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Family Medicine/ambulatory 2

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. Donepezil use/sfx
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Foot/leg deficits - cognitive + personality changes

2. Phentermine
Cephalexin OR dicloxacillin
Obesity; NE-uptake inhibition
High K - high Ca - low Na
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;

3. TCA
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Venlafaxine - duloxetine - mirtazapine
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome

4. Bilateral 'ground glass' infiltrate on CXR
ACEI - diuretic
PCP pneumonia
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old

5. Pflx migraine
Amitriptyline - propanolol - timolol - divalproex sodium
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose

6. Cluster headache pflx
TCA's
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Fiber (e.g. psyllium)
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)

7. Orlistat
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea

8. Galantamine use/sfx
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
3rd month postpartum
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Meningitis - brain abscess - metastasis

9. Epiglottitis pathogens
Phenelzine - tranylcypramine
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
H. flu - S. pneumo - S. aureus - Strep A/B/C

10. DDx postoperative fever
IV labetalol - nicardipine - sodium nitroprusside
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
B-blocker - Ca-channel blocker
ACEI - diuretic

11. DDx Limp w/o pain in children - orthopedic
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Phenelzine - tranylcypramine
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
ACEI - ARB

12. Intussusception sx
10th postpartum day
= QT / sqrt(RR interval)
ACEI - B-blocker - spironolactone
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool

13. Tx diverticulitis
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Quinolone + metronidazole
Foot/leg deficits - cognitive + personality changes
10th postpartum day

14. Sx HoCM
8%
S. aureus
IV labetalol - nicardipine - sodium nitroprusside
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.

15. Primary SVT tx
B-blocker - Ca-channel blocker
Meningitis - brain abscess - metastasis
Obesity; NE-uptake inhibition
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic

16. SSRI's
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Septic arthritis - fractures - congenital hip dysplasia
Verapamil - Li+ - divalproex sodium - methysergide - prednisone

17. Dx and Tx of intussception
= QT / sqrt(RR interval)
Barium enema
Amiodarone/lidocaine
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache

18. Test to best determine source of lower GI bleed
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Moderate/severe alzheimer dementia
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
Colonoscopy

19. DDx limp in infant/toddler
S. aureus
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Septic arthritis - fractures - congenital hip dysplasia
Bupriopion - amoxipine - trazodone

20. Sx Lewy Body Dementia
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Fiber (e.g. psyllium)
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress

21. ACA stroke ssx
Meningitis - brain abscess - metastasis
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
Foot/leg deficits - cognitive + personality changes

22. epiglottitis
Amiodarone/lidocaine
Bacterial infxn of supraglottic tissue and surrounding areas
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener

23. Diethylpropion
Obesity; increased NE release
MVP
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer

24. Cholesterol absorption blocker (ezetimibe)
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Amiodarone/lidocaine
3 hours

25. GI 'alarm' features
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy

26. Peritonsillar abscess Sx
Furosemide - nitroglycerin - IV morphine sulphate
Meningitis - brain abscess - metastasis
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400

27. Headache post-head trauma DDx
Amiodarone/lidocaine
H. flu - S. pneumo - S. aureus - Strep A/B/C
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
ACEI - ARB - diuretic - Ca-blocker - B-blocker

28. Causes of diverticular bleeding
Uterine atony
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Dicyclomine - hyoscyamine (antispasmodics)
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze

29. IBS pain tx
Mass lesion - pseudotumor cerebri - meningitis
ACEI - ARB - diuretic - Ca-blocker - B-blocker
H. flu - S. pneumo - S. aureus - Strep A/B/C
5-HT blockers: tegasorad - alosetron

30. If not breast-feeding - when does menstruation restart?
Dantrolene IV - antipyretics - O2 - cooling blankets
S. aureus
3rd month postpartum
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic

31. 1st line tx in IBS constipation
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Postpartum fever - uterine tenderness - foul-smelling lochia
Fiber (e.g. psyllium)
ACEI - ARB - B-blocker - diuretic - Spironolactone

32. ROME IBS criteria
SCFE (slipped capital femoral epiphysis)
Dantrolene IV - antipyretics - O2 - cooling blankets
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
Quinolone + metronidazole

33. Afib - Aflutter tx
S. aureus
Foot/leg deficits - cognitive + personality changes
Digoxin (B-blockers as needed)
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400

34. DDx dementia
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
IV labetalol - nicardipine - sodium nitroprusside
Obesity; increased NE release
Meningitis - brain abscess - metastasis

35. Tx mild/infrequent abd pain
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
SCFE (slipped capital femoral epiphysis)
Dicyclomine - hyoscyamine (antispasmodics)

36. tx malignant hyperthermia
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
ACEI - B-blocker - spironolactone
Cephalexin OR dicloxacillin
Dantrolene IV - antipyretics - O2 - cooling blankets

37. Croup X-ray

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38. MAOI
3rd month postpartum
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
1st line: IV oxytocin - bimanual uterine massage - 2nd line: methylergonovine IM (CI in HTN) - 3rd line: PGF2a (Hemabate) IM (CI in asthma) - 4th line: Misoprostol
Phenelzine - tranylcypramine

39. Croup sx
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Renal parenchymal disease
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic

40. Drugs causing fever
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
H. flu - S. pneumo - S. aureus - Strep A/B/C
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia

41. Standard workup for dyslipidemia
Fasting blood glucose - LFTs - renal function - TSH
Temporal arteritis - mass lesion
Furosemide - nitroglycerin - IV morphine sulphate
Colonoscopy

42. Statins
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Dantrolene IV - antipyretics - O2 - cooling blankets
Dicyclomine - hyoscyamine (antispasmodics)

43. Sx endometritis
Quinolone + metronidazole
ACEI - B-blocker - diuretic - Ca-blocker
Postpartum fever - uterine tenderness - foul-smelling lochia
Neonate - infants - bilious vomiting - abdominal pain

44. causes of malignant hyperthernia
10th postpartum day
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Halothane - succinylcholine
Digoxin (B-blockers as needed)

45. Sudden-onset headache DDx
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Uterine atony

46. DASH diet plan
Halothane - succinylcholine
High K - high Ca - low Na
ACEI - B-blocker - spironolactone
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B

47. Rivastigmine
Dementia - incontinence - gait disturbance
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Alzheimer dementia

48. Sx normal-pressure hydrocephalus
Dementia - incontinence - gait disturbance
High K - high Ca - low Na
Lumbar puncture
Uterine atony

49. Pyloric stenosis sx

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50. DDx pediatric intestinal obsutrction
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
3rd month postpartum
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia