Test your basic knowledge |

Family Medicine Shelf

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. What is benign transient proteinuria?
Pap Smear (unless recent normal pap) -CBC -Pregnancy test -Ultrasound if uterus is enlarged -Cervical culture in patients high risk of infection -Thyroid test and testing for systemic diseases
Persistent - sharp - severe - relieved by sitting up; aggravated by breathing - laying back - coughing
Common problem that resolves spontaneously and is most often seen in children and young adults
Pancreatitis

2. What are the common causes for laryngitis?
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
Scabies
Influenza - Rhinovirus - Adenovirus - Parainfluenza
A tumor of the 8th cranial nerve that compresses the 8th cranial nerve and the brainstem

3. What should be considered in younger patients with menorrhagia
Furucnle
Coag disorders
With a KOH wet mount preparation
Ligament involvement: Pain with Active ROM and Passive ROM -Muscular and/or tendon injury: Pain with ONLY Active ROM

4. What should preconception counseling include?
Genetic screening - medical assessment for chronic diseases - screening for infectious diseases - and updating of immunizations - advice on proper nutrition and exercise - help with quitting unhealthy habits - and advice on avoiding environmental haz
Staphylococcal scalded skin syndrome
Cardiomeagly -redistribution of vascular markings -prominent interstitial markings -Kerley B lines -perihilar haziness -pleural effusions
High blood pressure - focal neurologic defecit - or papilledema

5. Name some medications that can cause proteinuria
ACEi - penicillin - cephalosporin - cyclosporine - NSAIDs - heavy metals - aminoglycosides - sulfonamides
Pap Smear (unless recent normal pap) -CBC -Pregnancy test -Ultrasound if uterus is enlarged -Cervical culture in patients high risk of infection -Thyroid test and testing for systemic diseases
Scleroderma/polymyositis with secondary gastroesophageal reflux
SITS: Supraspinatus - Infraspinatus - Teres Minor - Subscapularis

6. Where does the development of abnormal cervical cells begin?
Squamocolumnar junction=most common site of cervical cancer
Genetic screening - medical assessment for chronic diseases - screening for infectious diseases - and updating of immunizations - advice on proper nutrition and exercise - help with quitting unhealthy habits - and advice on avoiding environmental haz
Affects 60% of patients with asymptomatic proteinuria; patients are usually <30 - secrete less than 2g protein/day: proteinuria occurs in the upright - but not supine position
Generalized Anxiety disorder and panic disorder

7. Describe the presentation of pericardial pain
Persistent - sharp - severe - relieved by sitting up; aggravated by breathing - laying back - coughing
Pts with palpitations and dizziness - near syncope - or syncope
Diuretics -BB -CCB -ACEi
Consider AB:1st line: Amoxicillin - Cefuroxime Penicillin allergy: clarithromycin - azithromycin - trimethoprim/sulfamethoxazole 2nd line: amoxicillin/clavulanic acid - levofloxacin - gatifloxcin

8. Name the microorganism: folliculitis - cellulitis - furuncles (abscess/ boil) - bullous impetigo and staphylococcal scaleded skin syndrome
S. aureus- beta hemolytic streptococcus
Conization (or LEEP): removeal of a portion of the cervix and thus patients are at risk of preterm labor - incompetent cervix - or cervical stenosis in future pregnancies
Less than 80 ml of blood
1. Rhinovirus 2. Coronavirus 3. Others: Influenza - Parainfluenza - RSV - Adenovirus

9. What are the secondly causes of glomerular disease?
A 24hr urine protein collection and urine creatinine clearance determination
BB or CCB - catheter ablation of identified bypass tract
Triptans - ergotamine - DHE (emergency); prophylaxis- beta blockeres - tricyclic antidepressants - CCBs - anticonvulsants - serotonin antagonists - MAOIs; avoidance of stress - alcohol - caffeine - tyramine (red wine and cheese) - nitrates (cured mea
Post-streptococcal glomerular nepritis; systemic diseases such as SLE or a drug related effect on the glomerulus

