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. Tx acute pulmonary edema 2ndary to CHF
Mass lesion - subdural hematoma - medication overuse
Furosemide - nitroglycerin - IV morphine sulphate
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Flat disk - button - batteries

2. Empiric CAP tx in hospitalized patient
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Dementia - incontinence - gait disturbance

3. DDx postoperative fever
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Meningitis - brain abscess - metastasis
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)

4. Standard workup for dyslipidemia
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Fasting blood glucose - LFTs - renal function - TSH
MVP

5. Bronchiolitis sx
Venlafaxine - duloxetine - mirtazapine
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
8%
5-HT blockers: tegasorad - alosetron

6. Galantamine use/sfx
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Uterine atony
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Moderate/severe alzheimer dementia

7. tx malignant hyperthermia
Fasting blood glucose - LFTs - renal function - TSH
Dantrolene IV - antipyretics - O2 - cooling blankets
Quinolone + metronidazole
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance

8. X-ray epiglottitis

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

9. DDx Limp w/o pain in children - orthopedic
Amiodarone/lidocaine
'steeple-sign' (subglottic narrowing)
ACEI - B-blocker - spironolactone
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing

10. MAOI
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
SCFE (slipped capital femoral epiphysis)
Venlafaxine - duloxetine - mirtazapine
Phenelzine - tranylcypramine

11. Organism that causes pneumonia with diarrhea
Viral infxn of the subglottis
Legionella
Bupriopion - amoxipine - trazodone
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures

12. Sx normal-pressure hydrocephalus
ACEI - diuretic
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
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
Dementia - incontinence - gait disturbance

13. Sx of pneumococcal pneumonia
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
Meningitis - brain abscess - metastasis

14. Orlistat
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache

15. Tx uterine atony
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
ACEI - ARB - diuretic - Ca-blocker - B-blocker
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
Dantrolene IV - antipyretics - O2 - cooling blankets

16. Evaluating limp w/o pain in children
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Measure umbilicus to medial malleolus; Barlow test; Galeazzi test
Mass lesion - pseudotumor cerebri - meningitis
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD

17. Donepezil use/sfx
Obesity; increased NE release
Use: mild/mod alzheimer dementia - sfx: nausea - vomiting - diarrhea - dizzy - headache
Venlafaxine - duloxetine - mirtazapine
Neonate - infants - bilious vomiting - abdominal pain

18. Tx mild/infrequent abd pain
SCFE (slipped capital femoral epiphysis)
Mass lesion - vascular malformation - stroke - collagen vascular disease
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Dicyclomine - hyoscyamine (antispasmodics)

19. Bite injury pflx
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
ACEI - ARB
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction

20. ACA stroke ssx
B-blocker - Ca-channel blocker
Obesity; increased NE release
Foot/leg deficits - cognitive + personality changes
Fasting blood glucose - LFTs - renal function - TSH

21. Croup
ACEI - diuretic
Viral infxn of the subglottis
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
Dementia - incontinence - gait disturbance

22. NMDA-R antagonist (memantine)
Moderate/severe alzheimer dementia
Renal parenchymal disease
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy

23. Organism that causes pneumonia post-influenza
S. aureus
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Obesity; increased NE release

24. Croup X-ray

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

25. Phendimetrazine
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
3rd month postpartum
Obesity; increased NE release

26. CXR of CHF
Mass lesion - pseudotumor cerebri - meningitis
'thumb sign' (protrusion of into anterior wall of hypopharynx)
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD

27. Baby blues resolves by ______
10th postpartum day
Venlafaxine - duloxetine - mirtazapine
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Septic arthritis - fractures - congenital hip dysplasia

28. contraindications to thrombolytic therapy
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Barium enema
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Quinolone + metronidazole

29. Dextroamphetamine
S. aureus
Furosemide - nitroglycerin - IV morphine sulphate
Obesity; increased NE release
470ms+ in men - 480ms+ in women

30. Tx frequent/severe abd pain

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

31. CAGE questionnaire
ACEI - B-blocker - diuretic - Ca-blocker
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Bupriopion - amoxipine - trazodone
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)

32. New-onset headache in patient with HIV/cancer DDx
Amitriptyline - propanolol - timolol - divalproex sodium
100% O2 6L/min - dihydroergotamine - triptans
Meningitis - brain abscess - metastasis
S. aureus

33. Cholesterol absorption blocker (ezetimibe)
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Septic arthritis - fractures - congenital hip dysplasia
Foot/leg deficits - cognitive + personality changes
'thumb sign' (protrusion of into anterior wall of hypopharynx)

34. Statins
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
ACEI - ARB
Digoxin (B-blockers as needed)
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)

35. Dx subarachnoid hemorrhage with negative noncontrast CT
Legionella
S. aureus
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Lumbar puncture

36. Diethylpropion
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Obesity; increased NE release
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)

37. most common valvular heart defect in USA
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
MVP
H. flu - S. pneumo - S. aureus - Strep A/B/C
Obesity; increased NE release

38. Sibutramine
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
SCFE (slipped capital femoral epiphysis)
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
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

39. Stable vtach tx
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Amiodarone/lidocaine
470ms+ in men - 480ms+ in women

40. Peritonsillar abscess Sx
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Eikenella species
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools

41. 1st line tx in IBS constipation
Septic arthritis - fractures - congenital hip dysplasia
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Fiber (e.g. psyllium)

42. Outpatient tx CHF
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
IV labetalol - nicardipine - sodium nitroprusside
Lumbar puncture
Barium enema

43. Antihypertensives in suspected stroke
TCA's
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
IV labetalol - nicardipine - sodium nitroprusside
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN

44. Lochia
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Moderate/severe alzheimer dementia
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy

45. MCA stroke sx
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
10th postpartum day
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia

46. Tx HTN + DM
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
ACEI - B-blocker - spironolactone

47. Mastitis tx
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
Cephalexin OR dicloxacillin
Foot/leg deficits - cognitive + personality changes

48. Tacrine use/sfx
Foot/leg deficits - cognitive + personality changes
Mass lesion - vascular malformation - stroke - collagen vascular disease
Cephalexin OR dicloxacillin
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction

49. SSRI's
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
ACEI - B-blocker - diuretic - Ca-blocker
ACEI - diuretic
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram

50. Sx Lewy Body Dementia
Renal parenchymal disease
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Viral infxn of the subglottis
Amitriptyline - propanolol - timolol - divalproex sodium