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. IV tx for PID
Colchicine
Anaphylaxis
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Clindamycin AND gentamicin

2. Recommended folic acid daily dose
Bupropion - varenicline - nicotine replacement
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Long axis of fetus to long axis of mother (longitudinal or transverse)
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)

3. Nodular melanoma
Most aggressive melanoma.
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)

4. Tx GAS ifxn
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Onset of labor until cervix dilation
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
5 yo - draws person - ties shoes - skips

5. Screened at 16-20 weeks GA for trisomy
Ferrous sulfate 325mg tid
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Anaphylaxis

6. CKD Stages
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Urinary calcium. Hyper PTH (high) >> FHH (normal)

7. Third stage of labor
After delivery until delivery of placenta and membranes <30 mins
Biopsy
5 yo - draws person - ties shoes - skips
Ampicillin/sulbactam AND doxycycline

8. dyspnea - visceral edema - hypotension
= LMP + 7 days - 3 months
Oxygen intervention 15h/d
Most aggressive melanoma.
Anaphylaxis

9. Augments contractions
0.2-0.5mg aqueous EPI IM/SubQ
Calcium pyrophosphate dehydrate crystals (pseudogout)
Lung; SCC head & neck; RCC; breast; MM; prostate
Oxytocin (IV)

10. Tx chlamydia
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Patch - bupropion - varenicline
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
6 mo - pincer - crawls - cruises - mamma - dada - byebye

11. Recommendations for rear-facing car seat
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
<20lb - <1YO - Reacts to pain - Responds to noise
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Fluoroquinolones

12. Other causes of hypercalcemia
Stridor - drooling - toxic appearance
Anterior shoulder cannot readily pass below the pubic symphysis.
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
5+ rads

13. tx shoulder dystocia

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

14. Corrected serum calcium =

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

15. Improve short-term outcomes in acute exacerbations of COPD - asthma
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Oxytocin (IV)
Steroids + bronchodilators

16. shoulder dystocia
Anterior shoulder cannot readily pass below the pubic symphysis.
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Fluoroquinolones
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

17. Late deceleration
MTX
Most aggressive melanoma.
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

18. Tx gonorrhea
Fluoroquinolones
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
MTX
Ceftriaxone 125mg IM

19. Dx criteria for RA
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Onset of labor until cervix dilation

20. Dx bacterial vaginosis
4mo - sits unsupported - hand transfer - babbles
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Loratadine - fexofenadine - cetirizine
Steroids + bronchodilators

21. GBS tx
Thiazdes; lithium
IV penicillin (or ampicillin)
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

22. 2nd generation antihistamines
Anterior shoulder cannot readily pass below the pubic symphysis.
110-160bpm
Loratadine - fexofenadine - cetirizine
NAC or IV NaHCO3

23. Causes of CKD
Nicotine inhaler - nasal spray - gum
Diabetes - HTN - GN
6 yo
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat

24. Nonfunctioning nodules > 1cm require _____
Ceftriaxone 125mg IM
Biopsy
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

25. bacteria causing pharyngitis
Thiazdes; lithium
Urticaria
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Measures strength of contractions

26. Large - irregularly shaped - prutitic - erythematous wheals
Urticaria
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Long axis of fetus to long axis of mother (longitudinal or transverse)
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy

27. First stage of labor
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Onset of labor until cervix dilation
Hypomagnesemia
Calcium oxalate crystals

28. Immunizations for adult 65YO+
Onset of labor until cervix dilation
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Tdap - influenza - pneumovax
Lung; SCC head & neck; RCC; breast; MM; prostate

29. stranger/separation anxiety
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Urinary calcium. Hyper PTH (high) >> FHH (normal)
IV penicillin (or ampicillin)

30. explorations
9 mo - walks - throws - 1-3 words - 1-step commands
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
4mo - sits unsupported - hand transfer - babbles
Ferrous sulfate 325mg tid

31. Complications of PID
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Anemia
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors

32. Pregnancy class C smoking cessation drugs
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
5 yo - draws person - ties shoes - skips
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Patch - bupropion - varenicline

33. Tx otitis media
After delivery until delivery of placenta and membranes <30 mins
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
MTX
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

34. Immunizations at visit for 6MO
DTaP - hepB - Hib - rotavirus - inactivated polio
Bupropion - varenicline - nicotine replacement
Tdap - influenza - pneumovax
Anaerobic: bacteroides - peptostreptococcus - fusobacterium

35. Low serum iron - low MCV - low ferritin - +stool guaiac
Fe deficient anemia
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Ferrous sulfate 325mg tid

36. Dx bacterial rhinosinusitis
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)
Patch - bupropion - varenicline
Ceftriaxone 125mg IM
1 mo - eyes follow object to midline - vocalizes

37. Regards human face - eye contact
Anterior shoulder cannot readily pass below the pubic symphysis.
Lung; SCC head & neck; RCC; breast; MM; prostate
Urticaria
1 mo - eyes follow object to midline - vocalizes

38. Lentigo Maligna
Colchicine
NAC or IV NaHCO3
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)

39. How much radiation is associated with fetal harm?
Calcium oxalate crystals
Cataracts
5+ rads
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

40. Cockcroft-Gault equation
1 mo - eyes follow object to midline - vocalizes
Bathing - dressing - eating - transferring - continence - toileting
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency

41. IV tx for PID
Onset of labor until cervix dilation
4 yo - copies triangle - catches ball - dresses self
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
(cefotetan OR cefoxitin) AND doxycycline

42. ADL
4mo - sits unsupported - hand transfer - babbles
Bathing - dressing - eating - transferring - continence - toileting
Biopsy
Thiazdes; lithium

43. Malignancies with hypercalcemia
110-160bpm
Ask - Advise - Assess - Assist - Arrange
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Lung; SCC head & neck; RCC; breast; MM; prostate

44. Granulomatous causes of hypercalcemia
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Metronidazole or clindamycin
Tuberculosis; sarcoidosis; hodgkin disease
Ofloxacin OR levofloxacin +/- metronidazole

45. complications of otitis media
Conrtaction monitoring along with fetal heart rate assessment
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

46. social smile - parent recognition
6-9MO
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Clindamycin AND gentamicin
4mo - sits unsupported - hand transfer - babbles

47. Bisphospohonates sfx
Monosodium urate crystals (gout)
Urticaria
Esophagitis - gastritis - dysphagia
4 yo - copies triangle - catches ball - dresses self

48. Screening for 65-76YO male smoker
Aortic aneurysm
Fe deficient anemia
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Long axis of fetus to long axis of mother (longitudinal or transverse)

49. recognizes strangers
Loratadine - fexofenadine - cetirizine
Tuberculosis; sarcoidosis; hodgkin disease
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Stridor - drooling - toxic appearance

50. Age by which child says 'mama' and 'dada'
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
6-9MO