AOA Patient Care and Management 2

Question 1

A healthy 40-year-old with community-acquired pneumonia, no comorbidities, and a CURB-65 score of 0 should be managed with which regimen?

Accepted Answer

Outpatient oral amoxicillin

Answer

ATS/IDSA guidelines recommend outpatient amoxicillin for healthy adults with low-severity CAP and no comorbidities.

Question 2

A patient with type 2 diabetes and established atherosclerotic cardiovascular disease has an A1c of 8.2% on metformin. Which add-on agent is most appropriate?

Accepted Answer

GLP-1 receptor agonist with proven cardiovascular benefit

Answer

GLP-1 receptor agonists such as liraglutide lower major adverse cardiovascular events in patients with ASCVD.

Question 3

A 35-year-old presents with 5 days of acute low back pain without red flags. What is the most appropriate initial management?

Accepted Answer

Staying active, NSAIDs, and OMT as indicated

Answer

Imaging is not indicated for acute low back pain without red flags, and staying active with NSAIDs and manipulation is first-line.

Question 4

In which patient is cervical HVLA most clearly contraindicated?

Accepted Answer

A 55-year-old with rheumatoid arthritis

Answer

Rheumatoid arthritis can cause atlantoaxial instability, which makes cervical HVLA dangerous.

Question 5

A patient with a potassium of 7.1 mEq/L has peaked T waves and a widened QRS. What is the first treatment?

Accepted Answer

IV calcium gluconate

Answer

IV calcium stabilizes the cardiac membrane right away, while other therapies shift or remove potassium.

AOA - AOA Board Certified Practice Test

AOA - AOA Board Certified Practice Test

AOA Patient Care and Management 2