Test your basic knowledge |

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. presbycusis
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
(ofloxacin OR levofloxacin) +/- metronidazole
NAC or IV NaHCO3
Age-related sensorineural hearing loss (high frequency and speech discrimination)

2. DOC for HTN in elderly
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Thiazides
Alpha-1 antitrypsin deficiency
DTaP - hepB - Hib - rotavirus - inactivated polio

3. Bisphospohonates sfx
Metronidazole or clindamycin
Esophagitis - gastritis - dysphagia
Monosodium urate crystals (gout)
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption

4. Superficial spreading melanoma
MCC melanoma. Radial growth.
Thiazdes; lithium
Oxytocin (IV)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

5. IV tx for PID
Tuberculosis; sarcoidosis; hodgkin disease
Prostatitis
Urticaria
Ofloxacin OR levofloxacin +/- metronidazole

6. Rod shaped - rhomboid - weakly positive birefringent
Biopsy
Calcium pyrophosphate dehydrate crystals (pseudogout)
<20lb - <1YO - Reacts to pain - Responds to noise
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

7. Early deceleration
Steroids + bronchodilators
Starts at contraction. caused by increased vagal tone from fetal head compression.
6 yo
4 yo - copies triangle - catches ball - dresses self

8. Oral tx for PID
5 yo - draws person - ties shoes - skips
Cataracts
Calcium oxalate crystals
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole

9. Estimated delivery date (Naegele's rule)
Alpha-1 antitrypsin deficiency
Onset of labor until cervix dilation
= LMP + 7 days - 3 months
Calcium oxalate crystals

10. X-ray of ankle?
Ceftriaxone 125mg IM
Normal mental status; no other injuries; seen within 10 days of injury
Oxytocin (IV)
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)

11. social interaction
Nicotine inhaler - nasal spray - gum
Ampicillin/sulbactam AND doxycycline
Tdap - influenza - pneumovax
4 yo - copies triangle - catches ball - dresses self

12. The five A's of smoking cessation
6-9MO
16-18 weeks GA
5+ rads
Ask - Advise - Assess - Assist - Arrange

13. Electrolyte abnormality that increases the incidence of torsades de pointes
Hypomagnesemia
Measures strength of contractions
16-18 weeks GA
Thiazides

14. Screened at 16-20 weeks GA for trisomy
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Urticaria
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
6-9MO

15. causes of acute bronchitis
Fe deficient anemia
Bupropion - varenicline - nicotine replacement
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

16. Signs of rupture of membranes

17. Malignancies with hypercalcemia
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Oxytocin (IV)
Lung; SCC head & neck; RCC; breast; MM; prostate
Ofloxacin OR levofloxacin +/- metronidazole

18. IV tx for PID
Urticaria
Esophagitis - gastritis - dysphagia
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Ampicillin/sulbactam AND doxycycline

19. How much radiation is associated with fetal harm?
Short-acting + 40mg prednisone x 10-14days
Urticaria
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
5+ rads

20. recognizes strangers
Aortic aneurysm
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Thiazides
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

21. Dx PID
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Ofloxacin OR levofloxacin +/- metronidazole
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Angioedema

22. complications of otitis media
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
NAC or IV NaHCO3
Angioedema
Hypomagnesemia

23. explorations
Onset of labor until cervix dilation
9 mo - walks - throws - 1-3 words - 1-step commands
Pneumovax - influenza
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

24. Unstable angina vs MI Dx tests
Flexion - internal rotation - extension - external rotation
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia

25. Tx otitis media
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Clindamycin AND gentamicin
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

26. MCC blindness worldwide
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Starts at contraction. caused by increased vagal tone from fetal head compression.
Cataracts
1 mo - eyes follow object to midline - vocalizes

27. shoulder dystocia
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Anterior shoulder cannot readily pass below the pubic symphysis.

28. Dx bacterial vaginosis
Ampicillin/sulbactam AND doxycycline
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Calcium pyrophosphate dehydrate crystals (pseudogout)

29. group play - gender - knows name
Tuberculosis; sarcoidosis; hodgkin disease
<20lb - <1YO - Reacts to pain - Responds to noise
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
3 yo - identify body part - copies square - hops - throws - past tense - story telling

30. Mediators released in response to allergen
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Colchicine

31. Tocodynamometer
Tuberculosis; sarcoidosis; hodgkin disease
5+ rads
Fe deficient anemia
Conrtaction monitoring along with fetal heart rate assessment

32. DDX for geriatric hearing impairment
Calcium pyrophosphate dehydrate crystals (pseudogout)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Bathing - dressing - eating - transferring - continence - toileting

33. Age by which child says 'mama' and 'dada'
Monosodium urate crystals (gout)
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
6-9MO

34. dyspnea - visceral edema - hypotension
Anaphylaxis
Diphenhydramine - chlorpheniramine - hydroxyzine
5 yo - draws person - ties shoes - skips
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

35. Fe deficient anemia tx
Ferrous sulfate 325mg tid
= LMP + 7 days - 3 months
(cefotetan OR cefoxitin) AND doxycycline
6 yo

36. Sx otitis media
Ferrous sulfate 325mg tid
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Most aggressive melanoma.
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

37. Sx epiglottitis
Oxygen intervention 15h/d
Stridor - drooling - toxic appearance
4 yo - copies triangle - catches ball - dresses self
Nuchal translucency - serum hCG - PAPP-A

38. IUPC (intrauterine pressure catheter)
Most aggressive melanoma.
Stridor - drooling - toxic appearance
Ferrous sulfate 325mg tid
Measures strength of contractions

39. Sx of hypercalcemia
Anterior shoulder cannot readily pass below the pubic symphysis.
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Ofloxacin OR levofloxacin +/- metronidazole
Ampicillin/sulbactam AND doxycycline

40. Large - irregularly shaped - prutitic - erythematous wheals
DTaP - hepB - Hib - rotavirus - inactivated polio
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)
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Urticaria

41. Second stage of labor
4mo - sits unsupported - hand transfer - babbles
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
1 mo - eyes follow object to midline - vocalizes
Ceftriaxone 125mg IM

42. IV tx for PID
4mo - sits unsupported - hand transfer - babbles
MTX
Bathing - dressing - eating - transferring - continence - toileting
Clindamycin AND gentamicin

43. Low serum iron - low MCV - low ferritin - +stool guaiac
5 yo - draws person - ties shoes - skips
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Fe deficient anemia
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption

44. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Loratadine - fexofenadine - cetirizine
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Anemia
6 mo - pincer - crawls - cruises - mamma - dada - byebye

45. Screening for 65-76YO male smoker
<20lb - <1YO - Reacts to pain - Responds to noise
Tuberculosis; sarcoidosis; hodgkin disease
Ask - Advise - Assess - Assist - Arrange
Aortic aneurysm

46. Improve short-term outcomes in acute exacerbations of COPD - asthma
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Steroids + bronchodilators
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)

47. Fetal lie
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
Hypomagnesemia
Stridor - drooling - toxic appearance

48. Complications of PID
Aortic aneurysm
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)

49. Granulomatous causes of hypercalcemia
Tuberculosis; sarcoidosis; hodgkin disease
Measures strength of contractions
Ask - Advise - Assess - Assist - Arrange
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

50. Only therapy to decrease mortality in stage IV COPD
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Oxygen intervention 15h/d
Bupropion - varenicline - nicotine replacement
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)