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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. TCA
Venlafaxine - duloxetine - mirtazapine
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
MVP
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine

2. DASH diet plan
High K - high Ca - low Na
IV labetalol - nicardipine - sodium nitroprusside
Mass lesion - subdural hematoma - medication overuse
Flat disk - button - batteries

3. SSRI's
8%
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Septic arthritis - fractures - congenital hip dysplasia
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram

4. malignant hyperthermia
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Bacterial infxn of supraglottic tissue and surrounding areas
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Foot/leg deficits - cognitive + personality changes

5. rtPA should be used within ____ of stroke
Halothane - succinylcholine
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
3 hours
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener

6. DDx limp in infant/toddler
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Septic arthritis - fractures - congenital hip dysplasia
MVP
Verapamil - Li+ - divalproex sodium - methysergide - prednisone

7. Baby blues resolves by ______
= QT / sqrt(RR interval)
Oral prednisone
Dantrolene IV - antipyretics - O2 - cooling blankets
10th postpartum day

8. Malrotation sx
Neonate - infants - bilious vomiting - abdominal pain
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
S. aureus
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool

9. Tx acute pulmonary edema 2ndary to CHF
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Fasting blood glucose - LFTs - renal function - TSH
Furosemide - nitroglycerin - IV morphine sulphate
Neonate - infants - bilious vomiting - abdominal pain

10. Croup
3 hours
Viral infxn of the subglottis
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Amiodarone/lidocaine

11. Standard workup for dyslipidemia
Oral prednisone
Fasting blood glucose - LFTs - renal function - TSH
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning

12. Cholesterol absorption blocker (ezetimibe)
Uterine atony
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
S. aureus

13. Croup sx
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic

14. Tx diverticulitis
PCP pneumonia
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Quinolone + metronidazole
= QT / sqrt(RR interval)

15. Mastitis tx
Obesity; increased NE release
1st line: TZD
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Cephalexin OR dicloxacillin

16. Tacrine use/sfx
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion

17. Sx Lewy Body Dementia
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
MVP

18. Sudden-onset headache DDx
Temporal arteritis - mass lesion
Obesity; NE-uptake inhibition
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity

19. Sx HoCM
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Renal parenchymal disease
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.

20. If not breast-feeding - when does menstruation restart?
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
3 hours
3rd month postpartum
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease

21. Sx normal-pressure hydrocephalus
Dementia - incontinence - gait disturbance
Legionella
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose

22. tx malignant hyperthermia
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
Dantrolene IV - antipyretics - O2 - cooling blankets
Flat disk - button - batteries

23. Tx HTN + post-MI
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Neonate - infants - bilious vomiting - abdominal pain
ACEI - B-blocker - spironolactone

24. MCC non-traumatic hip pathology in adolescents
SCFE (slipped capital femoral epiphysis)
Flat disk - button - batteries
1st line: TZD
Uterine atony

25. epiglottitis
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Eikenella species
Bacterial infxn of supraglottic tissue and surrounding areas

26. Cluster headache acute tx
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
100% O2 6L/min - dihydroergotamine - triptans
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Postpartum fever - uterine tenderness - foul-smelling lochia

27. NMDA-R antagonist (memantine)
Postpartum fever - uterine tenderness - foul-smelling lochia
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Moderate/severe alzheimer dementia
Quinolone + metronidazole

28. Cardiac Resynchronization Therapy (CRT) is warranted when ___
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Septic arthritis - fractures - congenital hip dysplasia
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;

29. MCA stroke sx
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
H. flu - S. pneumo - S. aureus - Strep A/B/C
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

30. Metabolic syndrome
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
3rd month postpartum
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea

31. vertebrobasilar stroke sx
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Amitriptyline - propanolol - timolol - divalproex sodium
Uterine atony
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia

32. Croup X-ray

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33. Stable vtach tx
Amiodarone/lidocaine
Obesity; NE-uptake inhibition
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Amitriptyline - propanolol - timolol - divalproex sodium

34. DDx postoperative fever
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Fiber (e.g. psyllium)
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)

35. Epiglottitis pathogens
H. flu - S. pneumo - S. aureus - Strep A/B/C
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
PCP pneumonia
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B

36. MCC postpartum hemorrhage
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
Uterine atony
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
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

37. Donepezil use/sfx
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
High K - high Ca - low Na
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
ACEI - diuretic

38. New-onset headache in patient with HIV/cancer DDx
Meningitis - brain abscess - metastasis
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Venlafaxine - duloxetine - mirtazapine
Dicyclomine - hyoscyamine (antispasmodics)

39. Croup pathogens
Colonoscopy
S. aureus
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Phenelzine - tranylcypramine

40. Tx HTN + CVA
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
Mass lesion - pseudotumor cerebri - meningitis
ACEI - diuretic

41. Headache with sx systemic illness DDx
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
High K - high Ca - low Na
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease

42. Statins
Phenelzine - tranylcypramine
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
'thumb sign' (protrusion of into anterior wall of hypopharynx)
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo

43. MCC infxn in closed-fist injuries
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Eikenella species
Moderate/severe alzheimer dementia
Viral infxn of the subglottis

44. Primary SVT tx
Eikenella species
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
B-blocker - Ca-channel blocker
ACEI - B-blocker - diuretic - Ca-blocker

45. Galantamine use/sfx
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
B-blocker - Ca-channel blocker

46. Phentermine
Bupriopion - amoxipine - trazodone
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Obesity; NE-uptake inhibition

47. Chance of pregnancy after a single act of coitus
Bupriopion - amoxipine - trazodone
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Bacterial infxn of supraglottic tissue and surrounding areas
8%

48. Lubiprostone
Mass lesion - pseudotumor cerebri - meningitis
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Dantrolene IV - antipyretics - O2 - cooling blankets
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea

49. Bite injury pflx
Barium enema
Eikenella species
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
5-HT blockers: tegasorad - alosetron

50. Dx and Tx of intussception
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Phenelzine - tranylcypramine
Barium enema