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. medications causing hypercalcemia
Thiazides
Normal mental status; no other injuries; seen within 10 days of injury
Thiazdes; lithium
Age-related sensorineural hearing loss (high frequency and speech discrimination)

2. 2nd generation antihistamines
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Aortic aneurysm
After delivery until delivery of placenta and membranes <30 mins
Loratadine - fexofenadine - cetirizine

3. Screened at 16-20 weeks GA for trisomy
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Onset of labor until cervix dilation
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency

4. shoulder dystocia
Long axis of fetus to long axis of mother (longitudinal or transverse)
(ofloxacin OR levofloxacin) +/- metronidazole
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Anterior shoulder cannot readily pass below the pubic symphysis.

5. Acral lentinous melanoma
Onset of labor until cervix dilation
Anterior shoulder cannot readily pass below the pubic symphysis.
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
MCC melanoma in Africans/Asians. Under nails - soles - palms.

6. Corrected serum calcium =

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

7. Superficial spreading melanoma
MCC melanoma. Radial growth.
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
6-9MO
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

8. Sx of hypercalcemia
Esophagitis - gastritis - dysphagia
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Conrtaction monitoring along with fetal heart rate assessment

9. Low serum iron - low MCV - low ferritin - +stool guaiac
Fe deficient anemia
Oxygen intervention 15h/d
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

10. DOC for HTN in elderly
Cataracts
Steroids + bronchodilators
Thiazides
Anaerobic: bacteroides - peptostreptococcus - fusobacterium

11. social smile - parent recognition
Long axis of fetus to long axis of mother (longitudinal or transverse)
2 mo - eyes follow object past midline - rolls over - laughs - squeals
(ofloxacin OR levofloxacin) +/- metronidazole
Anaphylaxis

12. Fetal lie
6-9MO
Clindamycin AND gentamicin
Long axis of fetus to long axis of mother (longitudinal or transverse)
5 yo - draws person - ties shoes - skips

13. Electrolyte abnormality that increases the incidence of torsades de pointes
Hypomagnesemia
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Most aggressive melanoma.
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)

14. Tx hyperkalemia in CKD
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Ask - Advise - Assess - Assist - Arrange
Calcium pyrophosphate dehydrate crystals (pseudogout)

15. X-ray of ankle?
Ask - Advise - Assess - Assist - Arrange
Prostatitis
Normal mental status; no other injuries; seen within 10 days of injury
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy

16. group play - gender - knows name
MCC melanoma in Africans/Asians. Under nails - soles - palms.
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Calcium hydroxyapatite crystals
Oxygen intervention 15h/d

17. MONA therapy
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
5+ rads
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors

18. Third stage of labor
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
After delivery until delivery of placenta and membranes <30 mins
Short-acting + 40mg prednisone x 10-14days
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)

19. Tocodynamometer
Ceftriaxone 125mg IM
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
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

20. IV tx for PID
(cefotetan OR cefoxitin) AND doxycycline
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Calcium hydroxyapatite crystals
2 mo - eyes follow object past midline - rolls over - laughs - squeals

21. Only therapy to decrease mortality in stage IV COPD
Steroids + bronchodilators
Oxygen intervention 15h/d
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Measures strength of contractions

22. Optimal time for trisomy screen
Diphenhydramine - chlorpheniramine - hydroxyzine
Measures strength of contractions
(ofloxacin OR levofloxacin) +/- metronidazole
16-18 weeks GA

23. variable deceleration
<20lb - <1YO - Reacts to pain - Responds to noise
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Bathing - dressing - eating - transferring - continence - toileting

24. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Thiazdes; lithium
NAC or IV NaHCO3
Oxygen intervention 15h/d

25. X-ray on knee?
Most aggressive melanoma.
Thiazdes; lithium
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Anterior shoulder cannot readily pass below the pubic symphysis.

26. IUPC (intrauterine pressure catheter)
Measures strength of contractions
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Ampicillin/sulbactam AND doxycycline
(cefotetan OR cefoxitin) AND doxycycline

27. IV tx for PID
Ampicillin/sulbactam AND doxycycline
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Stridor - drooling - toxic appearance
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

28. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Steroids + bronchodilators
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

29. bipyramidal - strongly positive birefringent
= LMP + 7 days - 3 months
Calcium oxalate crystals
1 mo - eyes follow object to midline - vocalizes
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

30. Bacteria causing chronic sinusitis
DTaP - hepB - Hib - rotavirus - inactivated polio
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
= LMP + 7 days - 3 months
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

31. Causes of CKD
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Diabetes - HTN - GN
6 yo
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)

32. identifies left - right
IV penicillin (or ampicillin)
Hypomagnesemia
Long axis of fetus to long axis of mother (longitudinal or transverse)
6 yo

33. Large - irregularly shaped - prutitic - erythematous wheals
Anaphylaxis
Urticaria
NAC or IV NaHCO3
0.2-0.5mg aqueous EPI IM/SubQ

34. Tx otitis media
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Ofloxacin OR levofloxacin +/- metronidazole
Short-acting + 40mg prednisone x 10-14days
110-160bpm

35. Oral tx for PID
(ofloxacin OR levofloxacin) +/- metronidazole
Monosodium urate crystals (gout)
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
5+ rads

36. Bisphospohonates sfx
6 yo
Esophagitis - gastritis - dysphagia
Short-acting + 40mg prednisone x 10-14days
Long axis of fetus to long axis of mother (longitudinal or transverse)

37. Sx epiglottitis
6 yo
Stridor - drooling - toxic appearance
5 yo - draws person - ties shoes - skips
Alpha-1 antitrypsin deficiency

38. dyspnea - visceral edema - hypotension
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Most aggressive melanoma.
Anaphylaxis

39. Rod shaped - rhomboid - weakly positive birefringent
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
5 yo - draws person - ties shoes - skips
Urticaria
Calcium pyrophosphate dehydrate crystals (pseudogout)

40. stranger/separation anxiety
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Clindamycin AND gentamicin
16-18 weeks GA
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)

41. GBS tx
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Hypomagnesemia
16-18 weeks GA
IV penicillin (or ampicillin)

42. Tx chlamydia
Pneumovax - influenza
Ofloxacin OR levofloxacin +/- metronidazole
<20lb - <1YO - Reacts to pain - Responds to noise
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

43. bacteria causing pharyngitis
MCC melanoma. Radial growth.
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Diphenhydramine - chlorpheniramine - hydroxyzine
2 mo - eyes follow object past midline - rolls over - laughs - squeals

44. Granulomatous causes of hypercalcemia
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
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Tuberculosis; sarcoidosis; hodgkin disease

45. Second stage of labor
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Anterior shoulder cannot readily pass below the pubic symphysis.
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

46. Sx peritonsillar abscess
Cataracts
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)

47. Immunizations for adult 65YO+
1 mo - eyes follow object to midline - vocalizes
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Tdap - influenza - pneumovax

48. Tx of traveler's diarrhea
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
1 mo - eyes follow object to midline - vocalizes
Most aggressive melanoma.
3 yo - identify body part - copies square - hops - throws - past tense - story telling

49. writes name - counts 10 objects
5 yo - draws person - ties shoes - skips
Anaphylaxis
Ampicillin/sulbactam AND doxycycline
Lung; SCC head & neck; RCC; breast; MM; prostate

50. presbycusis
Ask - Advise - Assess - Assist - Arrange
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Hypomagnesemia
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide