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. Malignancies with hypercalcemia
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Diphenhydramine - chlorpheniramine - hydroxyzine
Lung; SCC head & neck; RCC; breast; MM; prostate
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)

2. Pregnancy class C smoking cessation drugs
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Patch - bupropion - varenicline
Fe deficient anemia
Normal mental status; no other injuries; seen within 10 days of injury

3. IUPC (intrauterine pressure catheter)
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Measures strength of contractions
Onset of labor until cervix dilation
Clindamycin AND gentamicin

4. Complications of PID
Oxygen intervention 15h/d
Fluoroquinolones
Recurrence - tuboovarian abscess - chronic abdominal pain - infertility - ectopic pregnancy
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.

5. group play - gender - knows name
LCC melanoma. MCC in Hawaii. Mostly elderly. Face - ears - arms - upper trunk.
Diabetes - HTN - GN
<20lb - <1YO - Reacts to pain - Responds to noise
3 yo - identify body part - copies square - hops - throws - past tense - story telling

6. recognizes strangers
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
6 mo - pincer - crawls - cruises - mamma - dada - byebye
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

7. Signs of rupture of membranes

8. Electrolyte abnormality that increases the incidence of torsades de pointes
Fe deficient anemia
Ofloxacin OR levofloxacin +/- metronidazole
Hypomagnesemia
Prostatitis

9. DDX for geriatric hearing impairment
5+ rads
Normal mental status; no other injuries; seen within 10 days of injury
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)

10. Tx bacterial vaginosis
Prostatitis
4mo - sits unsupported - hand transfer - babbles
Metronidazole or clindamycin
Fe deficient anemia

11. Pregnancy class D smoking cessation drugs
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Nicotine inhaler - nasal spray - gum
Starts at contraction. caused by increased vagal tone from fetal head compression.
Masoiditis - bacterial meningitis - brain abscess - subdural empyema

12. MONA therapy
Nicotine inhaler - nasal spray - gum
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Starts at contraction. caused by increased vagal tone from fetal head compression.
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae

13. complications of otitis media
(cefotetan OR cefoxitin) AND doxycycline
Aortic aneurysm
Masoiditis - bacterial meningitis - brain abscess - subdural empyema
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)

14. IV tx for PID
Thiazdes; lithium
5+ rads
4mo - sits unsupported - hand transfer - babbles
Ofloxacin OR levofloxacin +/- metronidazole

15. Mediators released in response to allergen
Monosodium urate crystals (gout)
Morphine - Oxygen - Nitroglycerin - Aspirin (clopidogrel if allergic) + B-blocker - GPIIb/IIIa inhibitors
Histamine - tryptase - chymase - kinase - leukotrienes - PGD2
Anemia

16. How much radiation is associated with fetal harm?
McRobert's manuever (hyperflexion of hips); suprapubic pressure; episiotomy
Aortic aneurysm
5+ rads
1 mo - eyes follow object to midline - vocalizes

17. Only therapy to decrease mortality in stage IV COPD
Diabetes - HTN - GN
[ceftriaxone OR (cefoxitin + probenecid)] AND doxycycline +/- metronidazole
Oxygen intervention 15h/d
Aortic aneurysm

18. Tx RA (best long-term outcome)
= LMP + 7 days - 3 months
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
4 yo - copies triangle - catches ball - dresses self
MTX

19. regards hand
5 yo - draws person - ties shoes - skips
4mo - sits unsupported - hand transfer - babbles
9 mo - walks - throws - 1-3 words - 1-step commands
Ampicillin/sulbactam AND doxycycline

20. Dx bacterial vaginosis
Biopsy
Ear pain - fever - diminished hearing - vertigo - tinnitus; decreased membrane mobility - fluid behind tympanic membrane
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount
Long axis of fetus to long axis of mother (longitudinal or transverse)

21. Early deceleration
IV penicillin (or ampicillin)
Starts at contraction. caused by increased vagal tone from fetal head compression.
2 yo - copies circle - tricycle - 3 cubes - sentences - 3 colors
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.

22. Acral lentinous melanoma
Measures strength of contractions
Long axis of fetus to long axis of mother (longitudinal or transverse)
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Doxycycline 100mg bid x 7days OR azithromycin 1000mg once

23. Tx for thyroid storm
Alpha-1 antitrypsin deficiency
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
High dose PTU - B-blocker - hydrocortisone (prevent adrenal crisis)
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.

24. ADL
Ceftriaxone 125mg IM
Age-related sensorineural hearing loss (high frequency and speech discrimination)
(cefotetan OR cefoxitin) AND doxycycline
Bathing - dressing - eating - transferring - continence - toileting

25. Sx peritonsillar abscess
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Peritonsillar swelling - tonsil pushed to midline with contralateral uvula deviation; sore throat - trismus (pain w/ chewing)

26. Four cardinal fetal movements
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Calcium oxalate crystals
PH > 6.5 (Nitrazine) - 'ferning' on air-dried microscope slide
Flexion - internal rotation - extension - external rotation

27. Superficial spreading melanoma
MCC melanoma in Africans/Asians. Under nails - soles - palms.
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
MCC melanoma. Radial growth.
Urinary calcium. Hyper PTH (high) >> FHH (normal)

28. variable deceleration
NAC or IV NaHCO3
Loratadine - fexofenadine - cetirizine
Abrupt decrease in fetal heart rate - inconsistent timing. caused by umbilical cord compression during contractions.
1st line: amoxicillin - TMP-SMX 10-14d 2nd line: amoxicillin-clavulanic acid; 2nd-3rd gen cephalosporin; fluoroquinolone; 2nd gen macrolides (azithromycin - clarithromycin)

