Test your basic knowledge |

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. IUPC (intrauterine pressure catheter)
= LMP + 7 days - 3 months
Measures strength of contractions
Diabetes - HTN - GN
4mo - sits unsupported - hand transfer - babbles

2. Regards human face - eye contact
Anterior shoulder cannot readily pass below the pubic symphysis.
1 mo - eyes follow object to midline - vocalizes
Nuchal translucency - serum hCG - PAPP-A
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)

3. writes name - counts 10 objects
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
5 yo - draws person - ties shoes - skips
Oxytocin (IV)
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

4. Tx for thyroid storm
Anaphylaxis
Ear pain - itching - inflammation/swollen canal - exudates/discharge
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Onset of labor until cervix dilation

5. recognizes strangers
IV penicillin (or ampicillin)
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Colchicine

6. explorations
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
IV penicillin (or ampicillin)
9 mo - walks - throws - 1-3 words - 1-step commands
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

7. social interaction
5 yo - draws person - ties shoes - skips
Diabetes - HTN - GN
Conrtaction monitoring along with fetal heart rate assessment
4 yo - copies triangle - catches ball - dresses self

8. Pregnancy class D smoking cessation drugs
Nicotine inhaler - nasal spray - gum
Calcium pyrophosphate dehydrate crystals (pseudogout)
MCC melanoma. Radial growth.
Onset of labor until cervix dilation

9. Tx gonorrhea
Prostatitis
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Ceftriaxone 125mg IM
Fe deficient anemia

10. Optimal time for trisomy screen
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
16-18 weeks GA
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

11. Complications of PID
Calcium hydroxyapatite crystals
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Alpha-1 antitrypsin deficiency

12. stranger/separation anxiety
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Flexion - internal rotation - extension - external rotation
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

13. dyspnea - visceral edema - hypotension
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
(cefotetan OR cefoxitin) AND doxycycline
Monosodium urate crystals (gout)
Anaphylaxis

14. Rod shaped - rhomboid - weakly positive birefringent
Anemia
Calcium pyrophosphate dehydrate crystals (pseudogout)
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Ear pain - itching - inflammation/swollen canal - exudates/discharge

15. Dx bacterial rhinosinusitis
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
6-9MO
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)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

16. Screened at 16-20 weeks GA for trisomy
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
4 yo - copies triangle - catches ball - dresses self
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Anaphylaxis

17. Sx of hypercalcemia
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Anterior shoulder cannot readily pass below the pubic symphysis.
Onset of labor until cervix dilation

18. Second stage of labor
Prostatitis
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Hypomagnesemia

19. medications causing hypercalcemia
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Thiazdes; lithium
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Hypomagnesemia

20. Causes of CKD
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Diabetes - HTN - GN
6-9MO
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

21. Early deceleration
Esophagitis - gastritis - dysphagia
Starts at contraction. caused by increased vagal tone from fetal head compression.
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Anterior shoulder cannot readily pass below the pubic symphysis.

22. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Loratadine - fexofenadine - cetirizine
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

23. Tx for anaphylaxis
Flexion - internal rotation - extension - external rotation
Tuberculosis; sarcoidosis; hodgkin disease
0.2-0.5mg aqueous EPI IM/SubQ
Age-related sensorineural hearing loss (high frequency and speech discrimination)

24. Tender - boggy prostate. Dx?
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Prostatitis
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Ceftriaxone 125mg IM

25. Immunizations at visit for 6MO
Calcium oxalate crystals
Hypomagnesemia
Urinary calcium. Hyper PTH (high) >> FHH (normal)
DTaP - hepB - Hib - rotavirus - inactivated polio

26. IV tx for PID
Anaphylaxis
(cefotetan OR cefoxitin) AND doxycycline
MTX
9 mo - walks - throws - 1-3 words - 1-step commands

27. 1st generation antihistamines
Diphenhydramine - chlorpheniramine - hydroxyzine
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Nuchal translucency - serum hCG - PAPP-A
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat

28. Tocodynamometer
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Conrtaction monitoring along with fetal heart rate assessment
Thiazdes; lithium
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

29. Unstable angina vs MI Dx tests
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Fluoroquinolones
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

30. Acral lentinous melanoma
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Calcium hydroxyapatite crystals

31. Sx otitis media
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
DTaP - hepB - Hib - rotavirus - inactivated polio

32. Recommendations for rear-facing car seat
Esophagitis - gastritis - dysphagia
<20lb - <1YO - Reacts to pain - Responds to noise
1 mo - eyes follow object to midline - vocalizes
5+ rads

33. Corrected serum calcium =

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

34. social smile - parent recognition
Measures strength of contractions
Clindamycin AND gentamicin
3 yo - identify body part - copies square - hops - throws - past tense - story telling
2 mo - eyes follow object past midline - rolls over - laughs - squeals

35. bacteria causing pharyngitis
Steroids + bronchodilators
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)

36. First stage of labor
Colchicine
Onset of labor until cervix dilation
Short-acting + 40mg prednisone x 10-14days
110-160bpm

37. MONA therapy
Aortic aneurysm
5 yo - draws person - ties shoes - skips
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors

38. IV tx for PID
Prostatitis
Clindamycin AND gentamicin
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Stridor - drooling - toxic appearance

39. bipyramidal - strongly positive birefringent
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Thiazides
Calcium oxalate crystals
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR

40. Screening for 65-76YO male smoker
Thiazides
Anaphylaxis
Aortic aneurysm
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)

41. parallel play
110-160bpm
3 yo - identify body part - copies square - hops - throws - past tense - story telling
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Esophagitis - gastritis - dysphagia

42. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
6-9MO
NAC or IV NaHCO3
Urticaria

43. IADL
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
(cefotetan OR cefoxitin) AND doxycycline
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Metronidazole or clindamycin

44. Augments contractions
Oxytocin (IV)
MCC melanoma. Radial growth.
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
NAC or IV NaHCO3

45. Complications of GAS infxn
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Pneumovax - influenza
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Patch - bupropion - varenicline

46. Late deceleration
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
MTX

47. How much radiation is associated with fetal harm?
5+ rads
IV penicillin (or ampicillin)
Alpha-1 antitrypsin deficiency
Loratadine - fexofenadine - cetirizine

48. regards hand
4mo - sits unsupported - hand transfer - babbles
Normal mental status; no other injuries; seen within 10 days of injury
Most aggressive melanoma.
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

49. needles - strong negative birefringent (yellow crystals parallel light)
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Monosodium urate crystals (gout)

50. Tx of traveler's diarrhea
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
DTaP - hepB - Hib - rotavirus - inactivated polio
Stridor - drooling - toxic appearance
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)