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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. Pregnancy class C smoking cessation drugs
6 mo - pincer - crawls - cruises - mamma - dada - byebye
<20lb - <1YO - Reacts to pain - Responds to noise
Patch - bupropion - varenicline
5 yo - draws person - ties shoes - skips

2. X-ray of ankle?
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Normal mental status; no other injuries; seen within 10 days of injury
Patch - bupropion - varenicline
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors

3. Tx bacterial vaginosis
Metronidazole or clindamycin
Cataracts
IV penicillin (or ampicillin)
Prostatitis

4. Tx acute exacerbation COPD
Cataracts
Short-acting + 40mg prednisone x 10-14days
Hypomagnesemia
4mo - sits unsupported - hand transfer - babbles

5. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Anaphylaxis
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
NAC or IV NaHCO3

6. social interaction
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Colchicine
4 yo - copies triangle - catches ball - dresses self
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)

7. Causes of CKD
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Diabetes - HTN - GN
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Nicotine inhaler - nasal spray - gum

8. Immunizations for COPD patients
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Pneumovax - influenza
Nicotine inhaler - nasal spray - gum
Urticaria

9. IADL
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
5+ rads
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

10. IV tx for PID
Calcium hydroxyapatite crystals
Ofloxacin OR levofloxacin +/- metronidazole
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy

11. causes of acute bronchitis
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Ear pain - itching - inflammation/swollen canal - exudates/discharge
9 mo - walks - throws - 1-3 words - 1-step commands
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

12. Complications of PID
Pneumovax - influenza
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy

13. recognizes strangers
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Oxygen intervention 15h/d
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)

14. Estimated delivery date (Naegele's rule)
= LMP + 7 days - 3 months
Anemia
Nicotine inhaler - nasal spray - gum
NAC or IV NaHCO3

15. Dx bacterial vaginosis
Hypomagnesemia
110-160bpm
0.2-0.5mg aqueous EPI IM/SubQ
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

16. regards hand
4mo - sits unsupported - hand transfer - babbles
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Ask - Advise - Assess - Assist - Arrange
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

17. shoulder dystocia
DTaP - hepB - Hib - rotavirus - inactivated polio
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Anterior shoulder cannot readily pass below the pubic symphysis.

18. explorations
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
9 mo - walks - throws - 1-3 words - 1-step commands
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
4 yo - copies triangle - catches ball - dresses self

19. Recommended folic acid daily dose
Ampicillin/sulbactam AND doxycycline
Oxygen intervention 15h/d
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

20. Bacteria causing chronic sinusitis
Fe deficient anemia
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Loratadine - fexofenadine - cetirizine
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

21. 1st generation antihistamines
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Starts at contraction. caused by increased vagal tone from fetal head compression.
Diphenhydramine - chlorpheniramine - hydroxyzine

22. Superficial spreading melanoma
MCC melanoma. Radial growth.
Thiazides
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Oxytocin (IV)

23. social smile - parent recognition
110-160bpm
Ask - Advise - Assess - Assist - Arrange
2 mo - eyes follow object past midline - rolls over - laughs - squeals
(ofloxacin OR levofloxacin) +/- metronidazole

24. Pflx for traveler's diarrhea
Ceftriaxone 125mg IM
Short-acting + 40mg prednisone x 10-14days
Fluoroquinolones
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

25. Oral tx for PID
Ferrous sulfate 325mg tid
(ofloxacin OR levofloxacin) +/- metronidazole
Esophagitis - gastritis - dysphagia
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

26. IUPC (intrauterine pressure catheter)
MCC melanoma. Radial growth.
4 yo - copies triangle - catches ball - dresses self
Measures strength of contractions
Monosodium urate crystals (gout)

27. Dx criteria for RA
After delivery until delivery of placenta and membranes <30 mins
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
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR

28. Nodular melanoma
Most aggressive melanoma.
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Ask - Advise - Assess - Assist - Arrange

29. Regards human face - eye contact
4 yo - copies triangle - catches ball - dresses self
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Prostatitis
1 mo - eyes follow object to midline - vocalizes

30. Tx chlamydia
Nuchal translucency - serum hCG - PAPP-A
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Fe deficient anemia

31. 2nd generation antihistamines
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Loratadine - fexofenadine - cetirizine
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
<20lb - <1YO - Reacts to pain - Responds to noise

32. writes name - counts 10 objects
Alpha-1 antitrypsin deficiency
Steroids + bronchodilators
5 yo - draws person - ties shoes - skips
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)

33. Other causes of hypercalcemia
Short-acting + 40mg prednisone x 10-14days
Patch - bupropion - varenicline
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Esophagitis - gastritis - dysphagia

34. group play - gender - knows name
Ferrous sulfate 325mg tid
Conrtaction monitoring along with fetal heart rate assessment
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
3 yo - identify body part - copies square - hops - throws - past tense - story telling

35. complications of otitis media
Conrtaction monitoring along with fetal heart rate assessment
Urticaria
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

36. bacteria causing pharyngitis
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Ferrous sulfate 325mg tid
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

37. identifies left - right
Clindamycin AND gentamicin
6 yo
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Conrtaction monitoring along with fetal heart rate assessment

38. IV tx for PID
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Ampicillin/sulbactam AND doxycycline

39. The five A's of smoking cessation
6-9MO
(cefotetan OR cefoxitin) AND doxycycline
Most aggressive melanoma.
Ask - Advise - Assess - Assist - Arrange

40. Tender - boggy prostate. Dx?
Angioedema
Anemia
Fluoroquinolones
Prostatitis

41. Bisphospohonates sfx
Esophagitis - gastritis - dysphagia
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Oxygen intervention 15h/d
Tuberculosis; sarcoidosis; hodgkin disease

42. Dx PID
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Oxygen intervention 15h/d
Measures strength of contractions
Bupropion - varenicline - nicotine replacement

43. stranger/separation anxiety
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

44. Recommendations for rear-facing car seat
Biopsy
<20lb - <1YO - Reacts to pain - Responds to noise
Pneumovax - influenza
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

45. tx shoulder dystocia

46. Sx epiglottitis
Clindamycin AND gentamicin
Stridor - drooling - toxic appearance
Bupropion - varenicline - nicotine replacement
<20lb - <1YO - Reacts to pain - Responds to noise

47. Tx of traveler's diarrhea
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
9 mo - walks - throws - 1-3 words - 1-step commands
(cefotetan OR cefoxitin) AND doxycycline

48. Signs of rupture of membranes

49. DDX for geriatric hearing impairment
Ask - Advise - Assess - Assist - Arrange
Monosodium urate crystals (gout)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema

50. Screened at 11-13 weeks GA for trisomy
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Anaphylaxis
Nuchal translucency - serum hCG - PAPP-A
1 mo - eyes follow object to midline - vocalizes