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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. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
Lung; SCC head & neck; RCC; breast; MM; prostate
1 mo - eyes follow object to midline - vocalizes
NAC or IV NaHCO3
Bupropion - varenicline - nicotine replacement
2. ADL
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
5 yo - draws person - ties shoes - skips
Patch - bupropion - varenicline
Bathing - dressing - eating - transferring - continence - toileting
3. Granulomatous causes of hypercalcemia
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Tuberculosis; sarcoidosis; hodgkin disease
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
6 mo - pincer - crawls - cruises - mamma - dada - byebye
4. stranger/separation anxiety
Most aggressive melanoma.
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Monosodium urate crystals (gout)
5. medications causing hypercalcemia
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Thiazdes; lithium
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Cataracts
6. Age by which child says 'mama' and 'dada'
2 mo - eyes follow object past midline - rolls over - laughs - squeals
6-9MO
Ferrous sulfate 325mg tid
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
7. Lentigo Maligna
Tuberculosis; sarcoidosis; hodgkin disease
Lung; SCC head & neck; RCC; breast; MM; prostate
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
8. Fetal heart rate range
110-160bpm
Short-acting + 40mg prednisone x 10-14days
Long axis of fetus to long axis of mother (longitudinal or transverse)
Biopsy
9. parallel play
Ampicillin/sulbactam AND doxycycline
Thiazides
NAC or IV NaHCO3
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
10. Smoking cessation agents
Tdap - influenza - pneumovax
Diabetes - HTN - GN
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Bupropion - varenicline - nicotine replacement
11. Mediators released in response to allergen
Thiazdes; lithium
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Aortic aneurysm
12. Sx of hypercalcemia
Thiazdes; lithium
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Ask - Advise - Assess - Assist - Arrange
13. bacteria causing pharyngitis
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
9 mo - walks - throws - 1-3 words - 1-step commands
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
14. Tx gonorrhea
Thiazides
Ceftriaxone 125mg IM
Nuchal translucency - serum hCG - PAPP-A
Clindamycin AND gentamicin
15. Recommendations for rear-facing car seat
<20lb - <1YO - Reacts to pain - Responds to noise
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Bathing - dressing - eating - transferring - continence - toileting
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once
16. group play - gender - knows name
Ampicillin/sulbactam AND doxycycline
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
3 yo - identify body part - copies square - hops - throws - past tense - story telling
17. 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)
Ask - Advise - Assess - Assist - Arrange
9 mo - walks - throws - 1-3 words - 1-step commands
Nicotine inhaler - nasal spray - gum
18. Dx PID
Diphenhydramine - chlorpheniramine - hydroxyzine
Angioedema
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
DTaP - hepB - Hib - rotavirus - inactivated polio
19. Tx of traveler's diarrhea
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Steroids + bronchodilators
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
20. Third stage of labor
After delivery until delivery of placenta and membranes <30 mins
Long axis of fetus to long axis of mother (longitudinal or transverse)
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
IV penicillin (or ampicillin)
21. Rod shaped - rhomboid - weakly positive birefringent
Calcium oxalate crystals
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
Calcium pyrophosphate dehydrate crystals (pseudogout)
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
22. Bacteria causing chronic sinusitis
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
Tuberculosis; sarcoidosis; hodgkin disease
Ferrous sulfate 325mg tid
23. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Bupropion - varenicline - nicotine replacement
Fe deficient anemia
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Pneumovax - influenza
24. Tx for anaphylaxis
5 yo - draws person - ties shoes - skips
Colchicine
0.2-0.5mg aqueous EPI IM/SubQ
Pneumovax - influenza
25. social smile - parent recognition
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
5+ rads
16-18 weeks GA
26. regards hand
0.2-0.5mg aqueous EPI IM/SubQ
Esophagitis - gastritis - dysphagia
4mo - sits unsupported - hand transfer - babbles
Short-acting + 40mg prednisone x 10-14days
27. Pflx for traveler's diarrhea
1 mo - eyes follow object to midline - vocalizes
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
Fluoroquinolones
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
28. Augments contractions
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Calcium pyrophosphate dehydrate crystals (pseudogout)
Oxytocin (IV)
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
29. X-ray on knee?
Anaphylaxis
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
30. Tx hyperkalemia in CKD
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Long axis of fetus to long axis of mother (longitudinal or transverse)
Ceftriaxone 125mg IM
31. Optimal time for trisomy screen
Thiazdes; lithium
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Starts at contraction. caused by increased vagal tone from fetal head compression.
16-18 weeks GA
32. Dx bacterial rhinosinusitis
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)
Oxygen intervention 15h/d
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
(cefotetan OR cefoxitin) AND doxycycline
33. 2nd generation antihistamines
Loratadine - fexofenadine - cetirizine
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
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
34. Regards human face - eye contact
MCC melanoma in Africans/Asians. Under nails - soles - palms.
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
1 mo - eyes follow object to midline - vocalizes
35. Tx otitis media
MTX
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Tuberculosis; sarcoidosis; hodgkin disease
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
36. writes name - counts 10 objects
Alpha-1 antitrypsin deficiency
Loratadine - fexofenadine - cetirizine
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
5 yo - draws person - ties shoes - skips
37. social interaction
Stridor - drooling - toxic appearance
Bathing - dressing - eating - transferring - continence - toileting
4 yo - copies triangle - catches ball - dresses self
Short-acting + 40mg prednisone x 10-14days
38. Sx otitis media
DTaP - hepB - Hib - rotavirus - inactivated polio
Ask - Advise - Assess - Assist - Arrange
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
After delivery until delivery of placenta and membranes <30 mins
39. dyspnea - visceral edema - hypotension
Ofloxacin OR levofloxacin +/- metronidazole
Anaphylaxis
(cefotetan OR cefoxitin) AND doxycycline
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
40. Signs of rupture of membranes
41. Malignancies with hypercalcemia
Short-acting + 40mg prednisone x 10-14days
Lung; SCC head & neck; RCC; breast; MM; prostate
6-9MO
4mo - sits unsupported - hand transfer - babbles
42. variable deceleration
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Bupropion - varenicline - nicotine replacement
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
43. Tocodynamometer
Aortic aneurysm
Flexion - internal rotation - extension - external rotation
Conrtaction monitoring along with fetal heart rate assessment
Urticaria
44. First stage of labor
DTaP - hepB - Hib - rotavirus - inactivated polio
Onset of labor until cervix dilation
Alpha-1 antitrypsin deficiency
Esophagitis - gastritis - dysphagia
45. Nodular melanoma
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Most aggressive melanoma.
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
46. Unstable angina vs MI Dx tests
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Patch - bupropion - varenicline
47. X-ray of ankle?
Normal mental status; no other injuries; seen within 10 days of injury
(cefotetan OR cefoxitin) AND doxycycline
Nuchal translucency - serum hCG - PAPP-A
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
48. Sx otitis externa
Ferrous sulfate 325mg tid
Ear pain - itching - inflammation/swollen canal - exudates/discharge
9 mo - walks - throws - 1-3 words - 1-step commands
Normal mental status; no other injuries; seen within 10 days of injury
49. Dx bacterial vaginosis
Clindamycin AND gentamicin
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Alpha-1 antitrypsin deficiency
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
50. Sx peritonsillar abscess
Stridor - drooling - toxic appearance
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)
Nicotine inhaler - nasal spray - gum
Calcium hydroxyapatite crystals