Why UVA Family Medicine? The more appropriate choice in this case is acamprosate, which is approved by the FDA for treating alcohol dependence and is contraindicated only in patients with severe renal insufficiency. Your new thread title is very short, and likely is unhelpful. The FM shelf is more "what do you do next" type questions than step 1 pathophys type questions you might see on the IM shelf, and OME is great for that. Course: Family Medicine Clerkship Topic: Usmle Your Score: 1 % (124 unanswered questions) Exit Question # 1 Select the single best answer to the numbered question. FM NBME Shelf Review, April 2018 Studying: • I highly recommend a combination of readings and questions o Readings: Step-Up to Family Medicine: Outline format, easy to get through in 4 weeks, written by the UC DFCM specifically to do well on the FM Clerkship and shelf exam. When the vast majority of respondents get a particular question right, we reason that the case must have been straightforward and the correct answer fairly clear-cut. Just found out I have to repeat M3 and graduate 2 years late, wondering if there are others else with similar struggles/experiences. Bình Chữa Cháy Khí Co2 – Kiểm Định BCA; Bình Chữa Cháy Foam – Dung Dịch Foam; Bình Chữa Cháy Bột -BC – ABC – Kiểm Định BCA Through that forum, we’ve received requests for more content in pediatric and adolescent medicine, more geriatrics, more cardiovascular disease, and more mental health. About 20% of respondents answered in accordance with guidelines that they would remeasure this patient’s lipid levels in 2 years â but over half answered that they would measure her levels now, at the current visit. Not all of our questions are so straightforward â others have proven troublesome, especially the ones hinging on recent (and contested) cholesterol guidelines. How is the first year of PCCM Fellowship? Watch the videos on the recommended FM schedule & then some. Feel free to email me at yangswearabouts@gmail.com with questions, or leave a comment below! Your Score: 1 % (124 unanswered questions) Exit Question # 1 Select the single best answer to the numbered question. The Duke Family Medicine Residency is a unique program designed to train leaders, innovators, and advocates in the field of family medicine. It is very likely that it does not need any further discussion and thus bumping it serves no purpose. DO student 3rd year work flow for anki lovers? Only 30% of respondents correctly answered that they would provide IV insulin with a target glucose level of 140 to 200 mg/dL. Glycemic Control in Critically Ill Patients. lol sorry and thanks for help! It was nice to have a textbook (e.g., to read about patients before the next day and know what to ask for the next day), but I doubt it helped much for the shelf. Which one of the following options is most appropriate for a 46-year-old black man with a family history of early cardiac disease, a BMI of 33, a blood pressure of 138/86 mm Hg while taking daily hydrochlorothiazide, an LDL-cholesterol level of 126 mg/dL (reference range, <130), a triglyceride level of 260 mg/dL (<150), a fasting glucose level of 90 mg/dL (70â100), and an estimated 9.3% 10-year risk for atherosclerotic cardiovascular disease who has tried, with minimal success, to change his diet and exercise level in the past year? Our initial offering focused on internal medicine, but we’ve expanded to include family medicine board review questions as well. UWise is a 529-question interactive self-exam helps medical students acquire the necessary basic knowledge in obstetrics and gynecology, regardless of future medical specialty choice. You can expect, however, to be asked others, including those specific to your specialty and to the group or hospital with which you are interviewing. 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. Hey! a) Intravenous insulin infusion with a target glucose level of 110 to 140 mg/dL (18%) b) Subcutaneous basal glargine insulin injection, with daily adjustment until the morning glucose level is c) Sliding-scale insulin injection (in which dose is dependent on the glucose value) whenever glucose levels exceed 180 mg/dL (25%) d) Continued monitoring, with treatment initiated only if the glucose level exceeds 220 mg/dL (22%) e) Intravenous insulin infusion with a target glucose level of 140 to 200 mg/dL (30%). When should her lipid levels be remeasured? It may not display this or other websites correctly. Redeeming myself from Step 1 starts with honoring my rotations and I need >75% on the shelf to do that. Aspirin would be a better choice than a statin for this patient â or should at least be used in addition to the statin. 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. Case Files is good. Every week, we email a case-based board-style question to tens of thousands of clinicians as part of our NEJM Knowledge+ Question of the Week program. Attempt to finish the text in the first 2-2.5 weeks of the rotation. Next Steps Essentials of Family Medicine — Sloane et al. A healthy 42-year-old woman had an LDL-cholesterol level of 157 mg/dL when measured 2 years ago. NEJM Knowledge+ Family Medicine Board Review includes more than 1,500 case-based questions just like these. The University of Virginia Family Medicine residency program offers a well-balanced, varied curriculum, where professional development goes along with personal growth. We are the one of the most effective Online Marketing & Ecommerce Design Company Getting online is easy. 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? Course: Family Medicine Clerkship. Your message may be considered spam for the following reasons: JavaScript is disabled. Taking Step 2 CK right after taking inpatient medicine and surgery shelfs? As a resident in an ACGME-accredited Family Medicine program, you are eligible to take the annual In-Training Examination (ITE). This also provides your residency program with comparative data about how the program as a whole is meeting these … Nearly 80% of respondents answered correctly, and several told us that while the case was simple, it was a good reminder to be vigilant for atypical signs of MI, particularly in women and elders. NEJM Knowledge+ Family Medicine Board Review: 338 AMA PRA Category 1 Credits™ AAFP Prescribed Credit. 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 (0.02â8.00), a fasting glucose level of 97 mg/dL (70â100), 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? A. Na+ 130, K+ 2.9, Cl- 89, HCO3- 35 1) When you see a 3-6 week old infant with projectile vomiting, and an olive-like mass on physical exam, think pyloric stenosis! Succeeding online is a different story. 6:30AM Wake up, get dressed, and leave the house by 7AM. This vignette describes a classic presentation of pyloric stenosis, a commonly-tested disorder for which the associated … At the end, I’ll also review resources I used to prepare for the Family Medicine NBME shelf exam. 1600 challenging Family Medicine Shelf Board Review Questions targeted for use during clerkship rotations. Visit a family doctor knowing that, when something serious happens, you have access to UVA's worldwide experts. The correct answer? All rights reserved. Uva engineering essay reddit. Our goal at the Primary Care Center is to give complete healthcare to individuals and families regardless of age, sex, race, or ability to pay. Topic: Usmle. 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%). An electrocardiogram to rule out myocardial infarction. “Concerns about hypoglycemia with IV insulin are readily recognized in all of these guidelines. The new question (shown below) still tests knowledge of the ACC/AHA lipid management guideline â but in a much more straightforward way. On September 8, we featured a question on glycemic control in a critically ill patient with persistent hyperglycemia and no known history of diabetes mellitus. 2) Losing HCl in emesis leads to a hypochloremic, hypokalemic metabolic alkalosis. Whenever specialty medical care is needed, we will help you find the care you need.You are an extremely important part of your health. When asked which medication would be most appropriate for this patient, most respondents chose disulfiram, but both this agent and naltrexone are hepatotoxic and should be avoided in patients with advanced liver disease.
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