AAFP August and September

I have a lump on my neck

100

At what duration of the symptoms you will need to start further evaluation of lymphadenopathy?

4 weeks

200

Which one of the following imaging modalities is preferred for an adult with cervical lymphadenopathy suspicious for malignancy

CT

300

Name 4 most common meds causing lymphadenopathy. 

Allopurinol, Atenolol, Captopril, Carbamazepine, Hydralazine, Penicillin, Phenytoin, Primidone, Pyrimethamine, Quinidine, Trimethoprim-sulfamethoxazole

400

Enlarged lymph nodes of which location are highly suggestive of malignancy. 

Supraclavicular Lymph Nodes

500

Name two most common microorganisms for bacterial lymphadenitis. 

Methicillin-susceptible Staph Aureus

Group A Strep

Baby,you are too small!

100

Define the gestational age for moderate-late preterm infant.

32 to 36 6/7 weeks

200

What is the minimum weight for hepatitis B vaccine administration?

2000g

300

Name at 5 medical complications of prematurity/ 

1.Bronchopulmonary dysplasia/Chronic lung disease

2.Cryptorchism

3.Gastroesophageal reflux

4. Necrotizing enterocolitis

5.Retinopathy of prematurity

6. Intraventricular hemorrhage

7. Apnea of prematurity/Bradycardia

8. Inguinal hernia

400

Name the mnemonic helpful for differential diagnosis of lymphadenopathy.

MIAMI

Malignancy

Infectious

Autoimmune

Miscellaneous

Iatrogenic  

500

What is the most common type of cerebral palsy diagnosed in premature infants?

Spastic diplegia

Please check my thyroid

100

What are you lab values (TSHm T3 and T4) and Radioactive iodine update scan in a patient with Graves disease?

TSH suppressed

T3 and T4 elevated

Diffuse high uptake 

200

When thyroidectomy is the treatment of choice for the patients with the goiter? 

Compression symptoms are present

300

Name 4 groups of pharmacological treatment of hyperthyroidism. 

1. Beta blockers (Atenolol and Metoprolol)

2. Corticosteroids (Hydrocortisone and Prednisone)

3. Potassium iodide

4. Thionamides (Methimazole and Propylthiouracil)

400

What are the treatment options for the patients with Graves disease?

Radioactive Iodine

Thionamides (Methimazole, Carbimazole, Propyluracil)

Thyroidectomy

500

For how long the treatment for Graves disease with Methimazole can safely be given?

Up tp 10 years 

I need Vitamin B12

100

Which test is the most reasonable, cost effective first step in the work up for suspected vitamin B12 deficiency?

Vitamin B 12 level

200

Name formulations for vitamin B12 replacement (at least 4)

Oral

IM

Sublingual

Nasal

Subcutaneous 

300

What medications are associated with Vitamin B12 deficiency?

Metformin

Proton Pump Inhibitors

H2 blockers 

400

If Vitamin B12 level was found to be borderline ( 180-350pg/ml (133 to 158pmol/L) what additional test you will need to order?

Methylmalonic acid

500

Name 3 main medication groups for treatment.

Topical Antifungal (Miconazole 2% cream, Ketoconazole 2% cream, Ciclopirox 0.77% gel/cream)

Low Potency Corticosteroids

Calcineurin inhibitors (Pimecrolimus 1% cream, Tacrolimus 0.1% ointment)

Vaccinate or not vaccinate?

100

Name 2 brand names for B component meningitis B vaccine.

Trumenba 

Bexsero

200

Which serogroups are covered by Menveo and MenQuadfi vaccine?

A, C, W and Y

300

How does administration of RSV vaccine during the pregnancy improve infant outcome?

Maternal RSV vaccination during the pregnancy leads to fewer infant hospitalizations  before the age of 1 with laboratory confirmed RSV disease compared with placebo. 

400

What is the recommended and preferred age for the Meningitis B vaccine administration?

Recommended age is 16 to 23 

Preferred age is 16 to 18 

500

Recommended dosage of Beyfortus (Nirsevimab), RSV vaccines, for the first RSV season based on weight. 

Weight less than 5kg: 50 mg IM

Weight equal or more than 5kg: 100mg IM as a single dose