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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. Immunizations for COPD patients
Ampicillin/sulbactam AND doxycycline
Biopsy
4mo - sits unsupported - hand transfer - babbles
Pneumovax - influenza
2. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Anemia
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
NAC or IV NaHCO3
3. cystoplasmic inclusions - not birefringent
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
MTX
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Calcium hydroxyapatite crystals
4. Acral lentinous melanoma
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Ask - Advise - Assess - Assist - Arrange
Fluoroquinolones
MCC melanoma in Africans/Asians. Under nails - soles - palms.
5. CKD Stages
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
6. Four cardinal fetal movements
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)
Colchicine
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Flexion - internal rotation - extension - external rotation
7. Dx PID
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Angioedema
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
8. Immunizations at visit for 6MO
<20lb - <1YO - Reacts to pain - Responds to noise
Ferrous sulfate 325mg tid
DTaP - hepB - Hib - rotavirus - inactivated polio
Pneumovax - influenza
9. needles - strong negative birefringent (yellow crystals parallel light)
Bupropion - varenicline - nicotine replacement
NAC or IV NaHCO3
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Monosodium urate crystals (gout)
10. Dx criteria for RA
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
11. painless - deep - subQ swelling (periorbital - circumoral - facial)
Angioedema
Normal mental status; no other injuries; seen within 10 days of injury
Anaphylaxis
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
12. IV tx for PID
= LMP + 7 days - 3 months
Clindamycin AND gentamicin
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
13. IUPC (intrauterine pressure catheter)
Hypomagnesemia
Ofloxacin OR levofloxacin +/- metronidazole
Prostatitis
Measures strength of contractions
14. Sx epiglottitis
Anemia
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Stridor - drooling - toxic appearance
15. Other causes of hypercalcemia
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Urticaria
16. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
1 mo - eyes follow object to midline - vocalizes
Conrtaction monitoring along with fetal heart rate assessment
Urinary calcium. Hyper PTH (high) >> FHH (normal)
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
17. Age by which child says 'mama' and 'dada'
6-9MO
Ear pain - itching - inflammation/swollen canal - exudates/discharge
1 mo - eyes follow object to midline - vocalizes
Flexion - internal rotation - extension - external rotation
18. Fe deficient anemia tx
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Thiazides
Ferrous sulfate 325mg tid
19. dyspnea - visceral edema - hypotension
Anaphylaxis
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Tuberculosis; sarcoidosis; hodgkin disease
Ofloxacin OR levofloxacin +/- metronidazole
20. Estimated delivery date (Naegele's rule)
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
= LMP + 7 days - 3 months
Ferrous sulfate 325mg tid
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
21. Tx acute gout
Colchicine
9 mo - walks - throws - 1-3 words - 1-step commands
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
MTX
22. tx shoulder dystocia
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23. IV tx for PID
Ampicillin/sulbactam AND doxycycline
Fe deficient anemia
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
24. Late deceleration
Stridor - drooling - toxic appearance
Hypomagnesemia
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Bathing - dressing - eating - transferring - continence - toileting
25. Fetal heart rate range
110-160bpm
MTX
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Loratadine - fexofenadine - cetirizine
26. Superficial spreading melanoma
Metronidazole or clindamycin
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Conrtaction monitoring along with fetal heart rate assessment
MCC melanoma. Radial growth.
27. presbycusis
Ferrous sulfate 325mg tid
4 yo - copies triangle - catches ball - dresses self
IV penicillin (or ampicillin)
Age-related sensorineural hearing loss (high frequency and speech discrimination)
28. Tx acute sinusitis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
5+ rads
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
29. Tx chlamydia
Tuberculosis; sarcoidosis; hodgkin disease
6 yo
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Ceftriaxone 125mg IM
30. Dx bacterial rhinosinusitis
6-9MO
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
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)
Bupropion - varenicline - nicotine replacement
31. Only therapy to decrease mortality in stage IV COPD
Nicotine inhaler - nasal spray - gum
3 yo - identify body part - copies square - hops - throws - past tense - story telling
5+ rads
Oxygen intervention 15h/d
32. Tx acute exacerbation COPD
Metronidazole or clindamycin
Short-acting + 40mg prednisone x 10-14days
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
2 mo - eyes follow object past midline - rolls over - laughs - squeals
33. Smoking cessation agents
Ampicillin/sulbactam AND doxycycline
Bupropion - varenicline - nicotine replacement
Long axis of fetus to long axis of mother (longitudinal or transverse)
Fe deficient anemia
34. Augments contractions
Short-acting + 40mg prednisone x 10-14days
Oxytocin (IV)
MCC melanoma. Radial growth.
Esophagitis - gastritis - dysphagia
35. Malignancies with hypercalcemia
Oxytocin (IV)
Lung; SCC head & neck; RCC; breast; MM; prostate
4 yo - copies triangle - catches ball - dresses self
Tdap - influenza - pneumovax
36. Third stage of labor
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
After delivery until delivery of placenta and membranes <30 mins
Steroids + bronchodilators
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
37. Improve short-term outcomes in acute exacerbations of COPD - asthma
Steroids + bronchodilators
Thiazdes; lithium
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Hypomagnesemia
38. Recommended folic acid daily dose
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Normal mental status; no other injuries; seen within 10 days of injury
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
39. variable deceleration
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Bupropion - varenicline - nicotine replacement
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Fluoroquinolones
40. 1st generation antihistamines
Diphenhydramine - chlorpheniramine - hydroxyzine
Hypomagnesemia
Patch - bupropion - varenicline
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
41. parallel play
Flexion - internal rotation - extension - external rotation
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Starts at contraction. caused by increased vagal tone from fetal head compression.
Urticaria
42. medications causing hypercalcemia
Thiazdes; lithium
Calcium hydroxyapatite crystals
Ferrous sulfate 325mg tid
Colchicine
43. social interaction
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
4 yo - copies triangle - catches ball - dresses self
9 mo - walks - throws - 1-3 words - 1-step commands
Ear pain - itching - inflammation/swollen canal - exudates/discharge
44. complications of otitis media
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Ask - Advise - Assess - Assist - Arrange
Urticaria
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
45. regards hand
4mo - sits unsupported - hand transfer - babbles
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Steroids + bronchodilators
0.2-0.5mg aqueous EPI IM/SubQ
46. Dx bacterial vaginosis
Hypomagnesemia
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Anterior shoulder cannot readily pass below the pubic symphysis.
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
47. Fetal lie
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Long axis of fetus to long axis of mother (longitudinal or transverse)
Anterior shoulder cannot readily pass below the pubic symphysis.
Tdap - influenza - pneumovax
48. Early deceleration
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Starts at contraction. caused by increased vagal tone from fetal head compression.
Urinary calcium. Hyper PTH (high) >> FHH (normal)
49. Bacteria causing chronic sinusitis
Clindamycin AND gentamicin
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Ceftriaxone 125mg IM
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
50. Screened at 16-20 weeks GA for trisomy
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Anemia
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Fluoroquinolones