 126: SECTION VIIUrology and Nephrologyin
Page 127 and 128: Problems of the Urinary Tract 10913
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Page 149 and 150: chapter 21Gynecology in Mature Adul
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Page 155 and 156: chapter 22Diseases of the Female Br
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chapter 24Musculoskeletal Problemso
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Musculoskeletal Problems of the Nec
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Musculoskeletal Problems of the Nec
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chapter 25Musculoskeletal Problemso
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Musculoskeletal Problems of the Low
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Musculoskeletal Problems of the Low
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chapter 26Rheumatology in Primary C
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Rheumatology in Primary Care 165(D)
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Rheumatology in Primary Care 16710.
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170 NMS Q&A Family Medicineof 5 ft,
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172 NMS Q&A Family Medicinepresent.
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174 NMS Q&A Family Medicinenodules.
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176 NMS Q&A Family MedicineExaminat
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178 NMS Q&A Family MedicineReferenc
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184 NMS Q&A Family Medicine(D) Pneu
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chap ter 31Other Infectious Disease
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Other Infectious Diseases in Primar
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Other Infectious Diseases in Primar
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SECTION XIEndocrinology inPrimary C
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Diabetes Mellitus 197normal saline
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Diabetes Mellitus 199Examination An
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Diabetes Mellitus 20116. The answer
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208 NMS Q&A Family Medicine16. The
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210 NMS Q&A Family Medicine(E) Hypo
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SECTION XIIAllergieschapter 36Atopi
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Atopic, Food, and Contact Allergies
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Atopic, Food, and Contact Allergies
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SECTION XIIIPreventive HealthCarech
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Preoperative Clearance 229180 to 22
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Preoperative Clearance 23121 Prophy
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Preoperative Clearance 233example,
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chap ter 38Obesity and Dyslipidemia
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Obesity and Dyslipidemia 23713 A 45
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Obesity and Dyslipidemia 239attriti
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chapter 39Smoking CessationExaminat
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Smoking Cessation 243Examination An
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chapter 40Exercise and HealthExamin
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Exercise and Health 247Examination
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chapter 41Concepts in Epidemiologya
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Concepts in Epidemiology and Resear
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Concepts in Epidemiology and Resear
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256 NMS Q&A Family Medicine7 What i
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258 NMS Q&A Family Medicineantigen
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260 NMS Q&A Family Medicine(B) Arra
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262 NMS Q&A Family Medicineinfectio
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264 NMS Q&A Family Medicine(D) Pulm
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266 NMS Q&A Family Medicinemay occu
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270 NMS Q&A Family Medicineis exace
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272 NMS Q&A Family Medicine8 What a
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274 NMS Q&A Family Medicine12. Hepa
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276 NMS Q&A Family Medicine(D) Ever
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278 NMS Q&A Family MedicineAlthough
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280 NMS Q&A Family Medicine5 Of the
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282 NMS Q&A Family Medicineclinicia
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chapter 51Anxiety and PhobiasExamin
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Anxiety and Phobias 297Examination
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chapter 52Somatic Symptoms withoutO
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Somatic Symptoms without Organic Ba
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Somatic Symptoms without Organic Ba
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308 NMS Q&A Family Medicineperiorbi
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310 NMS Q&A Family Medicineand loti
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chapter 54GeriatricsExamination que
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Geriatrics 315Examination Answers1.
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chapter 55HematologyExamination que
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Hematology 31915 A 45-year-old busy
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Hematology 321Mean cell hemoglobin
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Hematology 323whereas in multiple m
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