Pediatrics
The usual age at which ACIP recommends administering the 1st dose of MMR and Varicella vaccines.
What is 12 – 15 months?
What may a specific gravity exceeding 1.020 indicate?
Dehydration, glucosuria, or SIADH
What are the maximum hours of clinical and educational work allowed per week for residents?
80 hours
What is the most appropriate Hepatitis C screening test for “baby boomers”?
Hepatitis C antibody
This vaccine has been linked to cases of intussusception.
What is rotavirus?
In patients with urolithiasis, a high pH occurs with what type of stones?
Calcium phosphate and infected struvite/staghorn stones.
How many hours should residents have off between scheduled clinical work and education periods?
8 hours
Medicare Part B covers an abdominal aortic screening ultrasound once if you’re at risk. Who is considered at risk?
Fam Hx of AAA or men 65–75 years of age who smoked at least 100 cigarettes
These pathogens, most of which are viruses, are collectively named with the acronym "TORCH."
What are toxoplasmosis, other (= syphilis, parvovirus B 19, varicella zoster virus), rubella, cytomegalovirus, and herpes virus?
What component of the urine dipstick has the highest specificity for detecting a UTI?
Nitrites.
Residents must be scheduled for a minimum of one day off every 7 days. True or False?
False.
Residents must be scheduled for a minimum of one day in seven free of clinical work and required education (when averaged over four weeks).
At what age, and how much elemental iron supplementation is recommended by the American Academy of Pediatrics for full-term, exclusively breastfed infants?
1 mg/kg/day at 4 months until iron containing foods are introduced into the regular diet.
Parents bring their 12-month-old child to the office for evaluation. He had a fever of 103 – 104°F for 3 days that resolved yesterday. Today he has a maculopapular rash that started on the neck and trunk and has spread to the face and extremities. He is otherwise well-appearing, active, and alert. What is the most likely diagnosis?
Roseola infantum
Name 2 possible diagnoses for positive ketones on UA.
Inadequate nutrition (starvation), diabetic ketoacidosis, a ketogenic diet, and sometimes pregnancy.
A physician receives initial certification in family medicine after they pass the family medicine specialty board exam (AOBFP or ABFM). True or False?
False
Name the 4 different American Diabetes Association diagnostic criteria for diabetes.
1. Symptoms of diabetes plus a random plasma glucose concentration of > 200 mg/dL
2. Fasting plasma glucose of > 126 mg/dL on 2 separate occasions
3. HgA1C > 6.5%
4. 2-hour plasma glucose level ≥ 200 mg/dL during an oral glucose tolerance test
These labs are required for a neonatal sepsis evaluation.
What are CBC w/diff, blood culture, urine culture, and a lumbar puncture?
What is the first step in evaluating a patient with proteinuria on urine dipstick?
Repeat urinalysis
How many years are you board eligible after completing residency?
ABFM = 7 years / AOBFP = 6+ (Board-eligible status begins upon completion of your training program and ends Dec. 31 of the sixth year after you complete training.)
A 32 y/o pregnant woman presents at 33 weeks gestation with sharp abdominal pain, vaginal bleeding and fetal distress. What is the most likely diagnosis?
Placental abruption