Potpourri
What is the most appropriate Hepatitis C screening test?
Hepatitis C antibody
What may a specific gravity exceeding 1.020 indicate?
Dehydration, glucosuria, or SIADH
Per the ACGME CPRs, what is the maximum number of clinical and educational work hours allowed per week?
80 hours
The usual age at which ACIP recommends administering the 1st dose of MMR and Varicella vaccines.
What is 12 – 15 months?
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
High urinary pH is associated with what type of kidney stones?
Calcium phosphate, magnesium-ammonium phosphate, and struvite/staghorn calculi.
How many hours should residents have off between scheduled clinical work and education periods?
8 hours
This vaccine has been linked to cases of intussusception.
What is rotavirus?
Asymptomatic bacteriuria should be treated in pregnancy. True or False?
True
What component of the urine dipstick has the highest specificity for detecting a UTI?
Residents must be scheduled for a minimum of one day off every 7 days. True or False?
False
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 the 4 different American Diabetes Association diagnostic criteria for diabetes.
Name 2 possible diagnoses for a UA positive for ketones.
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
An 8-year-old child is seen for anorexia and abdominal pain for the past 24 hours. They deny constipation. The child is afebrile but has right lower quadrant tenderness on examination. You suspect acute appendicitis and decide to order an imaging study. What imaging study is most appropriate?
Ultrasonography
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.
What is the first step in evaluating a patient with proteinuria on urine dipstick?
Repeat urinalysis
(A quantitative test such as a spot urine albumin/creatinine ratio)
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.)
Term neonates may lose up to 10 percent of their birth weight in the first few days of life and typically regain their birth weight by what age?
10 to 14 days