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. tx shoulder dystocia

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

2. Tx acute sinusitis
(cefotetan OR cefoxitin) AND doxycycline
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Pneumovax - influenza
Onset of labor until cervix dilation

3. Cockcroft-Gault equation
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Diabetes - HTN - GN
Thiazdes; lithium
DTaP - hepB - Hib - rotavirus - inactivated polio

4. variable deceleration
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
4 yo - copies triangle - catches ball - dresses self
(cefotetan OR cefoxitin) AND doxycycline

5. Low serum iron - low MCV - low ferritin - +stool guaiac
Fe deficient anemia
Lung; SCC head & neck; RCC; breast; MM; prostate
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)

6. identifies left - right
6 yo
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Angioedema
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

7. shoulder dystocia
Anterior shoulder cannot readily pass below the pubic symphysis.
Anaphylaxis
Short-acting + 40mg prednisone x 10-14days
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy

8. Sx peritonsillar abscess
NAC or IV NaHCO3
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
MTX
Ask - Advise - Assess - Assist - Arrange

9. The five A's of smoking cessation
Ask - Advise - Assess - Assist - Arrange
Clindamycin AND gentamicin
Ceftriaxone 125mg IM
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia

10. Sx otitis media
16-18 weeks GA
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Biopsy

11. Tx for anaphylaxis
Lung; SCC head & neck; RCC; breast; MM; prostate
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
0.2-0.5mg aqueous EPI IM/SubQ
Anemia

12. GBS tx
Diphenhydramine - chlorpheniramine - hydroxyzine
Hypomagnesemia
Tdap - influenza - pneumovax
IV penicillin (or ampicillin)

13. causes of acute bronchitis
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Long axis of fetus to long axis of mother (longitudinal or transverse)
Steroids + bronchodilators
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

14. Tx bacterial vaginosis
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Metronidazole or clindamycin
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Alpha-1 antitrypsin deficiency

15. Screening for 65-76YO male smoker
Bupropion - varenicline - nicotine replacement
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
= LMP + 7 days - 3 months
Aortic aneurysm

16. Tx chlamydia
Aortic aneurysm
Oxygen intervention 15h/d
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Calcium hydroxyapatite crystals

17. Sx otitis externa
Oxygen intervention 15h/d
Ear pain - itching - inflammation/swollen canal - exudates/discharge
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Bathing - dressing - eating - transferring - continence - toileting

18. Screened at 11-13 weeks GA for trisomy
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Nuchal translucency - serum hCG - PAPP-A
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia

19. Tx acute gout
Prostatitis
Colchicine
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Ofloxacin OR levofloxacin +/- metronidazole

20. Fetal heart rate range
Metronidazole or clindamycin
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
110-160bpm
Colchicine

21. Early deceleration
Starts at contraction. caused by increased vagal tone from fetal head compression.
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Calcium oxalate crystals
6-9MO

22. Tx GAS ifxn
Anterior shoulder cannot readily pass below the pubic symphysis.
Esophagitis - gastritis - dysphagia
Nicotine inhaler - nasal spray - gum
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

23. IUPC (intrauterine pressure catheter)
Ferrous sulfate 325mg tid
Calcium pyrophosphate dehydrate crystals (pseudogout)
Ask - Advise - Assess - Assist - Arrange
Measures strength of contractions

24. Mediators released in response to allergen
Calcium pyrophosphate dehydrate crystals (pseudogout)
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Steroids + bronchodilators
Metronidazole or clindamycin

25. CKD Stages
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Calcium oxalate crystals
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

26. Second stage of labor
Clindamycin AND gentamicin
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Hypomagnesemia

27. Complications of PID
6 yo
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
DTaP - hepB - Hib - rotavirus - inactivated polio
Clindamycin AND gentamicin

28. Only therapy to decrease mortality in stage IV COPD
Hypomagnesemia
5 yo - draws person - ties shoes - skips
Ask - Advise - Assess - Assist - Arrange
Oxygen intervention 15h/d

29. Smoking cessation agents
Ask - Advise - Assess - Assist - Arrange
Bupropion - varenicline - nicotine replacement
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

30. DOC for HTN in elderly
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Thiazides
Fluoroquinolones

31. Complications of GAS infxn
110-160bpm
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
6-9MO

32. IADL
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Cataracts
Calcium hydroxyapatite crystals
5 yo - draws person - ties shoes - skips

33. DDX for geriatric hearing impairment
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
9 mo - walks - throws - 1-3 words - 1-step commands
Tdap - influenza - pneumovax
Anemia

34. explorations
9 mo - walks - throws - 1-3 words - 1-step commands
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Normal mental status; no other injuries; seen within 10 days of injury

35. Immunizations for adult 65YO+
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Tdap - influenza - pneumovax
6 yo
Esophagitis - gastritis - dysphagia

36. Dx bacterial rhinosinusitis
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
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)
IV penicillin (or ampicillin)
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

37. Sx epiglottitis
Ask - Advise - Assess - Assist - Arrange
Calcium oxalate crystals
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Stridor - drooling - toxic appearance

38. Immunizations at visit for 6MO
5 yo - draws person - ties shoes - skips
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Anaphylaxis
DTaP - hepB - Hib - rotavirus - inactivated polio

39. Screened at 16-20 weeks GA for trisomy
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
5 yo - draws person - ties shoes - skips
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Diphenhydramine - chlorpheniramine - hydroxyzine

40. recognizes strangers
Conrtaction monitoring along with fetal heart rate assessment
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
16-18 weeks GA
6 mo - pincer - crawls - cruises - mamma - dada - byebye

41. First stage of labor
Tuberculosis; sarcoidosis; hodgkin disease
Most aggressive melanoma.
Biopsy
Onset of labor until cervix dilation

42. Granulomatous causes of hypercalcemia
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Tuberculosis; sarcoidosis; hodgkin disease
Ceftriaxone 125mg IM

43. dyspnea - visceral edema - hypotension
Clindamycin AND gentamicin
Anaphylaxis
Anterior shoulder cannot readily pass below the pubic symphysis.
After delivery until delivery of placenta and membranes <30 mins

44. MCC blindness worldwide
Patch - bupropion - varenicline
Nuchal translucency - serum hCG - PAPP-A
Cataracts
Esophagitis - gastritis - dysphagia

45. Nonfunctioning nodules > 1cm require _____
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Biopsy

46. Malignancies with hypercalcemia
6-9MO
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Lung; SCC head & neck; RCC; breast; MM; prostate
Thiazides

47. Bacteria causing chronic sinusitis
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Diphenhydramine - chlorpheniramine - hydroxyzine
Loratadine - fexofenadine - cetirizine
Anaerobic: bacteroides - peptostreptococcus - fusobacterium

48. Four cardinal fetal movements
(cefotetan OR cefoxitin) AND doxycycline
Calcium pyrophosphate dehydrate crystals (pseudogout)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Flexion - internal rotation - extension - external rotation

49. Recommendations for rear-facing car seat
Patch - bupropion - varenicline
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Ask - Advise - Assess - Assist - Arrange
<20lb - <1YO - Reacts to pain - Responds to noise

50. IV tx for PID
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Ceftriaxone 125mg IM
Bathing - dressing - eating - transferring - continence - toileting
Ampicillin/sulbactam AND doxycycline