Geriatrics Medicine Module For the ABFM Certification Exam Is Now Ready

April 18, 2018
Introducing the new ABFM Geriatrics Content-Specific Module, available to Family Medicine residents, residency programs, and practicing physicians. This module is best suited for Family Medicine physicians looking for a focused, high-yield Qbank review for ABFMs Content-Specific Modules required during the certification exam. This content is novel, and not included in Rosh Review’s main Family Medicine Qbank or mock exams.

Family Medicine programs who subscribe to Rosh Review also gain access to the Content-Specific Modules in their PD Dash. 

Categories include:

  • Normal aging
  • Screening, prevention, and counseling
  • Functional assessment
  • Psychiatric issues
  • Infectious disease
  • Chronic problems
  • Nursing home care
  • Palliative care and end-of-life issues

Content is organized by task:

  • History and Physical 
  • Diagnostic studies 
  • Diagnosis 
  • Health maintenance 
  • Clinical intervention 
  • Clinical therapeutics 
  • Scientific concepts 

Here is an example

In cases of acute herpes zoster infection, antiviral therapy should be started within how many hours after onset to decrease pain and increase the rate of healing?

A. 24 hours
B. 36 hours
C. 48 hours
D. 72 hours

Answer D

Herpes zoster, or shingles, is a painful vesicular rash that occurs in a dermatomal distribution rarely crossing the midline. Reactivation of the varicella-zoster virus in the basal ganglia leads to destruction of the nerve and pain in the affected dermatome. First-line treatment with antiviral therapy such as valacyclovir, famciclovir, or acyclovir should be started within 72 hours of rash onset. Over-the-counter pain medications or opioids can help control the acute pain, which can be debilitating. Pain intensity during the acute attack predicts the development of postherpetic neuralgia. Amitriptyline and pregabalin reduce postherpetic neuralgia pain significantly.

24 hours (A), 36 hours (B), and 48 hours (C) are incorrect because antiviral therapy is recommended up to 72 hours after onset of clinical symptoms. Antiviral therapy may be initiated after 72 hours if new lesions are appearing at the time of evaluation because this implies ongoing viral replication.

One step further question:
Which vaccine is recommended for adults 50 years of age and older for prevention of herpes zoster and subsequent postherpetic neuralgia?

Recombinant zoster vaccine.

Since these categories and tasks are integrated into our improved performance and feedback page, you have access to robust data to help you fine-tune your studying and resources to help increase your Family Medicine Certification Exam score by 100 points

Or visit the main Family Medicine Qbank page to learn about our ABFM Certification Qbank.

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The Rosh Review Team

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By Adam Rosh

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