American Board of Family Medicine (ABFM) Family Medicine Certification Examination – Sample

at what degree of curvature of scoliosis in adolescents warrants treatment ?

conservative care that offloads involved tendons (modified work, etc.), corticosteroid injections reduce acute pain up to 6 weeks, but inc rate of poor long term outcome

Amoxicillin 80-90 mg/kg/day in 2 divided doses

current guidelines in stage 4 kidney Dx recommend monitoring what:

increased intensity with standing, holosystolic murmur, grade 3 or higher murmur, harsh quality, an abnormal S2, maximal intensity at the upper left sternal border, a diastolic murmur, or a systolic click; ECHO best study

sudden onset severe dizziness, sensation of abnormal rotation of environment, occas HAs, nausea, resting nystagmus, vertiginous in all positions; unknown cause

azithromycin 1 gm po x 1 dose OR doxycycline 100 mg bid x 7 days, PLUS ceftriazone 125 mg IM OR cefixime 400 mg po x 1 dose

<5 yrs - predominent bacteria are Strep pneumo and Haemophilus influenzae - 1st line Amoxicillin >5 yrs – atypical pneumonia more common – esp Mycoplasma – empiric Tx with macrolide Abx (zithro) For both, viruses most frequent cause of pneumonia

pulmonary arteriovenous malformation� – screen for this with contrast echocardiogram – Sx of recurrent unprovoked epistaxis (w/HHT)

lithium, triodothyronine (T3), and atypical antipsychotics (lease effective of 3) – all can provide clinic improvement when used in conjunction with ineffective antidepressant