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. Bacteria causing chronic sinusitis
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
NAC or IV NaHCO3
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Nicotine inhaler - nasal spray - gum

2. painless - deep - subQ swelling (periorbital - circumoral - facial)
Angioedema
Pneumovax - influenza
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Biopsy

3. Acral lentinous melanoma
Short-acting + 40mg prednisone x 10-14days
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Measures strength of contractions
MCC melanoma in Africans/Asians. Under nails - soles - palms.

4. Electrolyte abnormality that increases the incidence of torsades de pointes
5 yo - draws person - ties shoes - skips
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Hypomagnesemia

5. Dx PID
NAC or IV NaHCO3
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

6. group play - gender - knows name
<20lb - <1YO - Reacts to pain - Responds to noise
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Ferrous sulfate 325mg tid
Most aggressive melanoma.

7. Tx acute sinusitis
Bupropion - varenicline - nicotine replacement
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Pneumovax - influenza
Patch - bupropion - varenicline

8. Recommendations for rear-facing car seat
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Prostatitis
Metronidazole or clindamycin
<20lb - <1YO - Reacts to pain - Responds to noise

9. Bisphospohonates sfx
Oxygen intervention 15h/d
Anterior shoulder cannot readily pass below the pubic symphysis.
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Esophagitis - gastritis - dysphagia

10. Complications of PID
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Ask - Advise - Assess - Assist - Arrange
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Calcium oxalate crystals

11. Tx GAS ifxn
Anaphylaxis
Urticaria
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Angioedema

12. identifies left - right
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Monosodium urate crystals (gout)
6 yo
Nicotine inhaler - nasal spray - gum

13. First stage of labor
Esophagitis - gastritis - dysphagia
Onset of labor until cervix dilation
Anaphylaxis
Lung; SCC head & neck; RCC; breast; MM; prostate

14. Corrected serum calcium =

15. Large - irregularly shaped - prutitic - erythematous wheals
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
0.2-0.5mg aqueous EPI IM/SubQ
Anterior shoulder cannot readily pass below the pubic symphysis.
Urticaria

16. Tx hyperkalemia in CKD
9 mo - walks - throws - 1-3 words - 1-step commands
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
6-9MO
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

17. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
16-18 weeks GA
NAC or IV NaHCO3
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
MCC melanoma in Africans/Asians. Under nails - soles - palms.

18. IUPC (intrauterine pressure catheter)
Diphenhydramine - chlorpheniramine - hydroxyzine
Measures strength of contractions
9 mo - walks - throws - 1-3 words - 1-step commands
Most aggressive melanoma.

19. IADL
Calcium oxalate crystals
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
9 mo - walks - throws - 1-3 words - 1-step commands
110-160bpm

20. Improve short-term outcomes in acute exacerbations of COPD - asthma
0.2-0.5mg aqueous EPI IM/SubQ
Diphenhydramine - chlorpheniramine - hydroxyzine
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Steroids + bronchodilators

21. Oral tx for PID
(ofloxacin OR levofloxacin) +/- metronidazole
9 mo - walks - throws - 1-3 words - 1-step commands
Starts at contraction. caused by increased vagal tone from fetal head compression.
MCC melanoma. Radial growth.

22. Tx gonorrhea
Ceftriaxone 125mg IM
Angioedema
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)
Esophagitis - gastritis - dysphagia

23. Smoking cessation agents
Short-acting + 40mg prednisone x 10-14days
Steroids + bronchodilators
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Bupropion - varenicline - nicotine replacement

24. writes name - counts 10 objects
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
= LMP + 7 days - 3 months
5 yo - draws person - ties shoes - skips
6 mo - pincer - crawls - cruises - mamma - dada - byebye

25. DDX for geriatric hearing impairment
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
<20lb - <1YO - Reacts to pain - Responds to noise
Measures strength of contractions

26. Sx of hypercalcemia
Onset of labor until cervix dilation
Cataracts
IV penicillin (or ampicillin)
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

