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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. Bacteria causing chronic sinusitis
= LMP + 7 days - 3 months
Clindamycin AND gentamicin
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
[0.8 x (normal albumin - patient's albumin)] + serum Ca level

2. Tocodynamometer
Hypomagnesemia
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Conrtaction monitoring along with fetal heart rate assessment
Normal mental status; no other injuries; seen within 10 days of injury

3. Pregnancy class D smoking cessation drugs
Diphenhydramine - chlorpheniramine - hydroxyzine
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Nicotine inhaler - nasal spray - gum
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

4. Age by which child says 'mama' and 'dada'
6-9MO
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Onset of labor until cervix dilation
1 mo - eyes follow object to midline - vocalizes

5. Dx PID
1 mo - eyes follow object to midline - vocalizes
Hypomagnesemia
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn

6. CKD Stages
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
6 mo - pincer - crawls - cruises - mamma - dada - byebye
Calcium hydroxyapatite crystals
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide

7. medications causing hypercalcemia
1st line: penicillin V (oral) - penicillin G (IM) - if allergy: cephalosporin - macrolide
Thiazdes; lithium
Patch - bupropion - varenicline
Fluoroquinolones

8. identifies left - right
4 yo - copies triangle - catches ball - dresses self
Metronidazole or clindamycin
Bupropion - varenicline - nicotine replacement
6 yo

9. First stage of labor
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Onset of labor until cervix dilation

10. regards hand
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Anaerobic: bacteroides - peptostreptococcus - fusobacterium
4mo - sits unsupported - hand transfer - babbles
Ferrous sulfate 325mg tid

11. Complications of PID
Thiazdes; lithium
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
Anterior shoulder cannot readily pass below the pubic symphysis.
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)

12. variable deceleration
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Lung; SCC head & neck; RCC; breast; MM; prostate
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

13. social smile - parent recognition
2 mo - eyes follow object past midline - rolls over - laughs - squeals
Hypomagnesemia
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Lung; SCC head & neck; RCC; breast; MM; prostate

14. Unstable angina vs MI Dx tests
Steroids + bronchodilators
6-9MO
Cataracts
CBC - electrolytes - BUN - creatinine - PT - PTT - INR - glucose - ECG - CXR - Ck-MB - Troponin T and I - O2 sat

15. Recommendations for rear-facing car seat
Calcium oxalate crystals
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Patch - bupropion - varenicline
<20lb - <1YO - Reacts to pain - Responds to noise

16. recognizes strangers
Ceftriaxone 125mg IM
Hypomagnesemia
Short-acting + 40mg prednisone x 10-14days
6 mo - pincer - crawls - cruises - mamma - dada - byebye

17. Improve short-term outcomes in acute exacerbations of COPD - asthma
Fe deficient anemia
Steroids + bronchodilators
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Ear pain - itching - inflammation/swollen canal - exudates/discharge

18. Premedication with ___ or ___ reduces risk of contrast-induced nephropathy
Urticaria
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
NAC or IV NaHCO3
Bupropion - varenicline - nicotine replacement

19. Tx hyperkalemia in CKD
MTX
4mo - sits unsupported - hand transfer - babbles
Sodium polystyrene sulfonate (kayexalate) - insulin + glucose - retention enema
Calcium oxalate crystals

20. Sx otitis externa
Diabetes - HTN - GN
Nuchal translucency - serum hCG - PAPP-A
Fluoroquinolones
Ear pain - itching - inflammation/swollen canal - exudates/discharge

21. Recommended folic acid daily dose
16-18 weeks GA
Alpha-1 antitrypsin deficiency
Starts at contraction. caused by increased vagal tone from fetal head compression.
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)

22. Sx of hypercalcemia
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
Ceftriaxone 125mg IM
Aortic aneurysm

23. dyspnea - visceral edema - hypotension
Anaphylaxis
Tuberculosis; sarcoidosis; hodgkin disease
Ofloxacin OR levofloxacin +/- metronidazole
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors

24. cystoplasmic inclusions - not birefringent
Calcium hydroxyapatite crystals
Nuchal translucency - serum hCG - PAPP-A
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Clindamycin AND gentamicin

25. Sx epiglottitis
Patch - bupropion - varenicline
Stridor - drooling - toxic appearance
Onset of labor until cervix dilation
Anemia

26. Sx otitis media
Thiazides
<20lb - <1YO - Reacts to pain - Responds to noise
Flexion - internal rotation - extension - external rotation
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane

27. group play - gender - knows name
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Conrtaction monitoring along with fetal heart rate assessment
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Measures strength of contractions

28. bipyramidal - strongly positive birefringent
Calcium oxalate crystals
Prostatitis
16-18 weeks GA
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency

29. Dx criteria for RA
Anemia
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)

30. Emphysema - <45YO - nonsmoker
Diabetes - HTN - GN
Anterior shoulder cannot readily pass below the pubic symphysis.
Alpha-1 antitrypsin deficiency
16-18 weeks GA

31. Malignancies with hypercalcemia
Ampicillin/sulbactam AND doxycycline
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Lung; SCC head & neck; RCC; breast; MM; prostate
After delivery until delivery of placenta and membranes <30 mins

32. Pregnancy class C smoking cessation drugs
4 yo - copies triangle - catches ball - dresses self
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Patch - bupropion - varenicline
Most aggressive melanoma.

33. X-ray on knee?
Stridor - drooling - toxic appearance
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia
Patch - bupropion - varenicline
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps

34. Fe deficient anemia tx
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Anemia
Ferrous sulfate 325mg tid
Nicotine inhaler - nasal spray - gum

35. explorations
4mo - sits unsupported - hand transfer - babbles
9 mo - walks - throws - 1-3 words - 1-step commands
Thiazdes; lithium
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption

36. Immunizations at visit for 6MO
Steroids + bronchodilators
Ceftriaxone 125mg IM
DTaP - hepB - Hib - rotavirus - inactivated polio
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)

37. bacteria causing pharyngitis
Calcium pyrophosphate dehydrate crystals (pseudogout)
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Hypomagnesemia

38. Corrected serum calcium =

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39. Oral tx for PID
(ofloxacin OR levofloxacin) +/- metronidazole
IV penicillin (or ampicillin)
55+; patella tenderness; fibular head tenderness; inability to flex knee 90o; inability to bear weight for 4 steps
Ampicillin/sulbactam AND doxycycline

40. Four cardinal fetal movements
Flexion - internal rotation - extension - external rotation
Tuberculosis; sarcoidosis; hodgkin disease
Loratadine - fexofenadine - cetirizine
MCC melanoma. Radial growth.

41. stranger/separation anxiety
Loratadine - fexofenadine - cetirizine
Patch - bupropion - varenicline
MCC melanoma. Radial growth.
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name

42. Large - irregularly shaped - prutitic - erythematous wheals
5+ rads
Urticaria
Oxytocin (IV)
Stridor - drooling - toxic appearance

43. Granulomatous causes of hypercalcemia
Anaphylaxis
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Tuberculosis; sarcoidosis; hodgkin disease

44. Low serum iron - low MCV - low ferritin - +stool guaiac
Fe deficient anemia
Hypomagnesemia
<20lb - <1YO - Reacts to pain - Responds to noise
= LMP + 7 days - 3 months

45. IADL
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Onset of labor until cervix dilation
Thiazdes; lithium
Fe deficient anemia

46. DDX for geriatric hearing impairment
Angioedema
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Ask - Advise - Assess - Assist - Arrange
Starts at contraction. caused by increased vagal tone from fetal head compression.

47. social interaction
Oxytocin (IV)
5 yo - draws person - ties shoes - skips
4 yo - copies triangle - catches ball - dresses self
Ceftriaxone 125mg IM

48. DOC for HTN in elderly
Monosodium urate crystals (gout)
MCC melanoma. Radial growth.
Thiazides
Ampicillin/sulbactam AND doxycycline

49. Third stage of labor
Angioedema
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
After delivery until delivery of placenta and membranes <30 mins
Colchicine

50. Progressive fatigue - weakness - dyspnea - conjunctival pallor in an elderly patient
Ferrous sulfate 325mg tid
Flexion - internal rotation - extension - external rotation
Anemia
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry