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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. Augments contractions
Lung; SCC head & neck; RCC; breast; MM; prostate
Oxytocin (IV)
5 yo - draws person - ties shoes - skips
Tuberculosis; sarcoidosis; hodgkin disease

2. Third stage of labor
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
After delivery until delivery of placenta and membranes <30 mins
Ceftriaxone 125mg IM
= LMP + 7 days - 3 months

3. complications of otitis media
Calcium pyrophosphate dehydrate crystals (pseudogout)
Short-acting + 40mg prednisone x 10-14days
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

4. shoulder dystocia
Nuchal translucency - serum hCG - PAPP-A
Hypomagnesemia
Anterior shoulder cannot readily pass below the pubic symphysis.
NAC or IV NaHCO3

5. Tx for thyroid storm
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

6. Pflx for traveler's diarrhea
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
<20lb - <1YO - Reacts to pain - Responds to noise
Fluoroquinolones

7. CKD Stages
IV penicillin (or ampicillin)
= LMP + 7 days - 3 months
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Tdap - influenza - pneumovax

8. Sx of hypercalcemia
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Ceftriaxone 125mg IM
Flexion - internal rotation - extension - external rotation
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

9. IADL
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Nuchal translucency - serum hCG - PAPP-A
Ferrous sulfate 325mg tid
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

10. Lentigo Maligna
<20lb - <1YO - Reacts to pain - Responds to noise
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
(ofloxacin OR levofloxacin) +/- metronidazole
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

11. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
IV penicillin (or ampicillin)
(ofloxacin OR levofloxacin) +/- metronidazole
NAC or IV NaHCO3
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

12. Fetal heart rate range
110-160bpm
0.2-0.5mg aqueous EPI IM/SubQ
Biopsy
Tdap - influenza - pneumovax

13. GBS tx
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Cataracts
IV penicillin (or ampicillin)
Ferrous sulfate 325mg tid

14. Screened at 16-20 weeks GA for trisomy
4mo - sits unsupported - hand transfer - babbles
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Patch - bupropion - varenicline

15. Low serum iron - low MCV - low ferritin - +stool guaiac
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Fe deficient anemia
Alpha-1 antitrypsin deficiency
Anaerobic: bacteroides - peptostreptococcus - fusobacterium

16. medications causing hypercalcemia
Thiazdes; lithium
Most aggressive melanoma.
Ferrous sulfate 325mg tid
6 yo

17. Tx acute gout
Ferrous sulfate 325mg tid
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Prostatitis
Colchicine

18. Smoking cessation agents
0.2-0.5mg aqueous EPI IM/SubQ
Bupropion - varenicline - nicotine replacement
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption

19. Mediators released in response to allergen
Colchicine
4 yo - copies triangle - catches ball - dresses self
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Onset of labor until cervix dilation

20. Tocodynamometer
Ofloxacin OR levofloxacin +/- metronidazole
Lung; SCC head & neck; RCC; breast; MM; prostate
Conrtaction monitoring along with fetal heart rate assessment
Ask - Advise - Assess - Assist - Arrange

21. identifies left - right
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
6 yo
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

22. Tx bacterial vaginosis
Metronidazole or clindamycin
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Short-acting + 40mg prednisone x 10-14days
Urticaria

23. social interaction
Thiazides
Long axis of fetus to long axis of mother (longitudinal or transverse)
Ferrous sulfate 325mg tid
4 yo - copies triangle - catches ball - dresses self

24. Estimated delivery date (Naegele's rule)
Fluoroquinolones
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
= LMP + 7 days - 3 months

25. presbycusis
Calcium oxalate crystals
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
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)

26. Pregnancy class D smoking cessation drugs
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)
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Nicotine inhaler - nasal spray - gum

27. Acral lentinous melanoma
Monosodium urate crystals (gout)
Ferrous sulfate 325mg tid
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Anaphylaxis

28. Immunizations for COPD patients
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Pneumovax - influenza
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Onset of labor until cervix dilation

29. Four cardinal fetal movements
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Flexion - internal rotation - extension - external rotation
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Fluoroquinolones

30. Dx PID
Nicotine inhaler - nasal spray - gum
Short-acting + 40mg prednisone x 10-14days
MTX
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

31. 1st generation antihistamines
Diphenhydramine - chlorpheniramine - hydroxyzine
Diabetes - HTN - GN
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
NAC or IV NaHCO3

32. explorations
1 mo - eyes follow object to midline - vocalizes
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
9 mo - walks - throws - 1-3 words - 1-step commands
4 yo - copies triangle - catches ball - dresses self

33. Complications of GAS infxn
Age-related sensorineural hearing loss (high frequency and speech discrimination)
Biopsy
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)

34. Complications of PID
Thiazdes; lithium
Bathing - dressing - eating - transferring - continence - toileting
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Conrtaction monitoring along with fetal heart rate assessment

35. Tx acute exacerbation COPD
Aortic aneurysm
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Short-acting + 40mg prednisone x 10-14days
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)

36. Tender - boggy prostate. Dx?
Prostatitis
Angioedema
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

37. X-ray on knee?
Fluoroquinolones
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

38. stranger/separation anxiety
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Urticaria
5 yo - draws person - ties shoes - skips
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

39. IUPC (intrauterine pressure catheter)
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Bathing - dressing - eating - transferring - continence - toileting
Measures strength of contractions

40. Tx chlamydia
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

41. How much radiation is associated with fetal harm?
9 mo - walks - throws - 1-3 words - 1-step commands
5+ rads
Stridor - drooling - toxic appearance
Fluoroquinolones

42. The five A's of smoking cessation
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Ask - Advise - Assess - Assist - Arrange
DTaP - hepB - Hib - rotavirus - inactivated polio
Nicotine inhaler - nasal spray - gum

43. Signs of rupture of membranes

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44. Oral tx for PID
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Measures strength of contractions
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole

45. cystoplasmic inclusions - not birefringent
Ofloxacin OR levofloxacin +/- metronidazole
Most aggressive melanoma.
Calcium hydroxyapatite crystals
Colchicine

46. recognizes strangers
5+ rads
6 mo - pincer - crawls - cruises - mamma - dada - byebye
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Steroids + bronchodilators

47. bipyramidal - strongly positive birefringent
6 yo
Calcium oxalate crystals
Angioedema
Metronidazole or clindamycin

48. dyspnea - visceral edema - hypotension
Ferrous sulfate 325mg tid
Anaphylaxis
Bathing - dressing - eating - transferring - continence - toileting
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)

49. DOC for HTN in elderly
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Thiazides
Long axis of fetus to long axis of mother (longitudinal or transverse)
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

50. Dx bacterial rhinosinusitis
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
9 mo - walks - throws - 1-3 words - 1-step commands
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)
6-9MO