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Test your basic knowledge |
Family Medicine/ambulatory 1
Start Test
Study First
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. needles - strong negative birefringent (yellow crystals parallel light)
Monosodium urate crystals (gout)
Thiazdes; lithium
Age-related sensorineural hearing loss (high frequency and speech discrimination)
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
2. Sx of hypercalcemia
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
4 yo - copies triangle - catches ball - dresses self
3. IV tx for PID
IV penicillin (or ampicillin)
Ofloxacin OR levofloxacin +/- metronidazole
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Monosodium urate crystals (gout)
4. recognizes strangers
Thiazides
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Conrtaction monitoring along with fetal heart rate assessment
5. IADL
Patch - bupropion - varenicline
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Steroids + bronchodilators
Calcium pyrophosphate dehydrate crystals (pseudogout)
6. Unstable angina vs MI Dx tests
Bupropion - varenicline - nicotine replacement
Fe deficient anemia
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
= LMP + 7 days - 3 months
7. Tx acute sinusitis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Anterior shoulder cannot readily pass below the pubic symphysis.
Metronidazole or clindamycin
NAC or IV NaHCO3
8. Large - irregularly shaped - prutitic - erythematous wheals
Urticaria
Flexion - internal rotation - extension - external rotation
Thiazdes; lithium
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
9. Screening for 65-76YO male smoker
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Aortic aneurysm
Calcium hydroxyapatite crystals
10. Low serum iron - low MCV - low ferritin - +stool guaiac
Flexion - internal rotation - extension - external rotation
Fe deficient anemia
MCC melanoma. Radial growth.
Thiazides
11. Tx of traveler's diarrhea
Starts at contraction. caused by increased vagal tone from fetal head compression.
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
12. Causes of CKD
MTX
Diabetes - HTN - GN
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Ampicillin/sulbactam AND doxycycline
13. identifies left - right
Anemia
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
6 yo
14. Recommended folic acid daily dose
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
9 mo - walks - throws - 1-3 words - 1-step commands
NAC or IV NaHCO3
15. Augments contractions
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Angioedema
Oxytocin (IV)
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
16. Tx for anaphylaxis
0.2-0.5mg aqueous EPI IM/SubQ
Normal mental status; no other injuries; seen within 10 days of injury
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Monosodium urate crystals (gout)
17. X-ray on knee?
Normal mental status; no other injuries; seen within 10 days of injury
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
6 yo
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
18. Only therapy to decrease mortality in stage IV COPD
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Oxygen intervention 15h/d
6-9MO
Ofloxacin OR levofloxacin +/- metronidazole
19. Electrolyte abnormality that increases the incidence of torsades de pointes
Hypomagnesemia
(ofloxacin OR levofloxacin) +/- metronidazole
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
20. Corrected serum calcium =
21. Malignancies with hypercalcemia
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Lung; SCC head & neck; RCC; breast; MM; prostate
Thiazdes; lithium
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
22. stranger/separation anxiety
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Alpha-1 antitrypsin deficiency
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
23. complications of otitis media
Loratadine - fexofenadine - cetirizine
Thiazdes; lithium
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Metronidazole or clindamycin
24. GBS tx
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Ferrous sulfate 325mg tid
IV penicillin (or ampicillin)
Ask - Advise - Assess - Assist - Arrange
25. writes name - counts 10 objects
9 mo - walks - throws - 1-3 words - 1-step commands
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
(ofloxacin OR levofloxacin) +/- metronidazole
5 yo - draws person - ties shoes - skips
26. The five A's of smoking cessation
Calcium oxalate crystals
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Biopsy
Ask - Advise - Assess - Assist - Arrange
27. How much radiation is associated with fetal harm?
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
4 yo - copies triangle - catches ball - dresses self
DTaP - hepB - Hib - rotavirus - inactivated polio
5+ rads
28. 2nd generation antihistamines
Loratadine - fexofenadine - cetirizine
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
7-10d sx: purulent nasal discharge - maxillary tooth or facial pain - unilateral maxillary sinus tenderness - worsening of Sx after initial improvement (post viral URI possibly)
29. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Thiazdes; lithium
Most aggressive melanoma.
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
30. First stage of labor
= LMP + 7 days - 3 months
Colchicine
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Onset of labor until cervix dilation
31. IUPC (intrauterine pressure catheter)
NAC or IV NaHCO3
6-9MO
Measures strength of contractions
5 yo - draws person - ties shoes - skips
32. Pregnancy class D smoking cessation drugs
5+ rads
Calcium hydroxyapatite crystals
Esophagitis - gastritis - dysphagia
Nicotine inhaler - nasal spray - gum
33. Complications of PID
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Thiazdes; lithium
34. Tx acute exacerbation COPD
4 yo - copies triangle - catches ball - dresses self
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Short-acting + 40mg prednisone x 10-14days
Calcium pyrophosphate dehydrate crystals (pseudogout)
35. IV tx for PID
Clindamycin AND gentamicin
Thiazdes; lithium
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
36. dyspnea - visceral edema - hypotension
Anaphylaxis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
NAC or IV NaHCO3
37. Tx for thyroid storm
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
6 yo
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
38. Third stage of labor
Ampicillin/sulbactam AND doxycycline
After delivery until delivery of placenta and membranes <30 mins
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Monosodium urate crystals (gout)
39. Granulomatous causes of hypercalcemia
Tuberculosis; sarcoidosis; hodgkin disease
Hypomagnesemia
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
40. ADL
Bathing - dressing - eating - transferring - continence - toileting
Flexion - internal rotation - extension - external rotation
Most aggressive melanoma.
Measures strength of contractions
41. Emphysema - <45YO - nonsmoker
Short-acting + 40mg prednisone x 10-14days
Alpha-1 antitrypsin deficiency
Bathing - dressing - eating - transferring - continence - toileting
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
42. bipyramidal - strongly positive birefringent
Calcium oxalate crystals
Hypomagnesemia
Anemia
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
43. Screened at 16-20 weeks GA for trisomy
DTaP - hepB - Hib - rotavirus - inactivated polio
Diphenhydramine - chlorpheniramine - hydroxyzine
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Monosodium urate crystals (gout)
44. Dx bacterial vaginosis
16-18 weeks GA
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Long axis of fetus to long axis of mother (longitudinal or transverse)
45. Fetal lie
Calcium pyrophosphate dehydrate crystals (pseudogout)
Lung; SCC head & neck; RCC; breast; MM; prostate
Colchicine
Long axis of fetus to long axis of mother (longitudinal or transverse)
46. DDX for geriatric hearing impairment
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
47. Late deceleration
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Long axis of fetus to long axis of mother (longitudinal or transverse)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
48. Cockcroft-Gault equation
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
DTaP - hepB - Hib - rotavirus - inactivated polio
Diabetes - HTN - GN
Monosodium urate crystals (gout)
49. Immunizations at visit for 6MO
Thiazides
DTaP - hepB - Hib - rotavirus - inactivated polio
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Loratadine - fexofenadine - cetirizine
50. Screened at 11-13 weeks GA for trisomy
Urticaria
Nuchal translucency - serum hCG - PAPP-A
Onset of labor until cervix dilation
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat