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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
ACEI - diuretic
3 hours
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache

2. CAGE questionnaire
Mass lesion - pseudotumor cerebri - meningitis
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener

3. Pyloric stenosis sx

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4. Empiric CAP tx in hospitalized patient
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache

5. Tx HTN + post-MI
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
ACEI - B-blocker - spironolactone
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy

6. Bite injury pflx
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
ACEI - diuretic
Amoxicillin-clavulanate (augmentin) p.o 7-14 days

7. New-onset headache in patient with HIV/cancer DDx
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Meningitis - brain abscess - metastasis
Legionella

8. rtPA should be used within ____ of stroke
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
3 hours
Bacterial infxn of supraglottic tissue and surrounding areas
High K - high Ca - low Na

9. Croup pathogens
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
PCP pneumonia
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo

10. Sibutramine
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
MVP
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)

11. Drugs causing fever
8%
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400

12. Bilateral 'ground glass' infiltrate on CXR
10th postpartum day
Moderate/severe alzheimer dementia
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
PCP pneumonia

13. SSRI's
Septic arthritis - fractures - congenital hip dysplasia
Viral infxn of the subglottis
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic

14. Bronchiolitis sx
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
5-HT blockers: tegasorad - alosetron
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures

15. Cholesterol absorption blocker (ezetimibe)
S. aureus
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

16. If not breast-feeding - when does menstruation restart?
Halothane - succinylcholine
Barium enema
ACEI - B-blocker - spironolactone
3rd month postpartum

17. Headache post-head trauma DDx
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.

18. epiglottitis
Bacterial infxn of supraglottic tissue and surrounding areas
Cephalexin OR dicloxacillin
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)

19. MCC non-traumatic hip pathology in adolescents
SCFE (slipped capital femoral epiphysis)
Colonoscopy
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement

20. Sx endometritis
Postpartum fever - uterine tenderness - foul-smelling lochia
Fasting blood glucose - LFTs - renal function - TSH
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
1st line: TZD

21. DASH diet plan
Lumbar puncture
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
High K - high Ca - low Na

22. Tx migraine
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;

23. Cluster headache acute tx
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
100% O2 6L/min - dihydroergotamine - triptans
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Amitriptyline - propanolol - timolol - divalproex sodium

24. Sx Lewy Body Dementia
IV labetalol - nicardipine - sodium nitroprusside
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
ACEI - B-blocker - diuretic - Ca-blocker

25. 4 T's of postpartum hemorrhage
Dicyclomine - hyoscyamine (antispasmodics)
SCFE (slipped capital femoral epiphysis)
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
1st line: TZD

26. Tx HTN + CHF
Bacterial infxn of supraglottic tissue and surrounding areas
= QT / sqrt(RR interval)
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
ACEI - ARB - B-blocker - diuretic - Spironolactone

27. Tx HTN + CVA
ACEI - diuretic
Amiodarone/lidocaine
Postpartum fever - uterine tenderness - foul-smelling lochia
'steeple-sign' (subglottic narrowing)

28. IBS pain tx
Mass lesion - pseudotumor cerebri - meningitis
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
5-HT blockers: tegasorad - alosetron

29. Croup
Viral infxn of the subglottis
TCA's
3 hours
Dementia - incontinence - gait disturbance

30. Headaches increasing in severity + intensity DDx
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Mass lesion - subdural hematoma - medication overuse
Bacterial infxn of supraglottic tissue and surrounding areas
Septic arthritis - fractures - congenital hip dysplasia

31. Nicotinic acids
Quinolone + metronidazole
Moderate/severe alzheimer dementia
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old

32. Baby blues resolves by ______
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
10th postpartum day
Cephalexin OR dicloxacillin
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose

33. Primary SVT tx
Renal parenchymal disease
B-blocker - Ca-channel blocker
Mass lesion - pseudotumor cerebri - meningitis
Fasting blood glucose - LFTs - renal function - TSH

34. Metabolic syndrome
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Mass lesion - subdural hematoma - medication overuse
Postpartum fever - uterine tenderness - foul-smelling lochia

35. Tx diverticulitis
Quinolone + metronidazole
Septic arthritis - fractures - congenital hip dysplasia
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN

36. 'Alarm' sx for upper GI endoscopy
ACEI - B-blocker - spironolactone
3 hours
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning

37. vertebrobasilar stroke sx
Obesity; increased NE release
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia

38. Test to best determine source of lower GI bleed
Quinolone + metronidazole
Colonoscopy
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
1st line: TZD

39. Statins
Uterine atony
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Colonoscopy

40. Rivastigmine
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Alzheimer dementia
1st line: TZD
Lumbar puncture

41. causes of malignant hyperthernia
Renal parenchymal disease
ACEI - B-blocker - diuretic - Ca-blocker
Halothane - succinylcholine
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement

42. Peritonsillar abscess Sx
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Bacterial infxn of supraglottic tissue and surrounding areas
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD

43. most common valvular heart defect in USA
MVP
High K - high Ca - low Na
Uterine atony
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

44. MCC infxn in closed-fist injuries
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Eikenella species
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer

45. CXR of CHF
ACEI - B-blocker - diuretic - Ca-blocker
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
470ms+ in men - 480ms+ in women

46. Epiglottitis pathogens
Septic arthritis - fractures - congenital hip dysplasia
Obesity; increased NE release
H. flu - S. pneumo - S. aureus - Strep A/B/C
100% O2 6L/min - dihydroergotamine - triptans

47. Intussusception sx
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Foot/leg deficits - cognitive + personality changes
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
Fasting blood glucose - LFTs - renal function - TSH

48. Tx acute pulmonary edema 2ndary to CHF
Furosemide - nitroglycerin - IV morphine sulphate
PCP pneumonia
100% O2 6L/min - dihydroergotamine - triptans
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD

49. Tx HTN + CAD
ACEI - B-blocker - diuretic - Ca-blocker
Fiber (e.g. psyllium)
Colonoscopy
SCFE (slipped capital femoral epiphysis)

50. Cluster headache pflx
Halothane - succinylcholine
IV labetalol - nicardipine - sodium nitroprusside
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener