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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. IV tx for PID
Calcium oxalate crystals
Ampicillin/sulbactam AND doxycycline
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole

2. Screening for 65-76YO male smoker
2 mo - eyes follow object past midline - rolls over - laughs - squeals
16-18 weeks GA
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Aortic aneurysm

3. Nonfunctioning nodules > 1cm require _____
Loratadine - fexofenadine - cetirizine
Biopsy
5+ rads
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

4. Corrected serum calcium =

5. Tender - boggy prostate. Dx?
1 mo - eyes follow object to midline - vocalizes
Prostatitis
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
5 yo - draws person - ties shoes - skips

6. Sx of hypercalcemia
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Diabetes - HTN - GN
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

7. X-ray on knee?
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

8. writes name - counts 10 objects
5 yo - draws person - ties shoes - skips
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)
Anterior shoulder cannot readily pass below the pubic symphysis.
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins

9. Fetal lie
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Patch - bupropion - varenicline
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Long axis of fetus to long axis of mother (longitudinal or transverse)

10. regards hand
4mo - sits unsupported - hand transfer - babbles
Bathing - dressing - eating - transferring - continence - toileting
Anterior shoulder cannot readily pass below the pubic symphysis.
Patch - bupropion - varenicline

11. Dx criteria for RA
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Calcium hydroxyapatite crystals

12. social interaction
Nicotine inhaler - nasal spray - gum
4 yo - copies triangle - catches ball - dresses self
Biopsy
MTX

13. Pflx for traveler's diarrhea
Fluoroquinolones
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Aortic aneurysm
MTX

14. Oral tx for PID
(ofloxacin OR levofloxacin) +/- metronidazole
DTaP - hepB - Hib - rotavirus - inactivated polio
<20lb - <1YO - Reacts to pain - Responds to noise
Flexion - internal rotation - extension - external rotation

15. dyspnea - visceral edema - hypotension
Lung; SCC head & neck; RCC; breast; MM; prostate
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Anaphylaxis
3 yo - identify body part - copies square - hops - throws - past tense - story telling

16. Regards human face - eye contact
Monosodium urate crystals (gout)
1 mo - eyes follow object to midline - vocalizes
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR

17. group play - gender - knows name
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Calcium pyrophosphate dehydrate crystals (pseudogout)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
3 yo - identify body part - copies square - hops - throws - past tense - story telling

18. complications of otitis media
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Ask - Advise - Assess - Assist - Arrange
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Oxytocin (IV)

19. Age by which child says 'mama' and 'dada'
6-9MO
Ampicillin/sulbactam AND doxycycline
110-160bpm
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)

20. identifies left - right
6 yo
Tuberculosis; sarcoidosis; hodgkin disease
Measures strength of contractions
Calcium hydroxyapatite crystals

21. Tx acute sinusitis
Hypomagnesemia
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
= LMP + 7 days - 3 months
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency

22. Malignancies with hypercalcemia
Ampicillin/sulbactam AND doxycycline
Calcium oxalate crystals
Diphenhydramine - chlorpheniramine - hydroxyzine
Lung; SCC head & neck; RCC; breast; MM; prostate

23. Superficial spreading melanoma
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
= LMP + 7 days - 3 months
MCC melanoma. Radial growth.
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors

24. parallel play
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Oxytocin (IV)
Thiazdes; lithium
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors

25. Smoking cessation agents
Bupropion - varenicline - nicotine replacement
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Oxytocin (IV)

26. Tx acute gout
4 yo - copies triangle - catches ball - dresses self
(ofloxacin OR levofloxacin) +/- metronidazole
Nicotine inhaler - nasal spray - gum
Colchicine

27. First stage of labor
Onset of labor until cervix dilation
1 mo - eyes follow object to midline - vocalizes
Hypomagnesemia
DTaP - hepB - Hib - rotavirus - inactivated polio

28. variable deceleration
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
5 yo - draws person - ties shoes - skips
Short-acting + 40mg prednisone x 10-14days
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)

29. presbycusis
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Age-related sensorineural hearing loss (high frequency and speech discrimination)

30. Nodular melanoma
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Most aggressive melanoma.
After delivery until delivery of placenta and membranes <30 mins
Monosodium urate crystals (gout)

31. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Hypomagnesemia
<20lb - <1YO - Reacts to pain - Responds to noise
Normal mental status; no other injuries; seen within 10 days of injury
Anemia

32. Bisphospohonates sfx
6-9MO
Esophagitis - gastritis - dysphagia
Bathing - dressing - eating - transferring - continence - toileting
Alpha-1 antitrypsin deficiency

33. Low serum iron - low MCV - low ferritin - +stool guaiac
Ampicillin/sulbactam AND doxycycline
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Fe deficient anemia
Measures strength of contractions

34. Dx bacterial rhinosinusitis
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
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)
16-18 weeks GA
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

35. shoulder dystocia
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Stridor - drooling - toxic appearance
Oxytocin (IV)
Anterior shoulder cannot readily pass below the pubic symphysis.

36. Rod shaped - rhomboid - weakly positive birefringent
Calcium pyrophosphate dehydrate crystals (pseudogout)
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
1 mo - eyes follow object to midline - vocalizes

37. How much radiation is associated with fetal harm?
Short-acting + 40mg prednisone x 10-14days
5+ rads
Ceftriaxone 125mg IM
Lung; SCC head & neck; RCC; breast; MM; prostate

38. Tocodynamometer
Conrtaction monitoring along with fetal heart rate assessment
Ampicillin/sulbactam AND doxycycline
(ofloxacin OR levofloxacin) +/- metronidazole
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

39. Causes of CKD
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Diabetes - HTN - GN
5+ rads
IV penicillin (or ampicillin)

40. painless - deep - subQ swelling (periorbital - circumoral - facial)
16-18 weeks GA
Calcium hydroxyapatite crystals
Angioedema
Thiazides

41. MCC blindness worldwide
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Cataracts
= LMP + 7 days - 3 months
Oxytocin (IV)

42. Signs of rupture of membranes

43. 2nd generation antihistamines
Loratadine - fexofenadine - cetirizine
Anemia
Tuberculosis; sarcoidosis; hodgkin disease
6 mo - pincer - crawls - cruises - mamma - dada - byebye

44. Tx GAS ifxn
Conrtaction monitoring along with fetal heart rate assessment
3 yo - identify body part - copies square - hops - throws - past tense - story telling
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

45. Improve short-term outcomes in acute exacerbations of COPD - asthma
Steroids + bronchodilators
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

46. Third stage of labor
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Short-acting + 40mg prednisone x 10-14days
Ampicillin/sulbactam AND doxycycline
After delivery until delivery of placenta and membranes <30 mins

47. tx shoulder dystocia

48. Fetal heart rate range
(cefotetan OR cefoxitin) AND doxycycline
Thiazdes; lithium
110-160bpm
Conrtaction monitoring along with fetal heart rate assessment

49. DDX for geriatric hearing impairment
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
NAC or IV NaHCO3
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

50. Fe deficient anemia tx
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Ferrous sulfate 325mg tid
DTaP - hepB - Hib - rotavirus - inactivated polio
Lung; SCC head & neck; RCC; breast; MM; prostate