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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. Augments contractions
Pneumovax - influenza
Oxytocin (IV)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
MTX
2. Tender - boggy prostate. Dx?
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Prostatitis
Anemia
3. Other causes of hypercalcemia
Monosodium urate crystals (gout)
(ofloxacin OR levofloxacin) +/- metronidazole
Angioedema
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
4. X-ray on knee?
4mo - sits unsupported - hand transfer - babbles
Tdap - influenza - pneumovax
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
5. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Flexion - internal rotation - extension - external rotation
IV penicillin (or ampicillin)
Anemia
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
6. Tx GAS ifxn
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)
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Normal mental status; no other injuries; seen within 10 days of injury
Diabetes - HTN - GN
7. Fe deficient anemia tx
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Ferrous sulfate 325mg tid
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
8. Only therapy to decrease mortality in stage IV COPD
Oxygen intervention 15h/d
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Conrtaction monitoring along with fetal heart rate assessment
9. Causes of CKD
(ofloxacin OR levofloxacin) +/- metronidazole
Long axis of fetus to long axis of mother (longitudinal or transverse)
MTX
Diabetes - HTN - GN
10. DDX for geriatric hearing impairment
Starts at contraction. caused by increased vagal tone from fetal head compression.
MTX
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
11. IV tx for PID
(cefotetan OR cefoxitin) AND doxycycline
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Calcium oxalate crystals
Long axis of fetus to long axis of mother (longitudinal or transverse)
12. painless - deep - subQ swelling (periorbital - circumoral - facial)
5+ rads
Angioedema
Ferrous sulfate 325mg tid
Nuchal translucency - serum hCG - PAPP-A
13. Acral lentinous melanoma
Nicotine inhaler - nasal spray - gum
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
9 mo - walks - throws - 1-3 words - 1-step commands
MCC melanoma in Africans/Asians. Under nails - soles - palms.
14. Tx for anaphylaxis
0.2-0.5mg aqueous EPI IM/SubQ
Flexion - internal rotation - extension - external rotation
Colchicine
Bupropion - varenicline - nicotine replacement
15. variable deceleration
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
1 mo - eyes follow object to midline - vocalizes
Ceftriaxone 125mg IM
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
16. Smoking cessation agents
Biopsy
Ofloxacin OR levofloxacin +/- metronidazole
Bupropion - varenicline - nicotine replacement
Patch - bupropion - varenicline
17. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
NAC or IV NaHCO3
Long axis of fetus to long axis of mother (longitudinal or transverse)
Ampicillin/sulbactam AND doxycycline
4 yo - copies triangle - catches ball - dresses self
18. medications causing hypercalcemia
5 yo - draws person - ties shoes - skips
Thiazdes; lithium
Most aggressive melanoma.
Anaphylaxis
19. Rod shaped - rhomboid - weakly positive birefringent
(ofloxacin OR levofloxacin) +/- metronidazole
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
6-9MO
Calcium pyrophosphate dehydrate crystals (pseudogout)
20. stranger/separation anxiety
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Starts at contraction. caused by increased vagal tone from fetal head compression.
Urticaria
21. identifies left - right
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
6 yo
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Calcium oxalate crystals
22. recognizes strangers
Bathing - dressing - eating - transferring - continence - toileting
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Starts at contraction. caused by increased vagal tone from fetal head compression.
Oxygen intervention 15h/d
23. Oral tx for PID
Nicotine inhaler - nasal spray - gum
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
4 yo - copies triangle - catches ball - dresses self
Urticaria
24. parallel play
Diphenhydramine - chlorpheniramine - hydroxyzine
Age-related sensorineural hearing loss (high frequency and speech discrimination)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
25. Improve short-term outcomes in acute exacerbations of COPD - asthma
Steroids + bronchodilators
<20lb - <1YO - Reacts to pain - Responds to noise
Onset of labor until cervix dilation
(cefotetan OR cefoxitin) AND doxycycline
26. Second stage of labor
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Ask - Advise - Assess - Assist - Arrange
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
27. Tx gonorrhea
Ceftriaxone 125mg IM
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Flexion - internal rotation - extension - external rotation
28. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Ferrous sulfate 325mg tid
1 mo - eyes follow object to midline - vocalizes
Urinary calcium. Hyper PTH (high) >> FHH (normal)
29. Low serum iron - low MCV - low ferritin - +stool guaiac
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Fe deficient anemia
Ask - Advise - Assess - Assist - Arrange
30. Dx bacterial vaginosis
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Conrtaction monitoring along with fetal heart rate assessment
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
31. Lentigo Maligna
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
5 yo - draws person - ties shoes - skips
Anterior shoulder cannot readily pass below the pubic symphysis.
Tuberculosis; sarcoidosis; hodgkin disease
32. Signs of rupture of membranes
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33. Nonfunctioning nodules > 1cm require _____
Loratadine - fexofenadine - cetirizine
Diphenhydramine - chlorpheniramine - hydroxyzine
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Biopsy
34. Screened at 16-20 weeks GA for trisomy
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Ampicillin/sulbactam AND doxycycline
After delivery until delivery of placenta and membranes <30 mins
35. Unstable angina vs MI Dx tests
Calcium oxalate crystals
Anaphylaxis
Cataracts
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
36. Tx otitis media
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
0.2-0.5mg aqueous EPI IM/SubQ
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
37. Fetal heart rate range
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Diphenhydramine - chlorpheniramine - hydroxyzine
110-160bpm
Starts at contraction. caused by increased vagal tone from fetal head compression.
38. bipyramidal - strongly positive birefringent
Calcium oxalate crystals
4 yo - copies triangle - catches ball - dresses self
Bupropion - varenicline - nicotine replacement
Oxytocin (IV)
39. Recommended folic acid daily dose
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Calcium oxalate crystals
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
40. Early deceleration
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Most aggressive melanoma.
Starts at contraction. caused by increased vagal tone from fetal head compression.
Oxygen intervention 15h/d
41. Pregnancy class D smoking cessation drugs
Steroids + bronchodilators
Nicotine inhaler - nasal spray - gum
(cefotetan OR cefoxitin) AND doxycycline
Lung; SCC head & neck; RCC; breast; MM; prostate
42. Recommendations for rear-facing car seat
<20lb - <1YO - Reacts to pain - Responds to noise
Patch - bupropion - varenicline
Urinary calcium. Hyper PTH (high) >> FHH (normal)
(cefotetan OR cefoxitin) AND doxycycline
43. Age by which child says 'mama' and 'dada'
Most aggressive melanoma.
6-9MO
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
44. needles - strong negative birefringent (yellow crystals parallel light)
Short-acting + 40mg prednisone x 10-14days
4 yo - copies triangle - catches ball - dresses self
Monosodium urate crystals (gout)
Oxytocin (IV)
45. Sx epiglottitis
Stridor - drooling - toxic appearance
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
MTX
46. Sx of hypercalcemia
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Esophagitis - gastritis - dysphagia
47. bacteria causing pharyngitis
Bupropion - varenicline - nicotine replacement
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
48. Screening for 65-76YO male smoker
After delivery until delivery of placenta and membranes <30 mins
Bathing - dressing - eating - transferring - continence - toileting
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Aortic aneurysm
49. Superficial spreading melanoma
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
MCC melanoma. Radial growth.
50. The five A's of smoking cessation
Alpha-1 antitrypsin deficiency
Bathing - dressing - eating - transferring - continence - toileting
Ask - Advise - Assess - Assist - Arrange
Lung; SCC head & neck; RCC; breast; MM; prostate