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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. Diethylpropion
Amitriptyline - propanolol - timolol - divalproex sodium
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
Amiodarone/lidocaine
Obesity; increased NE release

2. Headache post-head trauma DDx
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
100% O2 6L/min - dihydroergotamine - triptans
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool

3. vertebrobasilar stroke sx
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Temporal arteritis - mass lesion
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance

4. TCA
High K - high Ca - low Na
ACEI - B-blocker - spironolactone
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction

5. Headache with sx systemic illness DDx
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Obesity; increased NE release
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease

6. 'Alarm' sx for upper GI endoscopy
Fiber (e.g. psyllium)
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease

7. Malrotation sx
Fiber (e.g. psyllium)
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
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Neonate - infants - bilious vomiting - abdominal pain

8. Retropharyngeal abscess Sx
= QT / sqrt(RR interval)
Foot/leg deficits - cognitive + personality changes
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress

9. Tx HTN
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Eikenella species
ACEI - ARB - diuretic - Ca-blocker - B-blocker
1st line: TZD

10. SNRI
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Venlafaxine - duloxetine - mirtazapine

11. Cluster headache pflx
Furosemide - nitroglycerin - IV morphine sulphate
Moderate/severe alzheimer dementia
Dantrolene IV - antipyretics - O2 - cooling blankets
Verapamil - Li+ - divalproex sodium - methysergide - prednisone

12. Organism that causes pneumonia post-influenza
Moderate/severe alzheimer dementia
Mass lesion - pseudotumor cerebri - meningitis
S. aureus
Obesity; increased NE release

13. Cardiac Resynchronization Therapy (CRT) is warranted when ___
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Postpartum fever - uterine tenderness - foul-smelling lochia
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy

14. Tx acute pulmonary edema 2ndary to CHF
Furosemide - nitroglycerin - IV morphine sulphate
Dementia - incontinence - gait disturbance
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
5-HT blockers: tegasorad - alosetron

15. ROME IBS criteria
3rd month postpartum
Obesity; increased NE release
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance

16. Bronchiolitis sx
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Amiodarone/lidocaine
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener

17. Chance of pregnancy after a single act of coitus
8%
Meningitis - brain abscess - metastasis
PCP pneumonia
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease

18. tx malignant hyperthermia
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
5-HT blockers: tegasorad - alosetron
Dantrolene IV - antipyretics - O2 - cooling blankets

19. Test to best determine source of lower GI bleed
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Furosemide - nitroglycerin - IV morphine sulphate
Colonoscopy
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)

20. Pyloric stenosis sx

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21. DDx dementia
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Alzheimer dementia
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

22. Croup pathogens
Renal parenchymal disease
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
S. aureus

23. Croup
Meningitis - brain abscess - metastasis
ACEI - B-blocker - diuretic - Ca-blocker
B-blocker - Ca-channel blocker
Viral infxn of the subglottis

24. contraindications to thrombolytic therapy
Dantrolene IV - antipyretics - O2 - cooling blankets
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
100% O2 6L/min - dihydroergotamine - triptans
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)

25. IBS pain tx
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
5-HT blockers: tegasorad - alosetron
ACEI - ARB
Flat disk - button - batteries

26. Headaches increasing in severity + intensity DDx
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Mass lesion - subdural hematoma - medication overuse
Cephalexin OR dicloxacillin
H. flu - S. pneumo - S. aureus - Strep A/B/C

27. Causes of diverticular bleeding
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Bacterial infxn of supraglottic tissue and surrounding areas
= QT / sqrt(RR interval)
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

28. DDx limp in infant/toddler
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Septic arthritis - fractures - congenital hip dysplasia
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
B-blocker - Ca-channel blocker

29. Headache after 50 YO DDx
Furosemide - nitroglycerin - IV morphine sulphate
Temporal arteritis - mass lesion
Mass lesion - pseudotumor cerebri - meningitis
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test

30. Standard workup for dyslipidemia
Fasting blood glucose - LFTs - renal function - TSH
Alzheimer dementia
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic

31. MCC infxn in closed-fist injuries
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
B-blocker - Ca-channel blocker
Eikenella species

32. MCC HTN in child
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Renal parenchymal disease
Amitriptyline - propanolol - timolol - divalproex sodium

33. Croup X-ray

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34. QTc
= QT / sqrt(RR interval)
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
H. flu - S. pneumo - S. aureus - Strep A/B/C

35. Epiglottitis pathogens
H. flu - S. pneumo - S. aureus - Strep A/B/C
470ms+ in men - 480ms+ in women
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Postpartum fever - uterine tenderness - foul-smelling lochia

36. DASH diet plan
Bacterial infxn of supraglottic tissue and surrounding areas
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
High K - high Ca - low Na
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.

37. malignant hyperthermia
= QT / sqrt(RR interval)
Barium enema
ACEI - ARB
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity

38. MCC non-traumatic hip pathology in adolescents
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
SCFE (slipped capital femoral epiphysis)

39. CAGE questionnaire
Oral prednisone
Amitriptyline - propanolol - timolol - divalproex sodium
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Mass lesion - vascular malformation - stroke - collagen vascular disease

40. Peritonsillar abscess Sx
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Fever - sore throat - muffled voice - drooling - trismus - neck pain
PCP pneumonia

41. Sx Lewy Body Dementia
Barium enema
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
= QT / sqrt(RR interval)
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion

42. Tx HTN + post-MI
Mass lesion - pseudotumor cerebri - meningitis
ACEI - B-blocker - spironolactone
Legionella
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity

43. Sx endometritis
Eikenella species
Postpartum fever - uterine tenderness - foul-smelling lochia
Mass lesion - vascular malformation - stroke - collagen vascular disease
Fasting blood glucose - LFTs - renal function - TSH

44. ACA stroke ssx
100% O2 6L/min - dihydroergotamine - triptans
Foot/leg deficits - cognitive + personality changes
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
Dantrolene IV - antipyretics - O2 - cooling blankets

45. CXR of CHF
Furosemide - nitroglycerin - IV morphine sulphate
Mass lesion - vascular malformation - stroke - collagen vascular disease
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement

46. Sx HoCM
PCP pneumonia
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache

47. 1st line tx in IBS constipation
Obesity; NE-uptake inhibition
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Fiber (e.g. psyllium)
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

48. Drugs causing fever
'thumb sign' (protrusion of into anterior wall of hypopharynx)
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.

49. causes of malignant hyperthernia
Halothane - succinylcholine
Eikenella species
Dantrolene IV - antipyretics - O2 - cooling blankets
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea

50. Tx HTN + DM
Alzheimer dementia
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
ACEI - ARB - diuretic - Ca-blocker - B-blocker
ACEI - diuretic