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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. 2nd generation antihistamines
Loratadine - fexofenadine - cetirizine
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Prostatitis
Tdap - influenza - pneumovax
2. Tx hyperkalemia in CKD
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Oxygen intervention 15h/d
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
3. Oral tx for PID
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)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
(ofloxacin OR levofloxacin) +/- metronidazole
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
4. Rod shaped - rhomboid - weakly positive birefringent
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Alpha-1 antitrypsin deficiency
Calcium pyrophosphate dehydrate crystals (pseudogout)
5. bipyramidal - strongly positive birefringent
IV penicillin (or ampicillin)
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Steroids + bronchodilators
Calcium oxalate crystals
6. Third stage of labor
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
After delivery until delivery of placenta and membranes <30 mins
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
7. Lentigo Maligna
Anaphylaxis
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Patch - bupropion - varenicline
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
8. Malignancies with hypercalcemia
16-18 weeks GA
Lung; SCC head & neck; RCC; breast; MM; prostate
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
9. Complications of GAS infxn
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Ofloxacin OR levofloxacin +/- metronidazole
10. Pregnancy class D smoking cessation drugs
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Monosodium urate crystals (gout)
Nicotine inhaler - nasal spray - gum
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
11. X-ray of ankle?
Flexion - internal rotation - extension - external rotation
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Normal mental status; no other injuries; seen within 10 days of injury
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
12. Fetal lie
Long axis of fetus to long axis of mother (longitudinal or transverse)
IV penicillin (or ampicillin)
NAC or IV NaHCO3
Nicotine inhaler - nasal spray - gum
13. Immunizations for adult 65YO+
Calcium pyrophosphate dehydrate crystals (pseudogout)
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Tdap - influenza - pneumovax
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
14. Tx acute gout
Ferrous sulfate 325mg tid
Colchicine
9 mo - walks - throws - 1-3 words - 1-step commands
Urticaria
15. Bacteria causing chronic sinusitis
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Nicotine inhaler - nasal spray - gum
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Bathing - dressing - eating - transferring - continence - toileting
16. variable deceleration
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
110-160bpm
16-18 weeks GA
17. Early deceleration
(cefotetan OR cefoxitin) AND doxycycline
Starts at contraction. caused by increased vagal tone from fetal head compression.
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
MTX
18. Dx bacterial vaginosis
Anemia
MCC melanoma. Radial growth.
Thiazdes; lithium
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
19. Sx epiglottitis
Lung; SCC head & neck; RCC; breast; MM; prostate
Diabetes - HTN - GN
Stridor - drooling - toxic appearance
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
20. Tx gonorrhea
Diphenhydramine - chlorpheniramine - hydroxyzine
Ceftriaxone 125mg IM
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
21. IV tx for PID
Pneumovax - influenza
Ofloxacin OR levofloxacin +/- metronidazole
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Nicotine inhaler - nasal spray - gum
22. ADL
Bathing - dressing - eating - transferring - continence - toileting
Thiazides
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Anaphylaxis
23. Mediators released in response to allergen
Colchicine
Urticaria
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Metronidazole or clindamycin
24. Bisphospohonates sfx
Ask - Advise - Assess - Assist - Arrange
Esophagitis - gastritis - dysphagia
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Anemia
25. Tocodynamometer
= LMP + 7 days - 3 months
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Conrtaction monitoring along with fetal heart rate assessment
Measures strength of contractions
26. Screening for 65-76YO male smoker
Bupropion - varenicline - nicotine replacement
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
= LMP + 7 days - 3 months
Aortic aneurysm
27. recognizes strangers
Short-acting + 40mg prednisone x 10-14days
Nicotine inhaler - nasal spray - gum
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Fluoroquinolones
28. painless - deep - subQ swelling (periorbital - circumoral - facial)
6-9MO
Measures strength of contractions
Angioedema
Tuberculosis; sarcoidosis; hodgkin disease
29. Tx chlamydia
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Ear pain - itching - inflammation/swollen canal - exudates/discharge
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
30. Immunizations at visit for 6MO
Diphenhydramine - chlorpheniramine - hydroxyzine
110-160bpm
MCC melanoma in Africans/Asians. Under nails - soles - palms.
DTaP - hepB - Hib - rotavirus - inactivated polio
31. medications causing hypercalcemia
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Esophagitis - gastritis - dysphagia
Thiazdes; lithium
Measures strength of contractions
32. Optimal time for trisomy screen
5+ rads
16-18 weeks GA
Ask - Advise - Assess - Assist - Arrange
Nicotine inhaler - nasal spray - gum
33. Dx bacterial rhinosinusitis
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Thiazides
Esophagitis - gastritis - dysphagia
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)
34. MONA therapy
Prostatitis
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Lung; SCC head & neck; RCC; breast; MM; prostate
35. Acral lentinous melanoma
Anaphylaxis
6 yo
MCC melanoma in Africans/Asians. Under nails - soles - palms.
IV penicillin (or ampicillin)
36. Unstable angina vs MI Dx tests
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Anterior shoulder cannot readily pass below the pubic symphysis.
After delivery until delivery of placenta and membranes <30 mins
Oxygen intervention 15h/d
37. Sx peritonsillar abscess
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Flexion - internal rotation - extension - external rotation
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
38. Nodular melanoma
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Diabetes - HTN - GN
DTaP - hepB - Hib - rotavirus - inactivated polio
Most aggressive melanoma.
39. Causes of CKD
MTX
Diabetes - HTN - GN
Metronidazole or clindamycin
Diphenhydramine - chlorpheniramine - hydroxyzine
40. Low serum iron - low MCV - low ferritin - +stool guaiac
Steroids + bronchodilators
Fe deficient anemia
Calcium oxalate crystals
Loratadine - fexofenadine - cetirizine
41. stranger/separation anxiety
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Esophagitis - gastritis - dysphagia
42. Tender - boggy prostate. Dx?
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Thiazides
Prostatitis
43. Dx criteria for RA
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Anaphylaxis
Age-related sensorineural hearing loss (high frequency and speech discrimination)
44. Tx of traveler's diarrhea
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
5+ rads
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
45. IV tx for PID
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
(ofloxacin OR levofloxacin) +/- metronidazole
Ask - Advise - Assess - Assist - Arrange
(cefotetan OR cefoxitin) AND doxycycline
46. How much radiation is associated with fetal harm?
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
5+ rads
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
47. Fetal heart rate range
<20lb - <1YO - Reacts to pain - Responds to noise
Fe deficient anemia
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
110-160bpm
48. Emphysema - <45YO - nonsmoker
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Diabetes - HTN - GN
Metronidazole or clindamycin
Alpha-1 antitrypsin deficiency
49. Estimated delivery date (Naegele's rule)
= LMP + 7 days - 3 months
Nuchal translucency - serum hCG - PAPP-A
(ofloxacin OR levofloxacin) +/- metronidazole
Calcium oxalate crystals
50. complications of otitis media
Measures strength of contractions
Diphenhydramine - chlorpheniramine - hydroxyzine
Thiazides
Masoiditis - bacterial meningitis - brain abscess - subdural empyema