10. In regards to a Pap smear - What should be done if a patient has cervical inflammation from infections such as Chlamydia or yeast that may cause cells to appear abnormal.
Consider AB:1st line: Amoxicillin - Cefuroxime Penicillin allergy: clarithromycin - azithromycin - trimethoprim/sulfamethoxazole 2nd line: amoxicillin/clavulanic acid - levofloxacin - gatifloxcin
Wolff-Parkinson-White syndrome
Non-cardiac causes of palpitations
Repeat Pap after infection treated

11. The degenerative process that results in bursitis - tendonitis - and shoulder impingement often begins in the _____ or ____ tendons - which have a poor blood supply and are often under stress.
PE - MI - aortic dissection - pneumothorax
Supraspinatus and bicipital tendons
Every 3 years after 2 negative smear 1 year apart. Screening may be discontinued after age 65 provided that previous testing has been normal
Muscular chest pain (inflammation or overuse pf chest wall muscles); costochondral joint (reproduced on palpation and patient may not want to take a deep breath in); rib fractures

12. What is the role of FSH in one's menstrual cycle
Persistent purulent discharge - facial pain exacerbated by leaning forward - maxillary tooth ache - 'double sickening'=relapse
E. Coli O157:H7
FSH released by the pitu stimulates a primary ovarian follicle to release estrogen - which stops menses and stimulates the endometrium
ACEi

13. History and PE for Pneumonia
Cholelithiasis
Jugular venous distension: elevated venous pressures -PMI is displaced laterally and downward: cardiomegaly -bibasilar rales -third and fourth heart sounds: fluid overloaded - stiff ventricles -murmurs: valvular pathology -hepatomegaly: right sided
Hx: High fever - dyspnea - chills - chest pain - develop hypoxia or cardiopulmonary failure - PE: Abnormal Vital signs (fever - tachypnea - tachycardia) - Lungs (localized rales - bronchial breath sounds - wheezing - signs of consolidation-dullness t
GERD

14. Isolated - extra pounding beats
Vital signs - orthostatic blood pressure (indicating acute bleeding) and pulse - signs of pregnancy - systemic disease - and sterile speculum and bimanual exam)
PVC or Premature atrial contraction (PAC)
DM - HTN - DVT - seizures - depression - or anxiety
Age - dominant hand - medications - PMHx - type of work - and activity level - Pain-acute or chronic - Associated trauma (swelling - rendness - laxity - catching - decrease ROM)

15. Things that need to be included in history of shoulder pain
Age - dominant hand - medications - PMHx - type of work - and activity level - Pain-acute or chronic - Associated trauma (swelling - rendness - laxity - catching - decrease ROM)
Varicella virus
Hep B and rubella (if necessary) Note: pregnancy should be avoided up to 1-3 months after rubella and varicella immunizations=live attenuated viruses
Associated with hypotension

16. When should invasive eletrophysiologic study should be considered?
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
Upper sternal area burning pain - associated with a productive cough
In syncopal or near syncopal patients iwth heart disease and those iwth suspected ventricular tachycardia or heart block
Cellulitis

17. What is the Barany maneuver?
GERD
The patient is seated with the head turned to the right and is quickly lowered to the supine position with the head over the edge of the examination table 30 degrees below horizontal. The test is then repeated with the head turned to the left. The te
Hgb - Electrolytes - and TSH
1. Abnormal host defenses 2. Altered consciousness 3. Ineffective cough 4. Abnormal mucociliary transport

18. What is the next best step if a patient has two or more positive dipstick tests?
High blood pressure - focal neurologic defecit - or papilledema
4 mo for 1yr - then every 6 mo for another yr. If remain normal for 2 years=screening can occur annually
Persistent purulent discharge - facial pain exacerbated by leaning forward - maxillary tooth ache - 'double sickening'=relapse
A 24hr urine protein collection and urine creatinine clearance determination

