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
Ferrous sulfate 325mg tid
Ofloxacin OR levofloxacin +/- metronidazole
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
IV penicillin (or ampicillin)

2. Second stage of labor
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Ferrous sulfate 325mg tid
Long axis of fetus to long axis of mother (longitudinal or transverse)
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

3. social interaction
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
4 yo - copies triangle - catches ball - dresses self

4. The five A's of smoking cessation
<20lb - <1YO - Reacts to pain - Responds to noise
Ask - Advise - Assess - Assist - Arrange
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2

5. Sx peritonsillar abscess
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
NAC or IV NaHCO3
0.2-0.5mg aqueous EPI IM/SubQ

6. Tx for thyroid storm
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Ask - Advise - Assess - Assist - Arrange
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
110-160bpm

7. Dx PID
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

8. variable deceleration
Prostatitis
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
MCC melanoma. Radial growth.
Calcium hydroxyapatite crystals

9. Sx of hypercalcemia
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
After delivery until delivery of placenta and membranes <30 mins
(cefotetan OR cefoxitin) AND doxycycline
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

10. identifies left - right
16-18 weeks GA
Aortic aneurysm
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
6 yo

11. 1st generation antihistamines
Cataracts
Onset of labor until cervix dilation
Nicotine inhaler - nasal spray - gum
Diphenhydramine - chlorpheniramine - hydroxyzine

12. Unstable angina vs MI Dx tests
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Pneumovax - influenza
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

13. Fe deficient anemia tx
Fe deficient anemia
Calcium oxalate crystals
Ferrous sulfate 325mg tid
MCC melanoma. Radial growth.

14. Tx GAS ifxn
(cefotetan OR cefoxitin) AND doxycycline
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
5+ rads
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

15. Electrolyte abnormality that increases the incidence of torsades de pointes
0.2-0.5mg aqueous EPI IM/SubQ
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)
MCC melanoma. Radial growth.
Hypomagnesemia

16. Sx otitis media
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
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)
110-160bpm
Flexion - internal rotation - extension - external rotation

17. DOC for HTN in elderly
Thiazides
Hypomagnesemia
Urticaria
9 mo - walks - throws - 1-3 words - 1-step commands

18. Tx hyperkalemia in CKD
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

19. Tx for anaphylaxis
Calcium oxalate crystals
0.2-0.5mg aqueous EPI IM/SubQ
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Nicotine inhaler - nasal spray - gum

20. Nodular melanoma
Most aggressive melanoma.
16-18 weeks GA
4mo - sits unsupported - hand transfer - babbles
Normal mental status; no other injuries; seen within 10 days of injury

21. Malignancies with hypercalcemia
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Lung; SCC head & neck; RCC; breast; MM; prostate
Ofloxacin OR levofloxacin +/- metronidazole
MTX

22. complications of otitis media
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

23. Signs of rupture of membranes

24. Early deceleration
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Starts at contraction. caused by increased vagal tone from fetal head compression.
Biopsy
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy

25. DDX for geriatric hearing impairment
Nicotine inhaler - nasal spray - gum
After delivery until delivery of placenta and membranes <30 mins
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins

26. parallel play
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Tdap - influenza - pneumovax
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Thiazides

27. MCC blindness worldwide
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Cataracts
Aortic aneurysm
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

28. Tx gonorrhea
Onset of labor until cervix dilation
Metronidazole or clindamycin
Ceftriaxone 125mg IM
Ferrous sulfate 325mg tid

29. bacteria causing pharyngitis
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
5 yo - draws person - ties shoes - skips
Long axis of fetus to long axis of mother (longitudinal or transverse)

30. Tx acute sinusitis
Stridor - drooling - toxic appearance
Bupropion - varenicline - nicotine replacement
6 yo
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

31. Mediators released in response to allergen
Diphenhydramine - chlorpheniramine - hydroxyzine
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
NAC or IV NaHCO3
<20lb - <1YO - Reacts to pain - Responds to noise

32. Bisphospohonates sfx
Short-acting + 40mg prednisone x 10-14days
Onset of labor until cervix dilation
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Esophagitis - gastritis - dysphagia

33. Screening for 65-76YO male smoker
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Aortic aneurysm
MCC melanoma. Radial growth.

34. Tx acute gout
Lung; SCC head & neck; RCC; breast; MM; prostate
Colchicine
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Urticaria

35. Pregnancy class D smoking cessation drugs
Nicotine inhaler - nasal spray - gum
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Diabetes - HTN - GN
4mo - sits unsupported - hand transfer - babbles

36. bipyramidal - strongly positive birefringent
Fluoroquinolones
Calcium oxalate crystals
MCC melanoma. Radial growth.
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

37. Immunizations for adult 65YO+
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Ceftriaxone 125mg IM
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Tdap - influenza - pneumovax

38. ADL
Fe deficient anemia
Bathing - dressing - eating - transferring - continence - toileting
Metronidazole or clindamycin
MCC melanoma in Africans/Asians. Under nails - soles - palms.

39. regards hand
Ask - Advise - Assess - Assist - Arrange
Measures strength of contractions
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
4mo - sits unsupported - hand transfer - babbles

40. social smile - parent recognition
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Colchicine
6 yo
6 mo - pincer - crawls - cruises - mamma - dada - byebye

41. Recommendations for rear-facing car seat
<20lb - <1YO - Reacts to pain - Responds to noise
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Long axis of fetus to long axis of mother (longitudinal or transverse)
Fluoroquinolones

42. Tx otitis media
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Steroids + bronchodilators
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins

43. Fetal lie
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Thiazdes; lithium
Long axis of fetus to long axis of mother (longitudinal or transverse)
3 yo - identify body part - copies square - hops - throws - past tense - story telling

44. cystoplasmic inclusions - not birefringent
Calcium hydroxyapatite crystals
Tuberculosis; sarcoidosis; hodgkin disease
Diabetes - HTN - GN
Age-related sensorineural hearing loss (high frequency and speech discrimination)

45. Large - irregularly shaped - prutitic - erythematous wheals
Urticaria
Thiazdes; lithium
6-9MO
Aortic aneurysm

46. Screened at 11-13 weeks GA for trisomy
Oxytocin (IV)
Ampicillin/sulbactam AND doxycycline
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Nuchal translucency - serum hCG - PAPP-A

47. presbycusis
Oxygen intervention 15h/d
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Onset of labor until cervix dilation

48. First stage of labor
Normal mental status; no other injuries; seen within 10 days of injury
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Onset of labor until cervix dilation
Aortic aneurysm

49. writes name - counts 10 objects
Fluoroquinolones
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Hypomagnesemia
5 yo - draws person - ties shoes - skips

50. Age by which child says 'mama' and 'dada'
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Ampicillin/sulbactam AND doxycycline
6-9MO
Prostatitis