Friday Morning Lights (Didactics Review)
Beyond My Scope (The Scope Review)
AAFP April 2026
100
Name one discussed cause of pancreatitis besides gallstone pancreatitis and alcoholic pancreatitis.
organophosphate poisoning, Legionnaire's disease
others: hypertriglyceridemia, post-ERCP, genetic risk, medications, infections (mumps, VZV, herpes, HIV, COVID19, mycoplasma, salmonella, toxoplasma, cryptosporidium), vascular disease
topic: Pancreatitis, Dr. Bahador, 3/20/26
100
What is the most common radiologic finding in early pulmonary sarcoidosis?
bilateral hilar lymphadenopathy
classic biopsy finding: non-caseating granulomas
topic: The Scope, March 15th, 2026
100
What med(s) are used for thromboprophylaxis in patients with essential thrombocythemia/thrombocytosis?
low dose daily aspirin for most patients; some patients w/ refractory symptoms may be considered for BID dosing
topic: https://www.aafp.org/pubs/afp/issues/2026/0400/thrombocytosis.html
200
What is the calculation for anticipated thyroid hormone replacement dosing in a healthy young adult with hypothyroidism?
1.6 mcg/kg body weight/day
topic: Thyroid Diseases, Dr. Do, 3/20/26
200
What are risk factors for bladder cancer in patients with hematuria?
risk factors: age >/= 60 years old, >30 pack-year smoking history, >25 RBCs/hpf on UA
topic: The Scope, April 26th, 2026
200
What is the most commonly ingested foreign body in pediatric populations?
coins; in the past 20 years, the rate of coin ingestion requiring emergency department evaluation has nearly doubled, with pennies and quarters being the most prevalent
coins have a spontaneous passage rate of up to 30%
unlikely to pass if: <6 years old, coin in proximal or mid-esophagus, coin spends >12 hrs in esophagus, coin is wider (quarter or bigger)
topic: https://www.aafp.org/pubs/afp/issues/2026/0400/foreign-body-ingestion-children.html
300
You see a pediatric patient in clinic with this acute URI-like symptoms preceding the appearance of this rash. What counseling do you provide the patient's mother regarding school?
parvovirus B19, return to school now; infectious before rash onset, not infectious once rash appears
topic: Pediatric Cases, Dr. Feng, 5/1/26
300
Name at least 2 screening tools used to assess baseline cognitive function and detect changes suggestive of cognitive impairment and/or dementia?
SLUMS, MOCA, MMSE, min-cog
topic: The Scope, Feb. 1st, 2026
300
Identify this nail finding below:
splinter hemorrhage; present as nonblanchable, thin, linear, reddish-brown to black longitudinal streaks within the nail bed; streaks typically do not span the entire nail bed.
topic: https://www.aafp.org/pubs/afp/issues/2026/0400/photo-quiz-nail-abnormality.html
400
Expedited partner therapy (EPT) is acceptable for which STD(s)? In a non-pregnant partner without severe symptoms, what would you recommend as antibiotic therapy?
EPT currently applies for lab-confirmed gonorrhea and/or chlamydia; cefixime 800 mg PO x1 for gonorrhea coverage doxycycline 100 mg PO BID for 7 days for chlamydia coverage
topic: STIs + EPT, Dr. Wani, 4/17/26
400
What lab can be used to assess blood sugar control in a diabetic patient with a hemoglobinopathy?
fructosamine; measures average blood glucose over the past 2–3 weeks by assessing glycated albumin
topic: The Scope, Jan. 18, 2026
400
What are at least 3 medications that can be utilized for symptom control in bladder pain syndrome (AKA interstitial cystitis)?
oral analgesics: NSAIDs, phenazopyridine (Azo), methenamine-sodium biphosphatephenyl salicylate-methylene blue-hyoscyamine
antihistamines: cimetidine, hydrozyine
gabapentinoids
amitriptyline
pentosan polysulfate (Elmiron)
topic: https://www.aafp.org/pubs/afp/issues/2026/0400/bladder-pain-syndrome.html
500
Name all 5 of your future colleagues. Bonus points if you can give first and last name.
Dr. Courtney Pitman, DO
Dr. Farea Eqbal, MBBS
Dr. Maram Osman, MBBS
Dr. Ramis Hassan Khan, MBBS
Dr. Tiffany Vo, DO
topic: Class of 2029, Alicia + Dr. Mir, 3/20/26
500
Describe this finding on fundoscopic exam and the underlying pathology to cause these findings.
proliferative diabetic retinopathy; continued ischemia due to glycemic damage to retinal capillaries - neovascularization
topic: The Scope, Nov. 9th, 2025
500
Describe these features regarding heat stroke:
1.) core body temp?
2.) clinical features?
3.) first line treatment?
1.) temp >/= 104F
2.) fatigue, hot dry skin, resp distress, hypotension, tachycardia, AMS (CNS dysfunction must be present), weakness
3.) immersion in ice-cold water (35.6F-50F) until core body temp reaches 102.2F (best within 30 minutes of heat stroke recognition)
topic: https://www.aafp.org/pubs/afp/issues/2026/0400/heat-related-illness.html