19. Complete the sentence: pericarditis can cause frictional rub and......
Pulsus paradoxus (abnormally large decrease in systolic blood pressure and pulse wave amplitude during inspiration)
Scleroderma/polymyositis with secondary gastroesophageal reflux
24 hour halter
Every 3 years after 2 negative smear 1 year apart. Screening may be discontinued after age 65 provided that previous testing has been normal

20. Name the diagnosis: A short PR interval and delta wave on ECG; assoc. with paroxysmal supraventricular tachycardias
Cervical radiculopathy
RBC casts and old to moderate HTN
Furucnle
Wolff-Parkinson-White syndrome

21. Name the diagnosis of heartburn: dysphagia - assoc. with immunocompromised condition
The resistance against which the heart contracts and is clinically reflected by systolic blood pressure
Infectious esophagitis
With a KOH wet mount preparation
Ligament involvement: Pain with Active ROM and Passive ROM -Muscular and/or tendon injury: Pain with ONLY Active ROM

22. Name the diagnosis: umbilicated skin lesion that is spread by autoinoculation - scratching - or touching a lesion. Discrete 2 to 5 mm slightly umbilicated flesh-colored - dome shaped papules occurring on the face - trunk - axillae - and extremities i
FSH released by the pitu stimulates a primary ovarian follicle to release estrogen - which stops menses and stimulates the endometrium
Rotator Cuff problem
Menorrhagia
Molluscum contagiosum- pox virus

23. HIgh risk pregnant patients should be evaluated for ____ and ____
HIV and syphilis
These patients are associated with low renin states=less likely to respond to medication
Analgesic headache
Hgb - Electrolytes - and TSH

24. How can GERD (or esophageal motility disorders) lead to chest pain?
Pap Smear (unless recent normal pap) -CBC -Pregnancy test -Ultrasound if uterus is enlarged -Cervical culture in patients high risk of infection -Thyroid test and testing for systemic diseases
Less than 80 ml of blood
Reflux of acid into lower esophagus -> esophagitis -> pain indistinguishable from cardiac chest pain
Squamocolumnar junction=most common site of cervical cancer

25. How does systolic vs. diastolic heart failure present on the echocardiogram?
Systolic dysfunction- ejection fraction is reduced to less than 45% - diastolic dysfunction- ejection fraction is preserved or high; use doppler techniques- abnormal flow across the mitral valve
Headache of recent onset (<6 months) -headache beginning after 50 years of age -worsening headaches -headache that does not fit primary headache pattern -associated seizure -focal neurologic signs or symptoms -personality change-severe headaches unre
Bence-Jones
Pediculus humanus capitis- head louse - P. humanus corporis- body louse - Phthirus pubis- pubic or crab louse

26. Describe the presentation of myocardial pain?
Clarithromycin - amoxicillin - metronidazole PPI: cimetidine - ranitidine - famotidine - nazatidine
Substernal chest tightness or pressure - that radiates to the left arm - shoulders - or jaw. Patients may also describe: diaphoresis - SOB - nausea - vomiting
Dysfunctional Uterine bleeding: caused by hormonal imbalances from a functionally abnormal hypothalamic-pitu-ovarian axis resulting in abnormal follicle development and anovulation (metorrhagia) -Corpus luteum does not develop=progesterone-deficient
100mg; means patient can be trace protein positive and not be detected

27. Name the diagnosis of heartburn: regurgitation - dysphagia
GERD
Reserved for pats with hx of traumatic injury or persistent pain despite therapy
Chest pain during pneumonia or PE
Upper sternal area burning pain - associated with a productive cough

28. Diarrhea is defined as an ____ in stool weight to more than ____g per day
Increase; 200 g/day
Inflammation - stimulation - or destruction of the hair cells of the eighth cranial nerve
Cholelithiasis
Alters mucosal permeability and stimulates the activity of intestinal smooth muscle -Ex: Bisacodyl (dulcolax)

29. Name the diagnosis of heartburn: colicky right upper quadrant pain - with meals - radiation to scapular regions
Cholelithiasis
Less than 80 ml of blood
DM - HTN - DVT - seizures - depression - or anxiety
Thiazide (useful in patients without renal impairment) -SE: sex dysfxn - dyslipidemia - hyperglycemia - and elevation in uric acids

