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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. ADL
Bathing - dressing - eating - transferring - continence - toileting
Cataracts
Lung; SCC head & neck; RCC; breast; MM; prostate
Nicotine inhaler - nasal spray - gum

2. social smile - parent recognition
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Tdap - influenza - pneumovax
Normal mental status; no other injuries; seen within 10 days of injury
2 mo - eyes follow object past midline - rolls over - laughs - squeals

3. social interaction
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)
Fluoroquinolones
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
4 yo - copies triangle - catches ball - dresses self

4. Tx hyperkalemia in CKD
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Long axis of fetus to long axis of mother (longitudinal or transverse)
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

5. Fetal lie
(ofloxacin OR levofloxacin) +/- metronidazole
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Long axis of fetus to long axis of mother (longitudinal or transverse)
Diphenhydramine - chlorpheniramine - hydroxyzine

6. Four cardinal fetal movements
110-160bpm
Urticaria
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Flexion - internal rotation - extension - external rotation

7. IV tx for PID
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Short-acting + 40mg prednisone x 10-14days
Ofloxacin OR levofloxacin +/- metronidazole
Onset of labor until cervix dilation

8. Cockcroft-Gault equation
Diabetes - HTN - GN
Ampicillin/sulbactam AND doxycycline
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Stridor - drooling - toxic appearance

9. Corrected serum calcium =

10. Sx epiglottitis
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
After delivery until delivery of placenta and membranes <30 mins
Anterior shoulder cannot readily pass below the pubic symphysis.
Stridor - drooling - toxic appearance

11. causes of acute bronchitis
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Cataracts
= LMP + 7 days - 3 months

12. X-ray on knee?
IV penicillin (or ampicillin)
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

13. bipyramidal - strongly positive birefringent
(cefotetan OR cefoxitin) AND doxycycline
Calcium oxalate crystals
Ferrous sulfate 325mg tid
Age-related sensorineural hearing loss (high frequency and speech discrimination)

14. tx shoulder dystocia

15. Malignancies with hypercalcemia
(cefotetan OR cefoxitin) AND doxycycline
Conrtaction monitoring along with fetal heart rate assessment
Lung; SCC head & neck; RCC; breast; MM; prostate
0.2-0.5mg aqueous EPI IM/SubQ

16. X-ray of ankle?
MTX
Bupropion - varenicline - nicotine replacement
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Normal mental status; no other injuries; seen within 10 days of injury

17. Sx otitis externa
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
(ofloxacin OR levofloxacin) +/- metronidazole
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Ear pain - itching - inflammation/swollen canal - exudates/discharge

18. Estimated delivery date (Naegele's rule)
= LMP + 7 days - 3 months
Angioedema
6 yo
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2

19. Tx GAS ifxn
Thiazides
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia

20. identifies left - right
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
6 yo
Nicotine inhaler - nasal spray - gum

21. Immunizations for adult 65YO+
Short-acting + 40mg prednisone x 10-14days
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Tdap - influenza - pneumovax
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy

22. 2nd generation antihistamines
Thiazdes; lithium
Loratadine - fexofenadine - cetirizine
(cefotetan OR cefoxitin) AND doxycycline
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

23. Age by which child says 'mama' and 'dada'
Metronidazole or clindamycin
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
2 mo - eyes follow object past midline - rolls over - laughs - squeals
6-9MO

24. Large - irregularly shaped - prutitic - erythematous wheals
Anterior shoulder cannot readily pass below the pubic symphysis.
Flexion - internal rotation - extension - external rotation
Urticaria
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

25. Causes of CKD
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Stridor - drooling - toxic appearance
Diabetes - HTN - GN

26. regards hand
Tdap - influenza - pneumovax
Metronidazole or clindamycin
Anemia
4mo - sits unsupported - hand transfer - babbles

27. Sx otitis media
Cataracts
Esophagitis - gastritis - dysphagia
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

28. Regards human face - eye contact
1 mo - eyes follow object to midline - vocalizes
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Short-acting + 40mg prednisone x 10-14days
Ofloxacin OR levofloxacin +/- metronidazole

29. Immunizations for COPD patients
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Pneumovax - influenza
Urticaria
Calcium oxalate crystals

30. Pflx for traveler's diarrhea
Clindamycin AND gentamicin
Fluoroquinolones
Tuberculosis; sarcoidosis; hodgkin disease
Colchicine

31. recognizes strangers
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Age-related sensorineural hearing loss (high frequency and speech discrimination)
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

32. IV tx for PID
Normal mental status; no other injuries; seen within 10 days of injury
Clindamycin AND gentamicin
Calcium oxalate crystals
Patch - bupropion - varenicline

33. Pregnancy class D smoking cessation drugs
Hypomagnesemia
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Nicotine inhaler - nasal spray - gum
1 mo - eyes follow object to midline - vocalizes

34. Low serum iron - low MCV - low ferritin - +stool guaiac
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Thiazides
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Fe deficient anemia

35. Electrolyte abnormality that increases the incidence of torsades de pointes
Hypomagnesemia
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
= LMP + 7 days - 3 months

36. Unstable angina vs MI Dx tests
IV penicillin (or ampicillin)
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

37. Late deceleration
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

38. Tender - boggy prostate. Dx?
Lung; SCC head & neck; RCC; breast; MM; prostate
Oxygen intervention 15h/d
Calcium hydroxyapatite crystals
Prostatitis

39. Dx bacterial rhinosinusitis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Urinary calcium. Hyper PTH (high) >> FHH (normal)
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)

40. Bacteria causing chronic sinusitis
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Oxygen intervention 15h/d
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat

41. Acral lentinous melanoma
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Tuberculosis; sarcoidosis; hodgkin disease
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

42. Superficial spreading melanoma
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
MCC melanoma. Radial growth.
Loratadine - fexofenadine - cetirizine
Nuchal translucency - serum hCG - PAPP-A

43. Granulomatous causes of hypercalcemia
Tuberculosis; sarcoidosis; hodgkin disease
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
6 yo

44. Nodular melanoma
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Most aggressive melanoma.
1 mo - eyes follow object to midline - vocalizes
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole

45. Tx acute gout
Colchicine
Fluoroquinolones
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Hypomagnesemia

46. Fe deficient anemia tx
Biopsy
Ferrous sulfate 325mg tid
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Diphenhydramine - chlorpheniramine - hydroxyzine

47. Immunizations at visit for 6MO
Ask - Advise - Assess - Assist - Arrange
DTaP - hepB - Hib - rotavirus - inactivated polio
Ampicillin/sulbactam AND doxycycline
Conrtaction monitoring along with fetal heart rate assessment

48. Tx RA (best long-term outcome)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Lung; SCC head & neck; RCC; breast; MM; prostate
MTX
(ofloxacin OR levofloxacin) +/- metronidazole

49. writes name - counts 10 objects
DTaP - hepB - Hib - rotavirus - inactivated polio
Prostatitis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
5 yo - draws person - ties shoes - skips

50. IV tx for PID
Anterior shoulder cannot readily pass below the pubic symphysis.
Onset of labor until cervix dilation
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
(cefotetan OR cefoxitin) AND doxycycline