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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. NMDA-R antagonist (memantine)
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
Amitriptyline - propanolol - timolol - divalproex sodium
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Moderate/severe alzheimer dementia

2. Refer to cardiologist post-sports physical if ____
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
Dantrolene IV - antipyretics - O2 - cooling blankets

3. atypical
5-HT blockers: tegasorad - alosetron
Bupriopion - amoxipine - trazodone
Postpartum fever - uterine tenderness - foul-smelling lochia
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea

4. MCC infxn in closed-fist injuries
ACEI - ARB
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Eikenella species
S. aureus

5. Metabolic syndrome
Halothane - succinylcholine
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Flat disk - button - batteries
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR

6. Croup X-ray

7. MAOI
Phenelzine - tranylcypramine
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
Alzheimer dementia
Oral prednisone

8. Sx normal-pressure hydrocephalus
8%
Dementia - incontinence - gait disturbance
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Amitriptyline - propanolol - timolol - divalproex sodium

9. Headache with sx systemic illness DDx
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Bupriopion - amoxipine - trazodone

10. Mastitis tx
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Cephalexin OR dicloxacillin
Temporal arteritis - mass lesion
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea

11. Nicotinic acids
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
470ms+ in men - 480ms+ in women
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram

12. rtPA should be used within ____ of stroke
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Dicyclomine - hyoscyamine (antispasmodics)
3 hours

13. Standard workup for dyslipidemia
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Fasting blood glucose - LFTs - renal function - TSH

14. Bronchiolitis sx
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
B-blocker - Ca-channel blocker

15. Fibrates
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Eikenella species
TCA's

16. Donepezil use/sfx
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Barium enema
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
ACEI - ARB - B-blocker - diuretic - Spironolactone

17. Chance of pregnancy after a single act of coitus
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
8%
Colonoscopy
Renal parenchymal disease

18. contraindications to thrombolytic therapy
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
Septic arthritis - fractures - congenital hip dysplasia
Eikenella species

19. Tx uterine atony
Meningitis - brain abscess - metastasis
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
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

20. Headache post-head trauma DDx
'steeple-sign' (subglottic narrowing)
Eikenella species
Postpartum fever - uterine tenderness - foul-smelling lochia
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache

21. DDx pediatric intestinal obsutrction
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement

22. Orlistat
Neonate - infants - bilious vomiting - abdominal pain
Renal parenchymal disease
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools

23. Cluster headache pflx
3rd month postpartum
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

24. SNRI
ACEI - ARB
Phenelzine - tranylcypramine
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Venlafaxine - duloxetine - mirtazapine

25. tx malignant hyperthermia
Mass lesion - pseudotumor cerebri - meningitis
TCA's
Dantrolene IV - antipyretics - O2 - cooling blankets
8%

26. New-onset headache in patient with HIV/cancer DDx
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
MVP
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Meningitis - brain abscess - metastasis

27. malignant hyperthermia
Fasting blood glucose - LFTs - renal function - TSH
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD

28. Retropharyngeal abscess Sx
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
3rd month postpartum

29. Tx HTN + CHF
IV labetalol - nicardipine - sodium nitroprusside
ACEI - ARB - B-blocker - diuretic - Spironolactone
S. aureus
Mass lesion - subdural hematoma - medication overuse

30. Stable vtach tx
Bacterial infxn of supraglottic tissue and surrounding areas
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
High K - high Ca - low Na
Amiodarone/lidocaine

31. If not breast-feeding - when does menstruation restart?
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
3rd month postpartum
Mass lesion - subdural hematoma - medication overuse

32. Tx acute pulmonary edema 2ndary to CHF
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Phenelzine - tranylcypramine
Furosemide - nitroglycerin - IV morphine sulphate
TCA's

33. Tx diverticulitis
Quinolone + metronidazole
Fiber (e.g. psyllium)
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
1st line: TZD

34. Dextroamphetamine
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Mass lesion - subdural hematoma - medication overuse
Fiber (e.g. psyllium)
Obesity; increased NE release

35. 'Alarm' sx for upper GI endoscopy
Neonate - infants - bilious vomiting - abdominal pain
Obesity; increased NE release
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Dementia - incontinence - gait disturbance

36. Cholesterol absorption blocker (ezetimibe)
Obesity; NE-uptake inhibition
Obesity; increased NE release
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
TCA's

37. Test to best determine source of lower GI bleed
Fiber (e.g. psyllium)
Colonoscopy
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV

38. Lochia
Moderate/severe alzheimer dementia
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Bupriopion - amoxipine - trazodone

39. Phendimetrazine
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Obesity; increased NE release
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Phenelzine - tranylcypramine

40. MCC HTN in child
10th postpartum day
Halothane - succinylcholine
Obesity; increased NE release
Renal parenchymal disease

41. Cardiac Resynchronization Therapy (CRT) is warranted when ___
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
ACEI - diuretic
1st line: TZD
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures

42. DDx Limp w/o pain in children - orthopedic
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
ACEI - B-blocker - spironolactone
Halothane - succinylcholine

43. Empiric CAP tx in healthy person
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Barium enema
Furosemide - nitroglycerin - IV morphine sulphate
ACEI - diuretic

44. Pflx migraine
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Obesity; increased NE release
Amitriptyline - propanolol - timolol - divalproex sodium

45. Headaches increasing in severity + intensity DDx
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
Viral infxn of the subglottis
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Mass lesion - subdural hematoma - medication overuse

46. causes of malignant hyperthernia
470ms+ in men - 480ms+ in women
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Halothane - succinylcholine
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea

47. Tx mild/infrequent abd pain
ACEI - B-blocker - diuretic - Ca-blocker
Obesity; NE-uptake inhibition
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Dicyclomine - hyoscyamine (antispasmodics)

48. Sudden-onset headache DDx
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR

49. DASH diet plan
High K - high Ca - low Na
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
100% O2 6L/min - dihydroergotamine - triptans
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV

50. Bilateral 'ground glass' infiltrate on CXR
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
PCP pneumonia
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache