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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. Nonfunctioning nodules > 1cm require _____
Hypomagnesemia
Biopsy
Clindamycin AND gentamicin
Long axis of fetus to long axis of mother (longitudinal or transverse)

2. Granulomatous causes of hypercalcemia
0.2-0.5mg aqueous EPI IM/SubQ
Tuberculosis; sarcoidosis; hodgkin disease
Calcium oxalate crystals
Fe deficient anemia

3. MONA therapy
Tdap - influenza - pneumovax
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
MCC melanoma in Africans/Asians. Under nails - soles - palms.

4. cystoplasmic inclusions - not birefringent
Calcium hydroxyapatite crystals
110-160bpm
5 yo - draws person - ties shoes - skips
After delivery until delivery of placenta and membranes <30 mins

5. Estimated delivery date (Naegele's rule)
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
= LMP + 7 days - 3 months
Short-acting + 40mg prednisone x 10-14days
110-160bpm

6. IADL
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Flexion - internal rotation - extension - external rotation
IV penicillin (or ampicillin)

7. IV tx for PID
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Cataracts
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Clindamycin AND gentamicin

8. X-ray on knee?
Ferrous sulfate 325mg tid
Steroids + bronchodilators
Ask - Advise - Assess - Assist - Arrange
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

9. Four cardinal fetal movements
Flexion - internal rotation - extension - external rotation
4 yo - copies triangle - catches ball - dresses self
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Ampicillin/sulbactam AND doxycycline

10. Immunizations for COPD patients
= LMP + 7 days - 3 months
Onset of labor until cervix dilation
Pneumovax - influenza
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2

11. Cockcroft-Gault equation
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Aortic aneurysm
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Ask - Advise - Assess - Assist - Arrange

12. Dx criteria for RA
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Pneumovax - influenza
6 mo - pincer - crawls - cruises - mamma - dada - byebye
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

13. Electrolyte abnormality that increases the incidence of torsades de pointes
IV penicillin (or ampicillin)
Measures strength of contractions
Hypomagnesemia
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)

14. causes of acute bronchitis
(cefotetan OR cefoxitin) AND doxycycline
Calcium hydroxyapatite crystals
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

15. Complications of PID
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Measures strength of contractions
16-18 weeks GA

16. Nodular melanoma
Most aggressive melanoma.
MTX
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)

17. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Oxytocin (IV)
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Anemia
Ferrous sulfate 325mg tid

18. identifies left - right
6 yo
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
3 yo - identify body part - copies square - hops - throws - past tense - story telling
(ofloxacin OR levofloxacin) +/- metronidazole

19. bipyramidal - strongly positive birefringent
Diphenhydramine - chlorpheniramine - hydroxyzine
Calcium oxalate crystals
Ceftriaxone 125mg IM
Monosodium urate crystals (gout)

20. DDX for geriatric hearing impairment
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Diphenhydramine - chlorpheniramine - hydroxyzine
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

21. bacteria causing pharyngitis
Short-acting + 40mg prednisone x 10-14days
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Clindamycin AND gentamicin
Calcium oxalate crystals

22. Improve short-term outcomes in acute exacerbations of COPD - asthma
Metronidazole or clindamycin
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Steroids + bronchodilators
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

23. explorations
Biopsy
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
6-9MO
9 mo - walks - throws - 1-3 words - 1-step commands

24. IV tx for PID
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Calcium hydroxyapatite crystals
(cefotetan OR cefoxitin) AND doxycycline
Patch - bupropion - varenicline

25. Causes of CKD
Anterior shoulder cannot readily pass below the pubic symphysis.
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Monosodium urate crystals (gout)
Diabetes - HTN - GN

26. Tx chlamydia
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
5+ rads
Onset of labor until cervix dilation

27. Mediators released in response to allergen
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Calcium oxalate crystals

28. Smoking cessation agents
Bupropion - varenicline - nicotine replacement
Clindamycin AND gentamicin
= LMP + 7 days - 3 months
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

29. regards hand
DTaP - hepB - Hib - rotavirus - inactivated polio
4mo - sits unsupported - hand transfer - babbles
Lung; SCC head & neck; RCC; breast; MM; prostate
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

30. Tender - boggy prostate. Dx?
Calcium oxalate crystals
Normal mental status; no other injuries; seen within 10 days of injury
Prostatitis
After delivery until delivery of placenta and membranes <30 mins

31. MCC blindness worldwide
Normal mental status; no other injuries; seen within 10 days of injury
<20lb - <1YO - Reacts to pain - Responds to noise
Cataracts
Anaphylaxis

32. Tx hyperkalemia in CKD
Stridor - drooling - toxic appearance
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Esophagitis - gastritis - dysphagia
<20lb - <1YO - Reacts to pain - Responds to noise

33. Tx RA (best long-term outcome)
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
MTX
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

34. The five A's of smoking cessation
Conrtaction monitoring along with fetal heart rate assessment
Ask - Advise - Assess - Assist - Arrange
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

35. Emphysema - <45YO - nonsmoker
Alpha-1 antitrypsin deficiency
Ampicillin/sulbactam AND doxycycline
Ofloxacin OR levofloxacin +/- metronidazole
Metronidazole or clindamycin

36. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
6 mo - pincer - crawls - cruises - mamma - dada - byebye
4 yo - copies triangle - catches ball - dresses self
NAC or IV NaHCO3
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2

37. IV tx for PID
Monosodium urate crystals (gout)
Ampicillin/sulbactam AND doxycycline
4mo - sits unsupported - hand transfer - babbles
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

38. Pflx for traveler's diarrhea
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Fluoroquinolones
Alpha-1 antitrypsin deficiency

39. Large - irregularly shaped - prutitic - erythematous wheals
Urticaria
Thiazides
Long axis of fetus to long axis of mother (longitudinal or transverse)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

40. shoulder dystocia
Anterior shoulder cannot readily pass below the pubic symphysis.
Most aggressive melanoma.
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Age-related sensorineural hearing loss (high frequency and speech discrimination)

41. Tx for thyroid storm
3 yo - identify body part - copies square - hops - throws - past tense - story telling
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Alpha-1 antitrypsin deficiency
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency

42. Immunizations at visit for 6MO
6-9MO
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
DTaP - hepB - Hib - rotavirus - inactivated polio
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

43. Acral lentinous melanoma
1 mo - eyes follow object to midline - vocalizes
110-160bpm
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Ofloxacin OR levofloxacin +/- metronidazole

44. Only therapy to decrease mortality in stage IV COPD
Oxygen intervention 15h/d
0.2-0.5mg aqueous EPI IM/SubQ
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Thiazides

45. Immunizations for adult 65YO+
Tdap - influenza - pneumovax
Anemia
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors

46. social smile - parent recognition
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
IV penicillin (or ampicillin)
2 mo - eyes follow object past midline - rolls over - laughs - squeals
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

47. writes name - counts 10 objects
Bathing - dressing - eating - transferring - continence - toileting
5 yo - draws person - ties shoes - skips
Hypomagnesemia
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)

48. Second stage of labor
5+ rads
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Onset of labor until cervix dilation

49. How much radiation is associated with fetal harm?
Colchicine
Esophagitis - gastritis - dysphagia
MCC melanoma. Radial growth.
5+ rads

50. complications of otitis media
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Tuberculosis; sarcoidosis; hodgkin disease