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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. Other causes of hypercalcemia
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Short-acting + 40mg prednisone x 10-14days
Stridor - drooling - toxic appearance
2. Pregnancy class D smoking cessation drugs
Alpha-1 antitrypsin deficiency
6-9MO
Nicotine inhaler - nasal spray - gum
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
3. Sx of hypercalcemia
<20lb - <1YO - Reacts to pain - Responds to noise
Nicotine inhaler - nasal spray - gum
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Ferrous sulfate 325mg tid
4. Sx otitis media
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
0.2-0.5mg aqueous EPI IM/SubQ
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
5. Rod shaped - rhomboid - weakly positive birefringent
Calcium pyrophosphate dehydrate crystals (pseudogout)
Diabetes - HTN - GN
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Monosodium urate crystals (gout)
6. Granulomatous causes of hypercalcemia
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Tuberculosis; sarcoidosis; hodgkin disease
Thiazdes; lithium
16-18 weeks GA
7. group play - gender - knows name
Thiazides
9 mo - walks - throws - 1-3 words - 1-step commands
3 yo - identify body part - copies square - hops - throws - past tense - story telling
= LMP + 7 days - 3 months
8. tx shoulder dystocia
9. Acral lentinous melanoma
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Ask - Advise - Assess - Assist - Arrange
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Onset of labor until cervix dilation
10. Improve short-term outcomes in acute exacerbations of COPD - asthma
Ask - Advise - Assess - Assist - Arrange
Steroids + bronchodilators
IV penicillin (or ampicillin)
Metronidazole or clindamycin
11. Nodular melanoma
Urticaria
Oxytocin (IV)
Most aggressive melanoma.
Angioedema
12. regards hand
4mo - sits unsupported - hand transfer - babbles
Ampicillin/sulbactam AND doxycycline
Conrtaction monitoring along with fetal heart rate assessment
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
13. Estimated delivery date (Naegele's rule)
Patch - bupropion - varenicline
Hypomagnesemia
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
= LMP + 7 days - 3 months
14. Tx bacterial vaginosis
5+ rads
<20lb - <1YO - Reacts to pain - Responds to noise
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Metronidazole or clindamycin
15. Nonfunctioning nodules > 1cm require _____
Ampicillin/sulbactam AND doxycycline
Nicotine inhaler - nasal spray - gum
Biopsy
Pneumovax - influenza
16. Causes of CKD
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Diabetes - HTN - GN
NAC or IV NaHCO3
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
17. Screening for 65-76YO male smoker
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Aortic aneurysm
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
18. Pflx for traveler's diarrhea
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Fluoroquinolones
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
19. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Patch - bupropion - varenicline
<20lb - <1YO - Reacts to pain - Responds to noise
= LMP + 7 days - 3 months
20. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
NAC or IV NaHCO3
Biopsy
Anterior shoulder cannot readily pass below the pubic symphysis.
21. Oral tx for PID
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Starts at contraction. caused by increased vagal tone from fetal head compression.
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
22. Signs of rupture of membranes
23. IV tx for PID
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Onset of labor until cervix dilation
(cefotetan OR cefoxitin) AND doxycycline
NAC or IV NaHCO3
24. Early deceleration
Stridor - drooling - toxic appearance
Nicotine inhaler - nasal spray - gum
Fe deficient anemia
Starts at contraction. caused by increased vagal tone from fetal head compression.
25. X-ray of ankle?
16-18 weeks GA
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Bupropion - varenicline - nicotine replacement
Normal mental status; no other injuries; seen within 10 days of injury
26. Sx epiglottitis
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Stridor - drooling - toxic appearance
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
27. Dx PID
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Fluoroquinolones
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Esophagitis - gastritis - dysphagia
28. Tx acute gout
MTX
Colchicine
Fluoroquinolones
9 mo - walks - throws - 1-3 words - 1-step commands
29. identifies left - right
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
6 yo
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
30. Sx otitis externa
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
31. Augments contractions
Oxytocin (IV)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
(cefotetan OR cefoxitin) AND doxycycline
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
32. variable deceleration
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
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
33. Mediators released in response to allergen
Hypomagnesemia
5 yo - draws person - ties shoes - skips
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
16-18 weeks GA
34. CKD Stages
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
5+ rads
Ask - Advise - Assess - Assist - Arrange
35. Age by which child says 'mama' and 'dada'
4mo - sits unsupported - hand transfer - babbles
NAC or IV NaHCO3
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
6-9MO
36. Superficial spreading melanoma
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
MCC melanoma. Radial growth.
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
37. Late deceleration
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Most aggressive melanoma.
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
38. Bisphospohonates sfx
MTX
Esophagitis - gastritis - dysphagia
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)
= LMP + 7 days - 3 months
39. Tx otitis media
Pneumovax - influenza
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Oxygen intervention 15h/d
3 yo - identify body part - copies square - hops - throws - past tense - story telling
40. Complications of GAS infxn
Calcium oxalate crystals
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
41. How much radiation is associated with fetal harm?
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
6-9MO
5+ rads
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
42. writes name - counts 10 objects
Tdap - influenza - pneumovax
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
5 yo - draws person - ties shoes - skips
MTX
43. Electrolyte abnormality that increases the incidence of torsades de pointes
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Hypomagnesemia
DTaP - hepB - Hib - rotavirus - inactivated polio
Ceftriaxone 125mg IM
44. IV tx for PID
Ask - Advise - Assess - Assist - Arrange
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Ampicillin/sulbactam AND doxycycline
Oxytocin (IV)
45. Cockcroft-Gault equation
Biopsy
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
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)
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
46. presbycusis
Bupropion - varenicline - nicotine replacement
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Age-related sensorineural hearing loss (high frequency and speech discrimination)
47. Large - irregularly shaped - prutitic - erythematous wheals
Tuberculosis; sarcoidosis; hodgkin disease
Urticaria
6-9MO
Tdap - influenza - pneumovax
48. Dx bacterial vaginosis
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Urticaria
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
49. Sx peritonsillar abscess
<20lb - <1YO - Reacts to pain - Responds to noise
Starts at contraction. caused by increased vagal tone from fetal head compression.
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
50. dyspnea - visceral edema - hypotension
6-9MO
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Anaphylaxis
Angioedema