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Test your basic knowledge |
Family Medicine/ambulatory 2
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. Pflx migraine
Amitriptyline - propanolol - timolol - divalproex sodium
ACEI - B-blocker - diuretic - Ca-blocker
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Temporal arteritis - mass lesion
2. causes of malignant hyperthernia
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Halothane - succinylcholine
Viral infxn of the subglottis
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
3. DASH diet plan
Postpartum fever - uterine tenderness - foul-smelling lochia
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
High K - high Ca - low Na
ACEI - B-blocker - diuretic - Ca-blocker
4. Tx HTN + CAD
'thumb sign' (protrusion of into anterior wall of hypopharynx)
B-blocker - Ca-channel blocker
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
ACEI - B-blocker - diuretic - Ca-blocker
5. Tx frequent/severe abd pain
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6. Baby blues resolves by ______
ACEI - B-blocker - spironolactone
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
10th postpartum day
Fever - sore throat - muffled voice - drooling - trismus - neck pain
7. MCC HTN in child
Phenelzine - tranylcypramine
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Renal parenchymal disease
Amiodarone/lidocaine
8. Chance of pregnancy after a single act of coitus
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
8%
3 hours
MVP
9. Donepezil use/sfx
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
10. Headaches increasing in severity + intensity DDx
Mass lesion - subdural hematoma - medication overuse
Flat disk - button - batteries
ACEI - diuretic
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
11. Sx Lewy Body Dementia
Mass lesion - pseudotumor cerebri - meningitis
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
12. Nicotinic acids
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
470ms+ in men - 480ms+ in women
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Furosemide - nitroglycerin - IV morphine sulphate
13. DDx postoperative fever
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
100% O2 6L/min - dihydroergotamine - triptans
14. atypical
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Obesity; increased NE release
Bupriopion - amoxipine - trazodone
Amitriptyline - propanolol - timolol - divalproex sodium
15. Tx HTN + post-MI
ACEI - B-blocker - spironolactone
Mass lesion - subdural hematoma - medication overuse
1st line: TZD
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
16. Cardiac Resynchronization Therapy (CRT) is warranted when ___
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Eikenella species
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
17. Bronchiolitis sx
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Furosemide - nitroglycerin - IV morphine sulphate
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
18. Prolonged QT interval (QTc)
Moderate/severe alzheimer dementia
470ms+ in men - 480ms+ in women
Renal parenchymal disease
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
19. Metabolic syndrome
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
1st line: TZD
Halothane - succinylcholine
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
20. IBS pain tx
5-HT blockers: tegasorad - alosetron
ACEI - ARB
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Neonate - infants - bilious vomiting - abdominal pain
21. Outpatient tx CHF
Legionella
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Dantrolene IV - antipyretics - O2 - cooling blankets
22. Papilledema DDx
Barium enema
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
Mass lesion - pseudotumor cerebri - meningitis
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
23. Croup pathogens
10th postpartum day
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
24. QTc
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Bupriopion - amoxipine - trazodone
= QT / sqrt(RR interval)
100% O2 6L/min - dihydroergotamine - triptans
25. Lubiprostone
ACEI - B-blocker - diuretic - Ca-blocker
Obesity; increased NE release
Alzheimer dementia
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
26. Orlistat
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
ACEI - B-blocker - spironolactone
27. Intussusception sx
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Barium enema
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
28. Diethylpropion
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Obesity; increased NE release
29. SNRI
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Venlafaxine - duloxetine - mirtazapine
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
30. If not breast-feeding - when does menstruation restart?
Quinolone + metronidazole
3rd month postpartum
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
31. Tx diverticulitis
Dementia - incontinence - gait disturbance
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Quinolone + metronidazole
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
32. DDx dementia
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Mass lesion - vascular malformation - stroke - collagen vascular disease
ACEI - ARB - diuretic - Ca-blocker - B-blocker
33. 'Alarm' sx for upper GI endoscopy
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Obesity; NE-uptake inhibition
Furosemide - nitroglycerin - IV morphine sulphate
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
34. Tx migraine
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
ACEI - B-blocker - diuretic - Ca-blocker
Septic arthritis - fractures - congenital hip dysplasia
Obesity; increased NE release
35. MCC non-traumatic hip pathology in adolescents
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
SCFE (slipped capital femoral epiphysis)
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
36. MAOI
Temporal arteritis - mass lesion
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Phenelzine - tranylcypramine
Colonoscopy
37. Standard workup for dyslipidemia
Fiber (e.g. psyllium)
Fasting blood glucose - LFTs - renal function - TSH
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
38. X-ray epiglottitis
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39. Sibutramine
Obesity; increased NE release
Halothane - succinylcholine
Eikenella species
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
40. Bilateral 'ground glass' infiltrate on CXR
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
PCP pneumonia
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
41. Cluster headache acute tx
100% O2 6L/min - dihydroergotamine - triptans
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
42. Afib - Aflutter tx
3 hours
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
5-HT blockers: tegasorad - alosetron
Digoxin (B-blockers as needed)
43. Bite injury pflx
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
ACEI - ARB - B-blocker - diuretic - Spironolactone
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Digoxin (B-blockers as needed)
44. Stable vtach tx
Obesity; NE-uptake inhibition
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
IV labetalol - nicardipine - sodium nitroprusside
Amiodarone/lidocaine
45. Tx mild/infrequent abd pain
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Mass lesion - vascular malformation - stroke - collagen vascular disease
Dicyclomine - hyoscyamine (antispasmodics)
H. flu - S. pneumo - S. aureus - Strep A/B/C
46. Primary SVT tx
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Quinolone + metronidazole
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
B-blocker - Ca-channel blocker
47. MCC postpartum hemorrhage
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
Uterine atony
Alzheimer dementia
48. Test to best determine source of lower GI bleed
Colonoscopy
Mass lesion - subdural hematoma - medication overuse
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Oral prednisone
49. Croup
Obesity; increased NE release
1st line: TZD
Flat disk - button - batteries
Viral infxn of the subglottis
50. Tx HTN + CVA
Viral infxn of the subglottis
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
ACEI - diuretic
Eikenella species