SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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. IADL
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Anaphylaxis
MCC melanoma. Radial growth.
2. Optimal time for trisomy screen
Ampicillin/sulbactam AND doxycycline
16-18 weeks GA
Tuberculosis; sarcoidosis; hodgkin disease
0.2-0.5mg aqueous EPI IM/SubQ
3. writes name - counts 10 objects
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
5 yo - draws person - ties shoes - skips
Conrtaction monitoring along with fetal heart rate assessment
Stridor - drooling - toxic appearance
4. Sx otitis media
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Conrtaction monitoring along with fetal heart rate assessment
Hypomagnesemia
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
5. Pflx for traveler's diarrhea
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Diabetes - HTN - GN
Fluoroquinolones
6. Corrected serum calcium =
7. social interaction
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
4 yo - copies triangle - catches ball - dresses self
Bathing - dressing - eating - transferring - continence - toileting
8. group play - gender - knows name
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Esophagitis - gastritis - dysphagia
Anemia
9. How much radiation is associated with fetal harm?
5+ rads
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Oxytocin (IV)
Metronidazole or clindamycin
10. Tx of traveler's diarrhea
110-160bpm
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
11. Tx hyperkalemia in CKD
6-9MO
Calcium pyrophosphate dehydrate crystals (pseudogout)
Ask - Advise - Assess - Assist - Arrange
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
12. Dx PID
Oxygen intervention 15h/d
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Calcium pyrophosphate dehydrate crystals (pseudogout)
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
13. Unstable angina vs MI Dx tests
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
110-160bpm
DTaP - hepB - Hib - rotavirus - inactivated polio
6 mo - pincer - crawls - cruises - mamma - dada - byebye
14. presbycusis
Metronidazole or clindamycin
Aortic aneurysm
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Age-related sensorineural hearing loss (high frequency and speech discrimination)
15. Tender - boggy prostate. Dx?
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Normal mental status; no other injuries; seen within 10 days of injury
Prostatitis
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
16. IV tx for PID
Clindamycin AND gentamicin
Anterior shoulder cannot readily pass below the pubic symphysis.
Urinary calcium. Hyper PTH (high) >> FHH (normal)
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
17. X-ray on knee?
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
4 yo - copies triangle - catches ball - dresses self
Calcium pyrophosphate dehydrate crystals (pseudogout)
18. Fe deficient anemia tx
Monosodium urate crystals (gout)
Ferrous sulfate 325mg tid
Thiazides
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
19. Tx acute exacerbation COPD
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Short-acting + 40mg prednisone x 10-14days
Ampicillin/sulbactam AND doxycycline
Normal mental status; no other injuries; seen within 10 days of injury
20. Regards human face - eye contact
1 mo - eyes follow object to midline - vocalizes
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
<20lb - <1YO - Reacts to pain - Responds to noise
6 mo - pincer - crawls - cruises - mamma - dada - byebye
21. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
22. Rod shaped - rhomboid - weakly positive birefringent
Fe deficient anemia
Calcium pyrophosphate dehydrate crystals (pseudogout)
NAC or IV NaHCO3
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
23. 2nd generation antihistamines
Loratadine - fexofenadine - cetirizine
6 yo
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
24. 1st generation antihistamines
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Diphenhydramine - chlorpheniramine - hydroxyzine
Stridor - drooling - toxic appearance
Patch - bupropion - varenicline
25. Oral tx for PID
(ofloxacin OR levofloxacin) +/- metronidazole
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Conrtaction monitoring along with fetal heart rate assessment
Measures strength of contractions
26. Superficial spreading melanoma
MCC melanoma. Radial growth.
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Angioedema
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
27. Only therapy to decrease mortality in stage IV COPD
Patch - bupropion - varenicline
Cataracts
Oxygen intervention 15h/d
Flexion - internal rotation - extension - external rotation
28. Recommended folic acid daily dose
IV penicillin (or ampicillin)
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Biopsy
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
29. MCC blindness worldwide
Cataracts
Diphenhydramine - chlorpheniramine - hydroxyzine
Ceftriaxone 125mg IM
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
30. Pregnancy class C smoking cessation drugs
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
16-18 weeks GA
Ferrous sulfate 325mg tid
Patch - bupropion - varenicline
31. Lentigo Maligna
Urticaria
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Pneumovax - influenza
32. Pregnancy class D smoking cessation drugs
= LMP + 7 days - 3 months
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Nicotine inhaler - nasal spray - gum
33. Signs of rupture of membranes
34. Tx gonorrhea
Ceftriaxone 125mg IM
Flexion - internal rotation - extension - external rotation
Urticaria
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
35. Bisphospohonates sfx
Esophagitis - gastritis - dysphagia
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Flexion - internal rotation - extension - external rotation
Ferrous sulfate 325mg tid
36. IUPC (intrauterine pressure catheter)
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Measures strength of contractions
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Flexion - internal rotation - extension - external rotation
37. Cockcroft-Gault equation
1 mo - eyes follow object to midline - vocalizes
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
6 yo
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
38. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
Bathing - dressing - eating - transferring - continence - toileting
(ofloxacin OR levofloxacin) +/- metronidazole
NAC or IV NaHCO3
Most aggressive melanoma.
39. tx shoulder dystocia
40. Emphysema - <45YO - nonsmoker
Alpha-1 antitrypsin deficiency
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Metronidazole or clindamycin
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
41. Improve short-term outcomes in acute exacerbations of COPD - asthma
Steroids + bronchodilators
Loratadine - fexofenadine - cetirizine
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
42. Malignancies with hypercalcemia
Metronidazole or clindamycin
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)
Lung; SCC head & neck; RCC; breast; MM; prostate
Patch - bupropion - varenicline
43. painless - deep - subQ swelling (periorbital - circumoral - facial)
Bathing - dressing - eating - transferring - continence - toileting
IV penicillin (or ampicillin)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Angioedema
44. CKD Stages
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Cataracts
MCC melanoma in Africans/Asians. Under nails - soles - palms.
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
45. First stage of labor
Onset of labor until cervix dilation
Starts at contraction. caused by increased vagal tone from fetal head compression.
NAC or IV NaHCO3
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
46. Complications of GAS infxn
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
5 yo - draws person - ties shoes - skips
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Short-acting + 40mg prednisone x 10-14days
47. Tx acute gout
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Colchicine
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
48. The five A's of smoking cessation
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Alpha-1 antitrypsin deficiency
Ask - Advise - Assess - Assist - Arrange
Bathing - dressing - eating - transferring - continence - toileting
49. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Anemia
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Lung; SCC head & neck; RCC; breast; MM; prostate
Ask - Advise - Assess - Assist - Arrange
50. medications causing hypercalcemia
Starts at contraction. caused by increased vagal tone from fetal head compression.
Ceftriaxone 125mg IM
Ofloxacin OR levofloxacin +/- metronidazole
Thiazdes; lithium