30. Name the type of headache: severe - unilateral - localized to the periorbital/ temporal area; usually accompanied by one of the following symptoms- lacrimation - rhinorrhea - ptosis - miosis - nasal congestion - and eyelid edema; attacks occur every
A 24hr urine protein collection and urine creatinine clearance determination
High blood pressure - focal neurologic defecit - or papilledema
Serotypes 16 - 18 - 31 -52 -58
Cluster headache

31. Name the diagnosis of heartburn: chest pressure - nausea - diaphoresis - palpitations
Alters mucosal permeability and stimulates the activity of intestinal smooth muscle -Ex: Bisacodyl (dulcolax)
Pain
Coronary artery disease/ angina
Activation of the RAAS - increased levels of catecholamines - secretion of atrial natriuretic hormone -This leads to vasoconstriction - fluid retention - increased afterload - which further inhibits cardiac output -late changes are mycoardial and vas

32. Describe the Hx for a patient getting an abnormal vaginal bleeding work-up
Hx: Onset of menarche and duration and frequency of the menstrual period - Bleeding pattern - hx of liver - renal - thyroid disease - Use of anticoags - oral contraception - hormone replacement - ROS: weight change - hirsutism (indicating PCOS=LH:FSH
Bulk forming agents -Osmotic laxatives -Stimulant laxatives -Stool Softeners -Suppositories -Enemas
Repeat Pap after infection treated
Less than 80 ml of blood

33. Diarrhea from custard filled pastries
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
Jugular venous distension: elevated venous pressures -PMI is displaced laterally and downward: cardiomegaly -bibasilar rales -third and fourth heart sounds: fluid overloaded - stiff ventricles -murmurs: valvular pathology -hepatomegaly: right sided
Bence-Jones
S. Aureus

34. What procedures should be performed on women with low-grade and high-grade intraepithelial lesion on pap smear?
Subarachnoid hemorrhage
Colposcopy - Endocervical curettage - and directed cervical biopsy
Loop diuretics (Check serum K+ levels before drug admin)
Viral gastroenteritis

35. Clinical Manifestations of HTN
High blood pressure - focal neurologic defecit - or papilledema
RBC casts and old to moderate HTN
Dermatophytes - i.e. tinea- funus infection such as tinea captis- fungal infection of the scalp
Ischemic heart disease - stroke - peripheral vascular disease - renal insufficiency - retinopathy characterized by exudates and hemorrhages - and - in severe HTN - papilledema

36. What are symptoms are CHF?
Pain
Ischemic heart disease - stroke - peripheral vascular disease - renal insufficiency - retinopathy characterized by exudates and hemorrhages - and - in severe HTN - papilledema
Regular bleeding at intervals of more than 35 days
Dyspnea - orthopnea - paroxysmal nocturnal dyspnea - nocturia - edema - weight gain - fatigue - chest pain - abdominal pain - anorexia - mental status changes

37. When does the American Cancer Society recommend obtaining Pap smear in low-risk women
Every 3 years after 2 negative smear 1 year apart. Screening may be discontinued after age 65 provided that previous testing has been normal
Streptococci
Medication or chemical esophagitis
ACEi - penicillin - cephalosporin - cyclosporine - NSAIDs - heavy metals - aminoglycosides - sulfonamides

38. Hyperthyroidism - pheochromocytoma - anemia - dehydration - hypovolemia are...
Conization (or LEEP): removeal of a portion of the cervix and thus patients are at risk of preterm labor - incompetent cervix - or cervical stenosis in future pregnancies
Non-cardiac causes of palpitations
Common problem that resolves spontaneously and is most often seen in children and young adults
Furucnle

39. What are the signs of cerebral hemorrhage?
Wolff-Parkinson-White syndrome
Diuretics -BB -CCB -ACEi
Increase; 200 g/day
Acute headache - ataxia - profuse nausea - and vomiting

