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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. Bacteria causing chronic sinusitis
Steroids + bronchodilators
Fe deficient anemia
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
MTX
2. Late deceleration
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Fe deficient anemia
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
5 yo - draws person - ties shoes - skips
3. MCC blindness worldwide
Anemia
Cataracts
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Calcium pyrophosphate dehydrate crystals (pseudogout)
4. Corrected serum calcium =
5. Recommended folic acid daily dose
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
DTaP - hepB - Hib - rotavirus - inactivated polio
Loratadine - fexofenadine - cetirizine
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
6. regards hand
4mo - sits unsupported - hand transfer - babbles
Bupropion - varenicline - nicotine replacement
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Long axis of fetus to long axis of mother (longitudinal or transverse)
7. 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)
Most aggressive melanoma.
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
8. DOC for HTN in elderly
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
NAC or IV NaHCO3
Thiazides
9. Sx epiglottitis
Oxytocin (IV)
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Stridor - drooling - toxic appearance
MCC melanoma in Africans/Asians. Under nails - soles - palms.
10. X-ray of ankle?
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Normal mental status; no other injuries; seen within 10 days of injury
3 yo - identify body part - copies square - hops - throws - past tense - story telling
MCC melanoma. Radial growth.
11. Sx of hypercalcemia
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Ask - Advise - Assess - Assist - Arrange
Ear pain - itching - inflammation/swollen canal - exudates/discharge
12. IUPC (intrauterine pressure catheter)
Patch - bupropion - varenicline
Tuberculosis; sarcoidosis; hodgkin disease
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Measures strength of contractions
13. Immunizations at visit for 6MO
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
2 mo - eyes follow object past midline - rolls over - laughs - squeals
DTaP - hepB - Hib - rotavirus - inactivated polio
14. Immunizations for COPD patients
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Pneumovax - influenza
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Anterior shoulder cannot readily pass below the pubic symphysis.
15. recognizes strangers
MTX
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)
IV penicillin (or ampicillin)
6 mo - pincer - crawls - cruises - mamma - dada - byebye
16. Second stage of labor
Long axis of fetus to long axis of mother (longitudinal or transverse)
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Calcium pyrophosphate dehydrate crystals (pseudogout)
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
17. Other causes of hypercalcemia
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
(cefotetan OR cefoxitin) AND doxycycline
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Alpha-1 antitrypsin deficiency
18. Large - irregularly shaped - prutitic - erythematous wheals
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Urticaria
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
19. Pregnancy class D smoking cessation drugs
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Normal mental status; no other injuries; seen within 10 days of injury
Nicotine inhaler - nasal spray - gum
Fluoroquinolones
20. Tx otitis media
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Measures strength of contractions
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Age-related sensorineural hearing loss (high frequency and speech discrimination)
21. Augments contractions
Oxytocin (IV)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Pneumovax - influenza
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
22. Smoking cessation agents
Bupropion - varenicline - nicotine replacement
Anaphylaxis
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Calcium hydroxyapatite crystals
23. Tx for thyroid storm
MCC melanoma. Radial growth.
4mo - sits unsupported - hand transfer - babbles
= LMP + 7 days - 3 months
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
24. Dx PID
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Clindamycin AND gentamicin
6-9MO
25. bacteria causing pharyngitis
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Bathing - dressing - eating - transferring - continence - toileting
<20lb - <1YO - Reacts to pain - Responds to noise
Alpha-1 antitrypsin deficiency
26. Tx of traveler's diarrhea
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Anterior shoulder cannot readily pass below the pubic symphysis.
27. needles - strong negative birefringent (yellow crystals parallel light)
Monosodium urate crystals (gout)
Ferrous sulfate 325mg tid
Nuchal translucency - serum hCG - PAPP-A
Diabetes - HTN - GN
28. IV tx for PID
Ampicillin/sulbactam AND doxycycline
Nuchal translucency - serum hCG - PAPP-A
Ferrous sulfate 325mg tid
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)
29. Tx hyperkalemia in CKD
Normal mental status; no other injuries; seen within 10 days of injury
Urticaria
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
30. Fe deficient anemia tx
Ferrous sulfate 325mg tid
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
31. Bisphospohonates sfx
<20lb - <1YO - Reacts to pain - Responds to noise
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
4mo - sits unsupported - hand transfer - babbles
Esophagitis - gastritis - dysphagia
32. GBS tx
IV penicillin (or ampicillin)
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
Biopsy
33. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
NAC or IV NaHCO3
Measures strength of contractions
16-18 weeks GA
Calcium hydroxyapatite crystals
34. How much radiation is associated with fetal harm?
Normal mental status; no other injuries; seen within 10 days of injury
Short-acting + 40mg prednisone x 10-14days
Diabetes - HTN - GN
5+ rads
35. Improve short-term outcomes in acute exacerbations of COPD - asthma
1 mo - eyes follow object to midline - vocalizes
Metronidazole or clindamycin
Steroids + bronchodilators
Ferrous sulfate 325mg tid
36. complications of otitis media
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Hypomagnesemia
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Angioedema
37. 1st generation antihistamines
MCC melanoma in Africans/Asians. Under nails - soles - palms.
9 mo - walks - throws - 1-3 words - 1-step commands
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Diphenhydramine - chlorpheniramine - hydroxyzine
38. Oral tx for PID
Anterior shoulder cannot readily pass below the pubic symphysis.
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Esophagitis - gastritis - dysphagia
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
39. group play - gender - knows name
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
5+ rads
Conrtaction monitoring along with fetal heart rate assessment
3 yo - identify body part - copies square - hops - throws - past tense - story telling
40. Dx bacterial rhinosinusitis
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
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)
41. Tx acute exacerbation COPD
Short-acting + 40mg prednisone x 10-14days
110-160bpm
Urinary calcium. Hyper PTH (high) >> FHH (normal)
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
42. Tx RA (best long-term outcome)
Prostatitis
Ask - Advise - Assess - Assist - Arrange
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
MTX
43. The five A's of smoking cessation
Ask - Advise - Assess - Assist - Arrange
5 yo - draws person - ties shoes - skips
Anaphylaxis
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
44. Estimated delivery date (Naegele's rule)
0.2-0.5mg aqueous EPI IM/SubQ
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Nicotine inhaler - nasal spray - gum
= LMP + 7 days - 3 months
45. Tx acute gout
Colchicine
Prostatitis
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Hypomagnesemia
46. Malignancies with hypercalcemia
Lung; SCC head & neck; RCC; breast; MM; prostate
Angioedema
NAC or IV NaHCO3
110-160bpm
47. IADL
Esophagitis - gastritis - dysphagia
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
48. painless - deep - subQ swelling (periorbital - circumoral - facial)
5+ rads
Anaphylaxis
Colchicine
Angioedema
49. cystoplasmic inclusions - not birefringent
4mo - sits unsupported - hand transfer - babbles
Calcium hydroxyapatite crystals
Short-acting + 40mg prednisone x 10-14days
Bupropion - varenicline - nicotine replacement
50. Sx otitis externa
Ear pain - itching - inflammation/swollen canal - exudates/discharge
0.2-0.5mg aqueous EPI IM/SubQ
Monosodium urate crystals (gout)
Ask - Advise - Assess - Assist - Arrange