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Test your basic knowledge |
Family Medicine/ambulatory 1
Start Test
Study First
Subjects
:
health-sciences
,
family-medicine
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Tender - boggy prostate. Dx?
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Prostatitis
Steroids + bronchodilators
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
2. Cockcroft-Gault equation
2 mo - eyes follow object past midline - rolls over - laughs - squeals
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
110-160bpm
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
3. Only therapy to decrease mortality in stage IV COPD
Oxygen intervention 15h/d
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
0.2-0.5mg aqueous EPI IM/SubQ
Loratadine - fexofenadine - cetirizine
4. Unstable angina vs MI Dx tests
Ampicillin/sulbactam AND doxycycline
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Lung; SCC head & neck; RCC; breast; MM; prostate
5. Fe deficient anemia tx
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Ferrous sulfate 325mg tid
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
NAC or IV NaHCO3
6. Fetal lie
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Long axis of fetus to long axis of mother (longitudinal or transverse)
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
7. Other causes of hypercalcemia
Nuchal translucency - serum hCG - PAPP-A
Anterior shoulder cannot readily pass below the pubic symphysis.
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Lung; SCC head & neck; RCC; breast; MM; prostate
8. Tx otitis media
1 mo - eyes follow object to midline - vocalizes
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Starts at contraction. caused by increased vagal tone from fetal head compression.
9. Tx for anaphylaxis
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
= LMP + 7 days - 3 months
IV penicillin (or ampicillin)
0.2-0.5mg aqueous EPI IM/SubQ
10. social interaction
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Anterior shoulder cannot readily pass below the pubic symphysis.
4 yo - copies triangle - catches ball - dresses self
11. Smoking cessation agents
Steroids + bronchodilators
1 mo - eyes follow object to midline - vocalizes
Bupropion - varenicline - nicotine replacement
Calcium pyrophosphate dehydrate crystals (pseudogout)
12. Dx bacterial vaginosis
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Ferrous sulfate 325mg tid
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
13. Pregnancy class D smoking cessation drugs
Short-acting + 40mg prednisone x 10-14days
(cefotetan OR cefoxitin) AND doxycycline
Nicotine inhaler - nasal spray - gum
<20lb - <1YO - Reacts to pain - Responds to noise
14. Fetal heart rate range
110-160bpm
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Fe deficient anemia
6 mo - pincer - crawls - cruises - mamma - dada - byebye
15. Tx RA (best long-term outcome)
Ofloxacin OR levofloxacin +/- metronidazole
1 mo - eyes follow object to midline - vocalizes
2 mo - eyes follow object past midline - rolls over - laughs - squeals
MTX
16. Electrolyte abnormality that increases the incidence of torsades de pointes
Diabetes - HTN - GN
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Fluoroquinolones
Hypomagnesemia
17. Large - irregularly shaped - prutitic - erythematous wheals
Urticaria
Aortic aneurysm
Tdap - influenza - pneumovax
Ampicillin/sulbactam AND doxycycline
18. IV tx for PID
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Anemia
Diabetes - HTN - GN
Ampicillin/sulbactam AND doxycycline
19. Immunizations for COPD patients
Onset of labor until cervix dilation
Pneumovax - influenza
1 mo - eyes follow object to midline - vocalizes
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
20. Granulomatous causes of hypercalcemia
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Tuberculosis; sarcoidosis; hodgkin disease
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
21. Late deceleration
Metronidazole or clindamycin
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Bupropion - varenicline - nicotine replacement
22. bacteria causing pharyngitis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
MTX
7-10d sx: purulent nasal discharge - maxillary tooth or facial pain - unilateral maxillary sinus tenderness - worsening of Sx after initial improvement (post viral URI possibly)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
23. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Anemia
24. Recommended folic acid daily dose
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Calcium pyrophosphate dehydrate crystals (pseudogout)
Ampicillin/sulbactam AND doxycycline
25. explorations
DTaP - hepB - Hib - rotavirus - inactivated polio
9 mo - walks - throws - 1-3 words - 1-step commands
16-18 weeks GA
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
26. parallel play
110-160bpm
Fluoroquinolones
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
27. Complications of GAS infxn
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
1 mo - eyes follow object to midline - vocalizes
28. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
NAC or IV NaHCO3
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
29. Dx criteria for RA
5+ rads
Anemia
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
30. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Ferrous sulfate 325mg tid
Thiazides
Anemia
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
31. painless - deep - subQ swelling (periorbital - circumoral - facial)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
4 yo - copies triangle - catches ball - dresses self
Thiazides
Angioedema
32. Dx PID
Prostatitis
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
33. Superficial spreading melanoma
Onset of labor until cervix dilation
Stridor - drooling - toxic appearance
Aortic aneurysm
MCC melanoma. Radial growth.
34. variable deceleration
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
9 mo - walks - throws - 1-3 words - 1-step commands
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
35. Sx epiglottitis
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Stridor - drooling - toxic appearance
Colchicine
36. Improve short-term outcomes in acute exacerbations of COPD - asthma
Steroids + bronchodilators
Ampicillin/sulbactam AND doxycycline
Age-related sensorineural hearing loss (high frequency and speech discrimination)
NAC or IV NaHCO3
37. Rod shaped - rhomboid - weakly positive birefringent
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Onset of labor until cervix dilation
Oxygen intervention 15h/d
Calcium pyrophosphate dehydrate crystals (pseudogout)
38. regards hand
4mo - sits unsupported - hand transfer - babbles
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
MCC melanoma. Radial growth.
39. The five A's of smoking cessation
Monosodium urate crystals (gout)
Metronidazole or clindamycin
Ask - Advise - Assess - Assist - Arrange
4mo - sits unsupported - hand transfer - babbles
40. Sx of hypercalcemia
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Calcium hydroxyapatite crystals
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Monosodium urate crystals (gout)
41. Second stage of labor
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Biopsy
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Stridor - drooling - toxic appearance
42. Screened at 16-20 weeks GA for trisomy
Calcium hydroxyapatite crystals
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
43. tx shoulder dystocia
44. group play - gender - knows name
Fe deficient anemia
3 yo - identify body part - copies square - hops - throws - past tense - story telling
0.2-0.5mg aqueous EPI IM/SubQ
16-18 weeks GA
45. cystoplasmic inclusions - not birefringent
Ofloxacin OR levofloxacin +/- metronidazole
<20lb - <1YO - Reacts to pain - Responds to noise
Calcium pyrophosphate dehydrate crystals (pseudogout)
Calcium hydroxyapatite crystals
46. Regards human face - eye contact
Lung; SCC head & neck; RCC; breast; MM; prostate
Oxytocin (IV)
Fluoroquinolones
1 mo - eyes follow object to midline - vocalizes
47. Malignancies with hypercalcemia
Lung; SCC head & neck; RCC; breast; MM; prostate
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Calcium oxalate crystals
Onset of labor until cervix dilation
48. Tx for thyroid storm
Tuberculosis; sarcoidosis; hodgkin disease
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Oxytocin (IV)
49. Tx acute gout
Most aggressive melanoma.
Loratadine - fexofenadine - cetirizine
Colchicine
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
50. Screened at 11-13 weeks GA for trisomy
0.2-0.5mg aqueous EPI IM/SubQ
7-10d sx: purulent nasal discharge - maxillary tooth or facial pain - unilateral maxillary sinus tenderness - worsening of Sx after initial improvement (post viral URI possibly)
Nuchal translucency - serum hCG - PAPP-A
Fluoroquinolones