40. What is the Nikolsky sign (elicted when a local skin separation occurs after minor pressure) suggest?
A central clear area
Staphylococcal scalded skin syndrome
1. Rhinovirus 2. Coronavirus 3. Others: Influenza - Parainfluenza - RSV - Adenovirus
FSH released by the pitu stimulates a primary ovarian follicle to release estrogen - which stops menses and stimulates the endometrium

41. Name the skin lesion: small tumors of the skin that obscure normal skin lines - have a mosaic surface pattern - and may have thrombosed vessels appeairng as black dots on the surface
These patients are associated with low renin states=less likely to respond to medication
Early sexuality and multiple pregnancies (immature cells are more common at menarche and ruing the postpartum period) - hx of STDs - smoking - HIV - current or prior history of condyloma - and previously abnormal Pap smears
Warts
It is a test for BPV. Rotate the patients through a series of positions in an attempt to relocate the debris in the semicircular canal into the vestibule of the labyrinth.

42. What are the symptoms of palpitations?
Lightheadedness - dizziness - syncope
BB or CCB - catheter ablation of identified bypass tract
Infectious esophagitis
CBC - UA - electrolytes - BUN - creatinine - albumin - TSH-BNP: elevated in CHF

43. Four muscles of rotator cuff
SITS: Supraspinatus - Infraspinatus - Teres Minor - Subscapularis
Excessive bleeding in amount - duration - or both at irregular intervals
HSV1: oral HSV2: genital -primary infection: transmitted by respiratory droplets or by direct contact with an active lesion or infected secretions -secondary phase: reactivation of the latent virus from dorsal root ganglia -grouped vesicles on an ery
MSK - pulmonary - GI - or psychological

44. Shoulder pain with pain radiating to elbow
Cervical radiculopathy
Kids: Rotavirus Adults: Norwalk Virus
1st enzymes to rise and remain elevated for 5 - 14days; most sensitive and specific for infarct
Lightheadedness - dizziness - syncope

45. Oligomenorrhea
PVC or Premature atrial contraction (PAC)
Regular bleeding at intervals of more than 35 days
Columnar cells are replaced by squamous cells and creates the squamocolumnar junction (where squamous metaplasia is most active)
Pulsus paradoxus (abnormally large decrease in systolic blood pressure and pulse wave amplitude during inspiration)

46. Name the diagnosis of heartburn: upper abdominal/ epigastric pain - bloating - belching - flatulence - nausea
Nonulcer dyspepsia
Ligament involvement: Pain with Active ROM and Passive ROM -Muscular and/or tendon injury: Pain with ONLY Active ROM
Dehydration - anemia - cardiac causes
Jugular venous distension: elevated venous pressures -PMI is displaced laterally and downward: cardiomegaly -bibasilar rales -third and fourth heart sounds: fluid overloaded - stiff ventricles -murmurs: valvular pathology -hepatomegaly: right sided

47. What microganism is causing this array of presentations: Mild - crampy - nonbloody diarrhea to life-threatening hemorrhagic colitis complicated by hemolytic uremic syndrome or thrombopenic purpura
S. aureus- beta hemolytic streptococcus
E. Coli O157:H7
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin
Male - report irregular heartbeat Sx duration >5min - hx of heart disease

48. What is the 1st step in treatment for patients with normal renal function and nondiabetic patients with preHTN?
Streptococci
Lifestyle modification: Salt restriction - weight reduction - regular aerobic exercise
Less than 80 ml of blood
Cellulitis

49. History for Sinusitis

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

50. Tx of chronic or intermittent afibs
Irregular bleeding between cycles
Genetic screening - medical assessment for chronic diseases - screening for infectious diseases - and updating of immunizations - advice on proper nutrition and exercise - help with quitting unhealthy habits - and advice on avoiding environmental haz
Anticoag with warfarin to prevent thromboembolism
Alters mucosal permeability and stimulates the activity of intestinal smooth muscle -Ex: Bisacodyl (dulcolax)