If you’ve already signed up, let us know what you think of our questions and what we can do better. Copyright © BoardVitals 2020. Unless you're sure of an answer change, focus on the questions ahead, and not the ones that you have already answered. “Concerns about hypoglycemia with IV insulin are readily recognized in all of these guidelines. In one case, we asked readers when to remeasure lipid levels in a healthy 42-year-old woman whose LDL-cholesterol level was 157 mg/dL when last measured 2 years ago. VIDEO: Family Medicine Board Review Question Explained. a) Initiate simvastatin 40 mg once daily b) Initiate simvastatin 10 mg once daily c) Initiate gemfibrozil 600 mg twice daily d) Initiate metformin 500 mg twice daily e) Initiate lisinopril 10 mg. Part 2 - Developing a study strategy There is not a single studying strategy that works best for everyone. About 20% of respondents answered in accordance with guidelines that they would remeasure this patient’s lipid levels in 2 years — but over half answered that they would measure her levels now, at the current visit. The correct answer? Recommended targets for blood sugars in the hospital setting are remarkably similar, with the American Diabetes Association report listing a target of 140–180 mg/dL and other guidelines listing 140–200, <150, or 180 mg/dL in the three remaining guidelines that note a starting threshold. Our Family Medicine editor, Elise Torres, MD, is a board-certified family physician who practices full spectrum family medicine and telemedicine. Writing a case-based question that draws on a controversial guideline is difficult, but we think it’s worthwhile because it helps physicians to (a) be aware of major guidelines on important topics and (b) understand where their clinical decisions are (or are not) in alignment with those guidelines. Choose timed or untimed mode to challenge yourself in a review … In a second case related to the 2013 ACC/AHA lipid management guidelines, we asked our audience this whopper of a question: Which one of the following options is most appropriate for a 46-year-old man with a BMI of 33, a blood pressure of 138/86 mm Hg while taking daily hydrochlorothiazide, a family history of early cardiac disease, an LDL-cholesterol level of 150 mg/dL (reference range, <130), a high-sensitivity C-reactive protein level of 3.10 mg/liter (0.02–8.00), a fasting glucose level of 97 mg/dL (70–100), and an estimated 9.3% 10-year risk for atherosclerotic cardiovascular disease, who stopped rosuvastatin after reading that it increases the risk for type 2 diabetes? Challenging Family Medicine Board Review questions with images in similar format/quality to the actual exam, Detailed explanations and evidence-based rationales with every question, Practice in Timed mode to simulate the pressure of the real exam. This comprehensive system reinforces your Family Medicine review with an extensive online lecture library, an accompanying illustrated study guide, and much more. a) Initiate ezetimibe and valsartan (9%) b) Continue to withhold rosuvastatin and initiate atenolol (3%) c) Continue to withhold rosuvastatin and initiate aspirin (8%) d) Continue to withhold rosuvastatin and initiate metformin (5%) e) Reassure the patient and restart rosuvastatin (75%). Remember that there is no brand new information… focus on established medicine. Which one of the following medications is most appropriate to help prevent a relapse of alcohol dependence in a patient with cirrhosis, esophageal varices, and acute alcoholic hepatitis? So far, the response to our family medicine content has been overwhelmingly positive.

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