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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. bacteria causing pharyngitis
<20lb - <1YO - Reacts to pain - Responds to noise
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
5 yo - draws person - ties shoes - skips
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
2. Nonfunctioning nodules > 1cm require _____
Prostatitis
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Biopsy
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
3. Early deceleration
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Starts at contraction. caused by increased vagal tone from fetal head compression.
Onset of labor until cervix dilation
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
4. Screening for 65-76YO male smoker
Short-acting + 40mg prednisone x 10-14days
Cataracts
16-18 weeks GA
Aortic aneurysm
5. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
Clindamycin AND gentamicin
NAC or IV NaHCO3
Pneumovax - influenza
Calcium pyrophosphate dehydrate crystals (pseudogout)
6. Sx otitis media
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Aortic aneurysm
Clindamycin AND gentamicin
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
7. Dx PID
2 mo - eyes follow object past midline - rolls over - laughs - squeals
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Angioedema
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
8. painless - deep - subQ swelling (periorbital - circumoral - facial)
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Esophagitis - gastritis - dysphagia
Angioedema
Nicotine inhaler - nasal spray - gum
9. ADL
Diabetes - HTN - GN
Monosodium urate crystals (gout)
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Bathing - dressing - eating - transferring - continence - toileting
10. tx shoulder dystocia
11. dyspnea - visceral edema - hypotension
Most aggressive melanoma.
Fe deficient anemia
= LMP + 7 days - 3 months
Anaphylaxis
12. IV tx for PID
Ofloxacin OR levofloxacin +/- metronidazole
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Lung; SCC head & neck; RCC; breast; MM; prostate
13. Recommendations for rear-facing car seat
<20lb - <1YO - Reacts to pain - Responds to noise
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Tdap - influenza - pneumovax
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
14. Large - irregularly shaped - prutitic - erythematous wheals
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Urticaria
Angioedema
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
15. DDX for geriatric hearing impairment
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
DTaP - hepB - Hib - rotavirus - inactivated polio
Anaphylaxis
16. Tx acute sinusitis
Lung; SCC head & neck; RCC; breast; MM; prostate
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Nuchal translucency - serum hCG - PAPP-A
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
17. Tx chlamydia
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Anemia
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
18. medications causing hypercalcemia
Thiazdes; lithium
After delivery until delivery of placenta and membranes <30 mins
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Oxygen intervention 15h/d
19. Regards human face - eye contact
Tuberculosis; sarcoidosis; hodgkin disease
1 mo - eyes follow object to midline - vocalizes
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
20. Tx bacterial vaginosis
<20lb - <1YO - Reacts to pain - Responds to noise
Patch - bupropion - varenicline
NAC or IV NaHCO3
Metronidazole or clindamycin
21. Tx GAS ifxn
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
4 yo - copies triangle - catches ball - dresses self
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Calcium oxalate crystals
22. Tx for anaphylaxis
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)
0.2-0.5mg aqueous EPI IM/SubQ
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Conrtaction monitoring along with fetal heart rate assessment
23. Tx for thyroid storm
Diphenhydramine - chlorpheniramine - hydroxyzine
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
24. Late deceleration
6 mo - pincer - crawls - cruises - mamma - dada - byebye
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Colchicine
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
25. Bacteria causing chronic sinusitis
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
5+ rads
Short-acting + 40mg prednisone x 10-14days
Clindamycin AND gentamicin
26. IV tx for PID
Ampicillin/sulbactam AND doxycycline
Tuberculosis; sarcoidosis; hodgkin disease
<20lb - <1YO - Reacts to pain - Responds to noise
Clindamycin AND gentamicin
27. needles - strong negative birefringent (yellow crystals parallel light)
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Alpha-1 antitrypsin deficiency
Monosodium urate crystals (gout)
28. Four cardinal fetal movements
MTX
Flexion - internal rotation - extension - external rotation
Ear pain - itching - inflammation/swollen canal - exudates/discharge
After delivery until delivery of placenta and membranes <30 mins
29. Granulomatous causes of hypercalcemia
Tuberculosis; sarcoidosis; hodgkin disease
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Long axis of fetus to long axis of mother (longitudinal or transverse)
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
30. Mediators released in response to allergen
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Short-acting + 40mg prednisone x 10-14days
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
31. Immunizations at visit for 6MO
Bathing - dressing - eating - transferring - continence - toileting
DTaP - hepB - Hib - rotavirus - inactivated polio
Bupropion - varenicline - nicotine replacement
Prostatitis
32. Fetal lie
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Long axis of fetus to long axis of mother (longitudinal or transverse)
Age-related sensorineural hearing loss (high frequency and speech discrimination)
33. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Calcium oxalate crystals
34. Tx otitis media
5+ rads
(ofloxacin OR levofloxacin) +/- metronidazole
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
35. group play - gender - knows name
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Oxygen intervention 15h/d
3 yo - identify body part - copies square - hops - throws - past tense - story telling
DTaP - hepB - Hib - rotavirus - inactivated polio
36. Recommended folic acid daily dose
Normal mental status; no other injuries; seen within 10 days of injury
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
NAC or IV NaHCO3
3 yo - identify body part - copies square - hops - throws - past tense - story telling
37. 1st generation antihistamines
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Long axis of fetus to long axis of mother (longitudinal or transverse)
Diphenhydramine - chlorpheniramine - hydroxyzine
0.2-0.5mg aqueous EPI IM/SubQ
38. Sx otitis externa
5+ rads
DTaP - hepB - Hib - rotavirus - inactivated polio
Ear pain - itching - inflammation/swollen canal - exudates/discharge
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
39. identifies left - right
Fe deficient anemia
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
DTaP - hepB - Hib - rotavirus - inactivated polio
6 yo
40. IV tx for PID
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Fluoroquinolones
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)
(cefotetan OR cefoxitin) AND doxycycline
41. Immunizations for COPD patients
Loratadine - fexofenadine - cetirizine
<20lb - <1YO - Reacts to pain - Responds to noise
Pneumovax - influenza
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
42. Fetal heart rate range
Oxytocin (IV)
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
110-160bpm
NAC or IV NaHCO3
43. parallel play
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
IV penicillin (or ampicillin)
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
44. GBS tx
IV penicillin (or ampicillin)
Calcium oxalate crystals
DTaP - hepB - Hib - rotavirus - inactivated polio
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
45. CKD Stages
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Lung; SCC head & neck; RCC; breast; MM; prostate
46. Malignancies with hypercalcemia
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Angioedema
Lung; SCC head & neck; RCC; breast; MM; prostate
Normal mental status; no other injuries; seen within 10 days of injury
47. Emphysema - <45YO - nonsmoker
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Alpha-1 antitrypsin deficiency
Diabetes - HTN - GN
Normal mental status; no other injuries; seen within 10 days of injury
48. Second stage of labor
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Anterior shoulder cannot readily pass below the pubic symphysis.
Bathing - dressing - eating - transferring - continence - toileting
49. Bisphospohonates sfx
Esophagitis - gastritis - dysphagia
Stridor - drooling - toxic appearance
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Clindamycin AND gentamicin
50. complications of otitis media
0.2-0.5mg aqueous EPI IM/SubQ
Angioedema
6-9MO
Masoiditis - bacterial meningitis - brain abscess - subdural empyema