27. Cockcroft-Gault equation
Conrtaction monitoring along with fetal heart rate assessment
Colchicine
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)

28. Pregnancy class C smoking cessation drugs
Patch - bupropion - varenicline
[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
Metronidazole or clindamycin

29. Third stage of labor
Diabetes - HTN - GN
After delivery until delivery of placenta and membranes <30 mins
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)
Normal mental status; no other injuries; seen within 10 days of injury

30. Tender - boggy prostate. Dx?
Ferrous sulfate 325mg tid
Prostatitis
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Ceftriaxone 125mg IM

31. bacteria causing pharyngitis
Bupropion - varenicline - nicotine replacement
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Patch - bupropion - varenicline
Oxygen intervention 15h/d

32. causes of acute bronchitis
Ask - Advise - Assess - Assist - Arrange
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

33. DOC for HTN in elderly
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Thiazides
Long axis of fetus to long axis of mother (longitudinal or transverse)
6 mo - pincer - crawls - cruises - mamma - dada - byebye

34. Sx epiglottitis
Hypomagnesemia
Urticaria
Pneumovax - influenza
Stridor - drooling - toxic appearance

35. explorations
Calcium hydroxyapatite crystals
9 mo - walks - throws - 1-3 words - 1-step commands
Lung; SCC head & neck; RCC; breast; MM; prostate
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

36. Screened at 11-13 weeks GA for trisomy
Nuchal translucency - serum hCG - PAPP-A
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Pneumovax - influenza

37. Early deceleration
Starts at contraction. caused by increased vagal tone from fetal head compression.
Loratadine - fexofenadine - cetirizine
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Ofloxacin OR levofloxacin +/- metronidazole

38. needles - strong negative birefringent (yellow crystals parallel light)
Monosodium urate crystals (gout)
Steroids + bronchodilators
Cataracts
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry

39. MONA therapy
Hypomagnesemia
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors

40. Late deceleration
Lung; SCC head & neck; RCC; breast; MM; prostate
Bathing - dressing - eating - transferring - continence - toileting
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Ofloxacin OR levofloxacin +/- metronidazole

41. IV tx for PID
Calcium pyrophosphate dehydrate crystals (pseudogout)
(cefotetan OR cefoxitin) AND doxycycline
Calcium hydroxyapatite crystals
Starts at contraction. caused by increased vagal tone from fetal head compression.

42. Superficial spreading melanoma
After delivery until delivery of placenta and membranes <30 mins
MCC melanoma. Radial growth.
Bathing - dressing - eating - transferring - continence - toileting
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

43. IV tx for PID
Nicotine inhaler - nasal spray - gum
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Ofloxacin OR levofloxacin +/- metronidazole
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)

44. 1st generation antihistamines
IV penicillin (or ampicillin)
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
9 mo - walks - throws - 1-3 words - 1-step commands
Diphenhydramine - chlorpheniramine - hydroxyzine

45. Granulomatous causes of hypercalcemia
Tuberculosis; sarcoidosis; hodgkin disease
Anaphylaxis
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Esophagitis - gastritis - dysphagia

46. Sx otitis externa
MTX
MCC melanoma. Radial growth.
Bathing - dressing - eating - transferring - continence - toileting
Ear pain - itching - inflammation/swollen canal - exudates/discharge

47. Lentigo Maligna
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Fluoroquinolones
<20lb - <1YO - Reacts to pain - Responds to noise
Esophagitis - gastritis - dysphagia

48. Immunizations for adult 65YO+
Tdap - influenza - pneumovax
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Esophagitis - gastritis - dysphagia
Biopsy

49. Emphysema - <45YO - nonsmoker
Thiazdes; lithium
Alpha-1 antitrypsin deficiency
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Ampicillin/sulbactam AND doxycycline

50. Tx for anaphylaxis
Fluoroquinolones
Biopsy
0.2-0.5mg aqueous EPI IM/SubQ
110-160bpm