Test your basic knowledge |

Family Medicine/ambulatory 2

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. Sx Lewy Body Dementia
'steeple-sign' (subglottic narrowing)
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Temporal arteritis - mass lesion

2. Cholesterol absorption blocker (ezetimibe)
TCA's
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache

3. Cluster headache acute tx
100% O2 6L/min - dihydroergotamine - triptans
8%
H. flu - S. pneumo - S. aureus - Strep A/B/C
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.

4. Tx HTN + post-MI
ACEI - B-blocker - spironolactone
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress

5. IBS pain tx
5-HT blockers: tegasorad - alosetron
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
8%
Fiber (e.g. psyllium)

6. DDx postoperative fever
8%
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Mass lesion - subdural hematoma - medication overuse

7. X-ray epiglottitis

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

8. NMDA-R antagonist (memantine)
Moderate/severe alzheimer dementia
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures

9. Pflx migraine
Amitriptyline - propanolol - timolol - divalproex sodium
Obesity; increased NE release
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)

10. Retropharyngeal abscess Sx
TCA's
Bupriopion - amoxipine - trazodone
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old

11. Standard workup for dyslipidemia
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Fasting blood glucose - LFTs - renal function - TSH
IV labetalol - nicardipine - sodium nitroprusside
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose

12. Lochia
ACEI - ARB - B-blocker - diuretic - Spironolactone
PCP pneumonia
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.

13. Epiglottitis pathogens
Alzheimer dementia
H. flu - S. pneumo - S. aureus - Strep A/B/C
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Dementia - incontinence - gait disturbance

14. Bile acid sequestrants (cholestyramine - colestipol - colesevelam)
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
ACEI - ARB - diuretic - Ca-blocker - B-blocker
3rd month postpartum

15. CXR of CHF
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Bupriopion - amoxipine - trazodone

16. Galantamine use/sfx
Colonoscopy
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Eikenella species
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction

17. Bite injury pflx
Barium enema
Dicyclomine - hyoscyamine (antispasmodics)
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
1st line: TZD

18. 4 T's of postpartum hemorrhage
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
MVP
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction

19. New-onset headache in patient with HIV/cancer DDx
H. flu - S. pneumo - S. aureus - Strep A/B/C
Meningitis - brain abscess - metastasis
Obesity; increased NE release
Obesity; increased NE release

20. Malrotation sx
Neonate - infants - bilious vomiting - abdominal pain
Colonoscopy
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;

21. Tx mild/infrequent abd pain
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
Dicyclomine - hyoscyamine (antispasmodics)
Venlafaxine - duloxetine - mirtazapine
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD

22. Tacrine use/sfx
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
3 hours
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea

23. Empiric CAP tx in healthy person
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
3rd month postpartum

24. epiglottitis
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Mass lesion - pseudotumor cerebri - meningitis
Bacterial infxn of supraglottic tissue and surrounding areas
= QT / sqrt(RR interval)

25. Diethylpropion
= QT / sqrt(RR interval)
Obesity; increased NE release
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction

26. Headache after 50 YO DDx
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Temporal arteritis - mass lesion
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures

27. Peritonsillar abscess Sx
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
Fever - sore throat - muffled voice - drooling - trismus - neck pain
IV labetalol - nicardipine - sodium nitroprusside

28. Croup sx
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
5-HT blockers: tegasorad - alosetron

29. Sx HoCM
Cephalexin OR dicloxacillin
ACEI - diuretic
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
= QT / sqrt(RR interval)

30. Headache with sx systemic illness DDx
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
5-HT blockers: tegasorad - alosetron
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease

31. Papilledema DDx
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Mass lesion - pseudotumor cerebri - meningitis
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone

32. DDx Limp w/o pain in children - orthopedic
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Postpartum fever - uterine tenderness - foul-smelling lochia
TCA's
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

33. malignant hyperthermia
TCA's
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram

34. Croup pathogens
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Eikenella species
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo

35. Afib - Aflutter tx
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Digoxin (B-blockers as needed)
Septic arthritis - fractures - congenital hip dysplasia
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress

36. contraindications to thrombolytic therapy
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Viral infxn of the subglottis
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Halothane - succinylcholine

37. causes of malignant hyperthernia
Bacterial infxn of supraglottic tissue and surrounding areas
10th postpartum day
Moderate/severe alzheimer dementia
Halothane - succinylcholine

38. Croup
Fiber (e.g. psyllium)
Venlafaxine - duloxetine - mirtazapine
Viral infxn of the subglottis
Alzheimer dementia

39. Tx HTN + CVA
1st line: IV oxytocin - bimanual uterine massage - 2nd line: methylergonovine IM (CI in HTN) - 3rd line: PGF2a (Hemabate) IM (CI in asthma) - 4th line: Misoprostol
Postpartum fever - uterine tenderness - foul-smelling lochia
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
ACEI - diuretic

40. MCC postpartum hemorrhage
470ms+ in men - 480ms+ in women
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Uterine atony

41. MCA stroke sx
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener

42. Tx diverticulitis
IV labetalol - nicardipine - sodium nitroprusside
Quinolone + metronidazole
Viral infxn of the subglottis
ACEI - B-blocker - spironolactone

43. Tx frequent/severe abd pain

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

44. Drugs causing fever
Meningitis - encephalitis - Lyme disease - systemic infxn - collagen vascular disease
Flat disk - button - batteries
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache

45. Metabolic syndrome
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Meningitis - brain abscess - metastasis
Eikenella species
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose

46. most common valvular heart defect in USA
MVP
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
ACEI - ARB
Bupriopion - amoxipine - trazodone

47. Fibrates
Meningitis - brain abscess - metastasis
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
ACEI - diuretic
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease

48. Statins
Renal parenchymal disease
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)
470ms+ in men - 480ms+ in women
5-HT blockers: tegasorad - alosetron

49. 1st line tx in IBS constipation
Phenelzine - tranylcypramine
Fiber (e.g. psyllium)
ACEI - ARB - B-blocker - diuretic - Spironolactone
Postpartum fever - uterine tenderness - foul-smelling lochia

50. SSRI's
Phenelzine - tranylcypramine
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Moderate/severe alzheimer dementia
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram