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Family Medicine/ambulatory 1

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. painless - deep - subQ swelling (periorbital - circumoral - facial)
(cefotetan OR cefoxitin) AND doxycycline
Angioedema
0.2-0.5mg aqueous EPI IM/SubQ
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

2. ADL
Measures strength of contractions
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Bathing - dressing - eating - transferring - continence - toileting
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

3. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
110-160bpm
Anemia
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Nuchal translucency - serum hCG - PAPP-A

4. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Ceftriaxone 125mg IM
Stridor - drooling - toxic appearance
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Fluoroquinolones

5. needles - strong negative birefringent (yellow crystals parallel light)
Tuberculosis; sarcoidosis; hodgkin disease
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Monosodium urate crystals (gout)
Ask - Advise - Assess - Assist - Arrange

6. Augments contractions
1 mo - eyes follow object to midline - vocalizes
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Oxytocin (IV)
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

7. Nodular melanoma
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Most aggressive melanoma.
Bathing - dressing - eating - transferring - continence - toileting

8. group play - gender - knows name
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
3 yo - identify body part - copies square - hops - throws - past tense - story telling
1 mo - eyes follow object to midline - vocalizes

9. Fetal lie
Long axis of fetus to long axis of mother (longitudinal or transverse)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)

10. causes of acute bronchitis
Prostatitis
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
4mo - sits unsupported - hand transfer - babbles

11. Sx otitis externa
Conrtaction monitoring along with fetal heart rate assessment
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Onset of labor until cervix dilation

12. tx shoulder dystocia

13. Regards human face - eye contact
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
1 mo - eyes follow object to midline - vocalizes
Ear pain - itching - inflammation/swollen canal - exudates/discharge

14. Age by which child says 'mama' and 'dada'
6-9MO
Nicotine inhaler - nasal spray - gum
Diabetes - HTN - GN
Esophagitis - gastritis - dysphagia

15. Pregnancy class C smoking cessation drugs
Nicotine inhaler - nasal spray - gum
Measures strength of contractions
110-160bpm
Patch - bupropion - varenicline

16. Large - irregularly shaped - prutitic - erythematous wheals
Nuchal translucency - serum hCG - PAPP-A
After delivery until delivery of placenta and membranes <30 mins
Short-acting + 40mg prednisone x 10-14days
Urticaria

17. stranger/separation anxiety
Patch - bupropion - varenicline
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
6-9MO
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

18. Lentigo Maligna
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Steroids + bronchodilators

19. Oral tx for PID
Bathing - dressing - eating - transferring - continence - toileting
(ofloxacin OR levofloxacin) +/- metronidazole
Ofloxacin OR levofloxacin +/- metronidazole
Calcium pyrophosphate dehydrate crystals (pseudogout)

20. Dx bacterial rhinosinusitis
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Measures strength of contractions
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)
Calcium pyrophosphate dehydrate crystals (pseudogout)

21. Tx chlamydia
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Thiazdes; lithium
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption

22. X-ray of ankle?
Flexion - internal rotation - extension - external rotation
Fluoroquinolones
Normal mental status; no other injuries; seen within 10 days of injury
Anaphylaxis

23. Sx of hypercalcemia
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Monosodium urate crystals (gout)

24. Fetal heart rate range
Anterior shoulder cannot readily pass below the pubic symphysis.
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
110-160bpm
Most aggressive melanoma.

25. Sx peritonsillar abscess
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Angioedema
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)

26. social interaction
Steroids + bronchodilators
6-9MO
4 yo - copies triangle - catches ball - dresses self
3 yo - identify body part - copies square - hops - throws - past tense - story telling

27. MONA therapy
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Fe deficient anemia
Conrtaction monitoring along with fetal heart rate assessment

28. 2nd generation antihistamines
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Loratadine - fexofenadine - cetirizine
Angioedema
Steroids + bronchodilators

29. Dx bacterial vaginosis
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Thiazides
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Pneumovax - influenza

30. IV tx for PID
4mo - sits unsupported - hand transfer - babbles
Short-acting + 40mg prednisone x 10-14days
(cefotetan OR cefoxitin) AND doxycycline
Urticaria

31. Estimated delivery date (Naegele's rule)
Bathing - dressing - eating - transferring - continence - toileting
= LMP + 7 days - 3 months
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Nuchal translucency - serum hCG - PAPP-A

32. Tx acute gout
Hypomagnesemia
5+ rads
Colchicine
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)

33. Cockcroft-Gault equation
IV penicillin (or ampicillin)
16-18 weeks GA
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)

34. Signs of rupture of membranes

35. variable deceleration
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

36. Dx criteria for RA
Normal mental status; no other injuries; seen within 10 days of injury
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Clindamycin AND gentamicin
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR

37. Electrolyte abnormality that increases the incidence of torsades de pointes
Anterior shoulder cannot readily pass below the pubic symphysis.
Hypomagnesemia
Nicotine inhaler - nasal spray - gum
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

38. Tx for anaphylaxis
0.2-0.5mg aqueous EPI IM/SubQ
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Long axis of fetus to long axis of mother (longitudinal or transverse)

39. explorations
DTaP - hepB - Hib - rotavirus - inactivated polio
9 mo - walks - throws - 1-3 words - 1-step commands
16-18 weeks GA
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR

40. Tocodynamometer
Oxygen intervention 15h/d
Conrtaction monitoring along with fetal heart rate assessment
16-18 weeks GA
(cefotetan OR cefoxitin) AND doxycycline

41. Corrected serum calcium =

42. social smile - parent recognition
9 mo - walks - throws - 1-3 words - 1-step commands
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
2 mo - eyes follow object past midline - rolls over - laughs - squeals
5+ rads

43. MCC blindness worldwide
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Cataracts
Oxygen intervention 15h/d
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR

44. Immunizations for COPD patients
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Pneumovax - influenza
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Aortic aneurysm

45. IV tx for PID
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Ampicillin/sulbactam AND doxycycline

46. Tx otitis media
5 yo - draws person - ties shoes - skips
Diabetes - HTN - GN
Nicotine inhaler - nasal spray - gum
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins

47. complications of otitis media
Long axis of fetus to long axis of mother (longitudinal or transverse)
Most aggressive melanoma.
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
110-160bpm

48. Tx for thyroid storm
Biopsy
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Thiazdes; lithium

49. How much radiation is associated with fetal harm?
5+ rads
Stridor - drooling - toxic appearance
Biopsy
Oxytocin (IV)

50. Complications of PID
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Anaphylaxis
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Nicotine inhaler - nasal spray - gum