29. Tx for anaphylaxis
5 yo - draws person - ties shoes - skips
Oxytocin (IV)
Ciprofloxacin 500mg bid x 1-2days - azithromycin 1000mg or 10mg/kg daily x 3d (children) - Rifaximin (noninvasive E. coli)
0.2-0.5mg aqueous EPI IM/SubQ

30. Late deceleration
Oxytocin (IV)
Colchicine
Starts at peak of contraction. caused by uteroplacental insufficiency: maternal hypotension; diabetes; prolonged pregnancy; placental abruption
DTaP - hepB - Hib - rotavirus - inactivated polio

31. Complications of GAS infxn
MTX
MCC melanoma. Radial growth.
6-9MO
Rheumatic fever - PSGN - TSS - peritonsillar abscess - meningitis - bacteremia

32. CKD Stages
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Fluoroquinolones
NAC or IV NaHCO3
Urticaria

33. Dx PID
Lower abdominal tenderness - adnexal tenderness - CMT - febrile - discharge - elevated ESR - CRP - gonorrhea/chlamydia infxn
400ug (low risk) - 4mg (high-risk: e.g. anticonvulsant therapy - previous defect)
Lung; SCC head & neck; RCC; breast; MM; prostate
Normal mental status; no other injuries; seen within 10 days of injury

34. Sx epiglottitis
Normal mental status; no other injuries; seen within 10 days of injury
Stridor - drooling - toxic appearance
Starts at contraction. caused by increased vagal tone from fetal head compression.
Onset of labor until cervix dilation

35. 1st generation antihistamines
Diphenhydramine - chlorpheniramine - hydroxyzine
6-9MO
[0.8 x (normal albumin - patient's albumin)] + serum Ca level
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency

36. Dx criteria for RA
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Colchicine
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Thiazdes; lithium

37. Other causes of hypercalcemia
Hypervitaminosis A; hypervitaminosis D; rhabdomyolysis; adrenal insufficiency
Tuberculosis; sarcoidosis; hodgkin disease
Esophagitis - gastritis - dysphagia
16-18 weeks GA

38. IADL
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry
Thiazides
Cr Clearance = [(140-age) x weight/72 x SCr] x 0.85 (if female)
Anemia

39. Rod shaped - rhomboid - weakly positive birefringent
Calcium pyrophosphate dehydrate crystals (pseudogout)
Lung; SCC head & neck; RCC; breast; MM; prostate
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis
Starts at contraction. caused by increased vagal tone from fetal head compression.

40. Oral tx for PID
Prostatitis
Steroids + bronchodilators
Colchicine
(ofloxacin OR levofloxacin) +/- metronidazole

41. Second stage of labor
Presbycusis - noise-induced - cerumen impaction - otosclerosis - central auditory processing disorder (CAPD)
Morning stiffness - 3+ joints - hands - symmetric - nodules - +anti-Ig (RF) - erosions/decalcifications on XR
Measures strength of contractions
Complete cervical dilation (10cm) until delivery <2 hrs (nulliparous) <1hr (parous)

42. How to differentiate primary hyperPTH from FHH (familial hypocalciuric hypercalcemia)
Cataracts
Urinary calcium. Hyper PTH (high) >> FHH (normal)
Thiazides
DTaP - hepB - Hib - rotavirus - inactivated polio

43. Recommendations for rear-facing car seat
Stones; bondes; psychic groans (poor concentration - supor coma - weakness - fatigue); abdominal moans (pancreatitis - anorexia - pain - constipation - nausea - vomiting)
<20lb - <1YO - Reacts to pain - Responds to noise
Steroids + bronchodilators
Monosodium urate crystals (gout)

44. Sx otitis externa
Ear pain - itching - inflammation/swollen canal - exudates/discharge
Loratadine - fexofenadine - cetirizine
6-9MO
1 = 90+ GFR - 2 = 60-89 - 3 = 30-59 - 4 = 15-29 - 5 = <15 or dialysis

45. Screening for 65-76YO male smoker
NAC or IV NaHCO3
Triple/quad screen (AFP - b-hCG - estriol +/- inhibin A)
Aortic aneurysm
(cefotetan OR cefoxitin) AND doxycycline

46. Tx otitis media
Metronidazole or clindamycin
Calcium hydroxyapatite crystals
Initial: Amoxicillin - alternative: amoxicillin-clavulanic acid - TMP-SMX - 2nd-3rd gen cephalosporins
Transport - shopping - cooking - telephone - money management - medications - housecleaning - laundry

47. bacteria causing pharyngitis
Mycoplasma - c. pneumoniae - arcanobacterium haemolyticus - GAS (strep pyogenes)
Calcium hydroxyapatite crystals
(ofloxacin OR levofloxacin) +/- metronidazole
Thin homogenous discharge; pH > 4.5; +KOH whiff test; clue cells on wet mount

48. IV tx for PID
Clindamycin AND gentamicin
Age-related sensorineural hearing loss (high frequency and speech discrimination)
4mo - sits unsupported - hand transfer - babbles
Lung; SCC head & neck; RCC; breast; MM; prostate

49. causes of acute bronchitis
Anterior shoulder cannot readily pass below the pubic symphysis.
Steroids + bronchodilators
Influenza PIV - adenovirus - rhinovirus - mycoplasma - c. pneumoniae
Tuberculosis; sarcoidosis; hodgkin disease

50. stranger/separation anxiety
3 yo - identify body part - copies square - hops - throws - past tense - story telling
Diabetes - HTN - GN
12 mo - walks up/down stairs - runs - kicks - 2-3w phrases - uses name
Starts at contraction. caused by increased vagal tone from fetal head compression.