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 does treatment for migrans include?
Pain
HPV
24 hour halter
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

2. How does CHF present on X-ray?
Cardiomeagly -redistribution of vascular markings -prominent interstitial markings -Kerley B lines -perihilar haziness -pleural effusions
Viral infection of the semicircular apparatus
Apprehension test: abducting the arm to 90 degrees - rotating it externally - and then applying anterior traction to the humerus
Vital signs - orthostatic blood pressure (indicating acute bleeding) and pulse - signs of pregnancy - systemic disease - and sterile speculum and bimanual exam)

3. Mainstay treatment for soft tissue inflammation (Shoulder)
Medication or chemical esophagitis
NSAIDs - combined with ice or heat - and brief periods of rest followed by PT (maintaining ROM - flexibility - strength) -Severe: Cortisone shot
Fluoroquinolone with good activity again Pneumococcus (levofloxacin) - Macrolide - 2nd generation cephalosporin
When an increase in intracranial pressure is suspected because it can lead to brainstem herniation

4. What are symptoms are CHF?
Medication or chemical esophagitis
Repeat Pap after infection treated
Rotator Cuff tendonitis
Dyspnea - orthopnea - paroxysmal nocturnal dyspnea - nocturia - edema - weight gain - fatigue - chest pain - abdominal pain - anorexia - mental status changes

5. Treatment for supraventricular tachycardias
BB or CCB - catheter ablation of identified bypass tract
HPV testing -Pos=colposcopy -Neg=repeat pap smear
Particulate matter or otoliths may form in the semicircular canal. The otoliths become dislodged and stimulate the sensory hair cells in the semicircular canals - leading to vertigo.
ACEi

6. What should blood work include for suspected heart failure?
CBC - UA - electrolytes - BUN - creatinine - albumin - TSH-BNP: elevated in CHF
When the patient has symptoms in association with exercise or who describe chest pain or pressure
Productive cough and URI symptoms (runny nose - scratchy throat - nasal congestion) - low grade fever - fatigue
CBC

7. Define nephrotic range proteinuria
Pts with palpitations and dizziness - near syncope - or syncope
Preconception visit: up to 1 yr before conception -1st prenatal visit: 6-8wks after missed menses -Every 4 wks: up to 28 wks gestational age -Every 2 wks: up to 36 weeks gestational age -Every week: until delivery
Irregular bleeding between cycles
>3.5g of protein per 24hrs

8. Why is the pap smear one of the most effective cancer screening tools?
1)Promoting Na+retention 2) Promoting hypertrophy and hyperplasia of vascular smooth muscles through its mitogenic properties 3) Modifying ion transport - leading to increase in intracellular Ca2+ 4) Sympathetic activation
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
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
Slow progression of cervical cancer changes -Availability of effective early treatment

9. What medications can cause heart palpitations?
Theophylline - Digoxin - B agonists - OTC stimulants (pseudophedrine) - antiarrhthymic med
Dehydration - anemia - cardiac causes
Squamocolumnar junction=most common site of cervical cancer
300mg/dl protein excreted in the last 24hrs; 4+ indicates over 1g/dl per day

10. Name the diagnosis of heartburn: associated with signs of connective tissue disease - potential risk of stricture/ dysphagia
Persistent - sharp - severe - relieved by sitting up; aggravated by breathing - laying back - coughing
HIV and syphilis
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
Scleroderma/polymyositis with secondary gastroesophageal reflux

11. Oligomenorrhea
Common problem that resolves spontaneously and is most often seen in children and young adults
Regular bleeding at intervals of more than 35 days
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin

12. What are the three major risk factors for heart failure?
Cellulitis
GERD
Hypertension - CAD - valvular heart disease
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin

13. When does the American Cancer Society recommend obtaining Pap smear in low-risk women
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
Streptococci
Staphylococcal scalded skin syndrome

14. Define the patient population typically affected by orthostatic or postural proteinuria
Pediculus humanus capitis- head louse - P. humanus corporis- body louse - Phthirus pubis- pubic or crab louse
1. Rhinovirus 2. Coronavirus 3. Others: Influenza - Parainfluenza - RSV - Adenovirus
Peptic ulcer disease or gastritis
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

15. What places women at higher risk of getting cervical cancer?
PE - MI - aortic dissection - pneumothorax
Common problem that resolves spontaneously and is most often seen in children and young adults
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
Premature ventricular contractions (PVCs) or premature atrial contractions (PACs)

16. Pneumonia tx: suitable for healthy adults older than 60
Fluoroquinolone with good activity again Pneumococcus (levofloxacin) - Macrolide - 2nd generation cephalosporin
RBC casts and old to moderate HTN
Particulate matter or otoliths may form in the semicircular canal. The otoliths become dislodged and stimulate the sensory hair cells in the semicircular canals - leading to vertigo.
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

17. What drugs do you use to treat H.pylori + PUD?
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
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin
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

18. Treatment of Rhinosinusitis for symptoms persisting longer than 7-10 days
Generalized Anxiety disorder and panic disorder
Consider AB:1st line: Amoxicillin - Cefuroxime Penicillin allergy: clarithromycin - azithromycin - trimethoprim/sulfamethoxazole 2nd line: amoxicillin/clavulanic acid - levofloxacin - gatifloxcin
Excessive bleeding in amount - duration - or both at irregular intervals
Thiazide (useful in patients without renal impairment) -SE: sex dysfxn - dyslipidemia - hyperglycemia - and elevation in uric acids

19. PE for a patient getting an abnormal vaginal bleeding work up
1. Rhinovirus 2. Coronavirus 3. Others: Influenza - Parainfluenza - RSV - Adenovirus
Less than 80 ml of blood
Enodlymphatic hydrops results in incrased pressure within the semicircular canals and damage to the sensory hair cells? -tinnitus - vertigo - hearing loss
Vital signs - orthostatic blood pressure (indicating acute bleeding) and pulse - signs of pregnancy - systemic disease - and sterile speculum and bimanual exam)

20. What are the indiciations for neuroimaging?
Hypertension - CAD - valvular heart disease
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
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
Molluscum contagiosum- pox virus

21. What is the Nikolsky sign (elicted when a local skin separation occurs after minor pressure) suggest?
Wolff-Parkinson-White syndrome
Staphylococcal scalded skin syndrome
Holter monitor: 24 hours - detect an arrhythmia; patient keeps a log of symptoms Event monitor: can be carried for 30 days or more and are patient activated at the time of symptoms; event recroding ca nbe transmitted by telephone to a monitoring symp
Increase; 200 g/day

22. Describe the Hx for a patient getting an abnormal vaginal bleeding work-up
Pulsus paradoxus (abnormally large decrease in systolic blood pressure and pulse wave amplitude during inspiration)
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
Polymenorrhea
Viral infection of the semicircular apparatus

23. Hyperinsulinemia can increase vascular tone by what 4 mechanisms?
1)Promoting Na+retention 2) Promoting hypertrophy and hyperplasia of vascular smooth muscles through its mitogenic properties 3) Modifying ion transport - leading to increase in intracellular Ca2+ 4) Sympathetic activation
Generalized Anxiety disorder and panic disorder
Regular bleeding at intervals of more than 35 days
Supraspinatus and bicipital tendons

24. Although urine dipstick test binds to albumin what - other important protein can it fail to detect?
Peptic ulcer disease or gastritis
Vital signs - orthostatic blood pressure (indicating acute bleeding) and pulse - signs of pregnancy - systemic disease - and sterile speculum and bimanual exam)
Bence-Jones
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

25. What are the symptoms of palpitations?
HPV
Lightheadedness - dizziness - syncope
Bradycardia - fatigue - insomnia - sex dysfxn - and adverse effects on the lipid profile
Irregular bleeding between cycles

26. What is HSV1 associated with? What is HSV 2 associated with? What are the two phases of HSV infections? Describe the rash?
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
Productive cough and URI symptoms (runny nose - scratchy throat - nasal congestion) - low grade fever - fatigue
Non-cardiac causes of palpitations
Meclizine - dimenhydrinate - antiemetics - and benzodiazepines

27. Name the diagnosis of heartburn: upper abdominal/ epigastric pain - bloating - belching - flatulence - nausea
Lightheadedness - dizziness - syncope
Bence-Jones
Nonulcer dyspepsia
Pts with palpitations and dizziness - near syncope - or syncope

28. After treatment of dysplasia - women need Pap smears every...
Reserved for pats with hx of traumatic injury or persistent pain despite therapy
4 mo for 1yr - then every 6 mo for another yr. If remain normal for 2 years=screening can occur annually
Acute headache - ataxia - profuse nausea - and vomiting
Pediculus humanus capitis- head louse - P. humanus corporis- body louse - Phthirus pubis- pubic or crab louse

29. Name the diagnosis: A short PR interval and delta wave on ECG; assoc. with paroxysmal supraventricular tachycardias
Reflux of acid into lower esophagus -> esophagitis -> pain indistinguishable from cardiac chest pain
Slow progression of cervical cancer changes -Availability of effective early treatment
Fever with frontal or maxillary tenderness
Wolff-Parkinson-White syndrome

30. Diagnostic Evaluation of Abnoraml vaginal bleeding
Influenza - Rhinovirus - Adenovirus - Parainfluenza
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
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
Holter monitor: 24 hours - detect an arrhythmia; patient keeps a log of symptoms Event monitor: can be carried for 30 days or more and are patient activated at the time of symptoms; event recroding ca nbe transmitted by telephone to a monitoring symp

31. What is most common form of abnormal vaginal bleeding? (give what causes it with answer)
Theophylline - Digoxin - B agonists - OTC stimulants (pseudophedrine) - antiarrhthymic med
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
When the patient has symptoms in association with exercise or who describe chest pain or pressure
Pts with palpitations and dizziness - near syncope - or syncope

32. What are the 2 psych disorders most commonly associated with palpitations?
Generalized Anxiety disorder and panic disorder
Fluoroquinolone with good activity again Pneumococcus (levofloxacin) - Macrolide - 2nd generation cephalosporin
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
Rotator Cuff tendonitis

33. History for Sinusitis

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

34. Who should have Xray testing for shoulder pain?
Reserved for pats with hx of traumatic injury or persistent pain despite therapy
Bradycardia - fatigue - insomnia - sex dysfxn - and adverse effects on the lipid profile
Cervical radiculopathy
Serotypes 16 - 18 - 31 -52 -58

35. How can GERD (or esophageal motility disorders) lead to chest pain?
Furucnle
Mild dysplasia--> Carcinoma in situ-->Invasive carcinoma
Reflux of acid into lower esophagus -> esophagitis -> pain indistinguishable from cardiac chest pain
Rotator cuff tendonitis

36. Which diuretic is best for HTN patients with renal impairment? What should be checked before administered?
PE - MI - aortic dissection - pneumothorax
Nonulcer dyspepsia
Loop diuretics (Check serum K+ levels before drug admin)
With a KOH wet mount preparation

37. Name the diagnosis: a fertilized female mite burrow through the stratum corneum to being a 30 day life cycle of egg laying and deposition of fecal matter. After the eggs have hatched - the mites can migrate to other areas such as the finger webs - wr
Scabies
Impetigo
Orthopnea - paroxysmal nocturna dyspnea - rales - jugular venous distention - and edema
The resistance against which the heart contracts and is clinically reflected by systolic blood pressure

38. What lab tests are recommended for newly diagnosed hypertensive patients?
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid
CBC
Coronary artery disease/ angina
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

39. When does the MB fraction of creatinine phosphokinase rise following myocardial injury or infarction?
Diuretics -BB -CCB -ACEi
The luteal or secretory phase begins - the corpus luteum develops - and pregesterone levels increase
W/in 4hrs and peaks 24hrs; it is important to obtain serial markers since the first set of cardiac markers are negative in 25 - 50% of patients with an acute MI
Productive cough and URI symptoms (runny nose - scratchy throat - nasal congestion) - low grade fever - fatigue

40. Name the skin lesion: honey colored crusts
Pulsus paradoxus (abnormally large decrease in systolic blood pressure and pulse wave amplitude during inspiration)
Serotypes 16 - 18 - 31 -52 -58
Dyspnea - orthopnea - paroxysmal nocturnal dyspnea - nocturia - edema - weight gain - fatigue - chest pain - abdominal pain - anorexia - mental status changes
Impetigo

41. Name the type of headache: mild to moderate intensity; located in the bilateral occipital-frontal areas; dull or band-like; lasts for hours; often assoc. with stress.
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.
Tension headache
Influenza - Rhinovirus - Adenovirus - Parainfluenza
Clarithromycin - amoxicillin - metronidazole PPI: cimetidine - ranitidine - famotidine - nazatidine

42. HIgh risk pregnant patients should be evaluated for ____ and ____
SITS: Supraspinatus - Infraspinatus - Teres Minor - Subscapularis
1)Promoting Na+retention 2) Promoting hypertrophy and hyperplasia of vascular smooth muscles through its mitogenic properties 3) Modifying ion transport - leading to increase in intracellular Ca2+ 4) Sympathetic activation
BB or CCB - catheter ablation of identified bypass tract
HIV and syphilis

43. What is the caUse of Meniere disease? What are the cardinal symptoms?
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
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
Enodlymphatic hydrops results in incrased pressure within the semicircular canals and damage to the sensory hair cells? -tinnitus - vertigo - hearing loss
Premature ventricular contractions (PVCs) or premature atrial contractions (PACs)

44. Name the skin lesion: erythema - warmth - edema - pain - fever
Theophylline - Digoxin - B agonists - OTC stimulants (pseudophedrine) - antiarrhthymic med
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
Cellulitis
Staphylococcal scalded skin syndrome

45. What are the features of nephrotic syndrome?
Massive proteinuria and edema - hypoalbuminemia - hyperlipidemia - lipiduria
Kids: Rotavirus Adults: Norwalk Virus
Cholelithiasis
Coag disorders

46. What is the 1st step in treatment for patients with normal renal function and nondiabetic patients with preHTN?
Lifestyle modification: Salt restriction - weight reduction - regular aerobic exercise
Male - report irregular heartbeat Sx duration >5min - hx of heart disease
Reduce symptoms - prevent complications - improve survival-diuretics - ACE inhibitors (slow progression of heart failure - decrease the number of hospitalizations and decrease mortality) - beta blockers (decrease mortality and sudden death) - spirono
Slow progression of cervical cancer changes -Availability of effective early treatment

47. Name the diagnosis of heartburn: severe constant mid abdominal pain
Pancreatitis
Particulate matter or otoliths may form in the semicircular canal. The otoliths become dislodged and stimulate the sensory hair cells in the semicircular canals - leading to vertigo.
Substernal chest tightness or pressure - that radiates to the left arm - shoulders - or jaw. Patients may also describe: diaphoresis - SOB - nausea - vomiting
Rotator Cuff tendonitis

48. What is the caUse of acute larbyrinthitis or vestibular neuronitis?
When the patient has symptoms in association with exercise or who describe chest pain or pressure
Viral infection of the semicircular apparatus
Rotator Cuff problem
Common problem that resolves spontaneously and is most often seen in children and young adults

49. What is the standard tool used for diagnosis of GERD?
ACEi - penicillin - cephalosporin - cyclosporine - NSAIDs - heavy metals - aminoglycosides - sulfonamides
Wolff-Parkinson-White syndrome
Increase BO (systolic >140 or diastolic >90) at least 2 consecutive visits 2 wks apart
EGD

50. Chronic pain and shoulder stiffness with limited motion
Adhesive capsulitis (frozen shoulder): most common in middle age women
With a KOH wet mount preparation
Bulk forming agents -Osmotic laxatives -Stimulant laxatives -Stool Softeners -Suppositories -Enemas
Diuretics -BB -CCB -ACEi