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 uterine atony
S. aureus
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
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
Amitriptyline - propanolol - timolol - divalproex sodium

2. Lubiprostone
100% O2 6L/min - dihydroergotamine - triptans
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Uterine atony
Verapamil - Li+ - divalproex sodium - methysergide - prednisone

3. Phendimetrazine
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Obesity; increased NE release
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
= QT / sqrt(RR interval)

4. Test to best determine source of lower GI bleed
'steeple-sign' (subglottic narrowing)
Colonoscopy
Amiodarone/lidocaine
ACEI - ARB

5. Nicotinic acids
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.
Amitriptyline - propanolol - timolol - divalproex sodium
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy

6. Papilledema DDx
Mass lesion - pseudotumor cerebri - meningitis
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
ACEI - ARB
Obesity; increased NE release

7. Peritonsillar abscess Sx
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
High K - high Ca - low Na
Viral infxn of the subglottis
Fever - sore throat - muffled voice - drooling - trismus - neck pain

8. IBS pain tx
5-HT blockers: tegasorad - alosetron
Oral prednisone
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
Cephalexin OR dicloxacillin

9. New-onset headache in patient with HIV/cancer DDx
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
Obesity; NE-uptake inhibition
Meningitis - brain abscess - metastasis
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing

10. NMDA-R antagonist (memantine)
Eikenella species
Phenelzine - tranylcypramine
ACEI - diuretic
Moderate/severe alzheimer dementia

11. Prolonged QT interval (QTc)
Obesity; increased NE release
470ms+ in men - 480ms+ in women
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease

12. atypical
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
Bupriopion - amoxipine - trazodone
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
ACEI - ARB - diuretic - Ca-blocker - B-blocker

13. vertebrobasilar stroke sx
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Meningitis - brain abscess - metastasis
Temporal arteritis - mass lesion
Dicyclomine - hyoscyamine (antispasmodics)

14. MCA stroke sx
Oral prednisone
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
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

15. Organism that causes pneumonia post-influenza
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
5-HT blockers: tegasorad - alosetron
S. aureus

16. Fibrates
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Renal parenchymal disease
'steeple-sign' (subglottic narrowing)

17. Diethylpropion
Dementia - incontinence - gait disturbance
B-blocker - Ca-channel blocker
Fasting blood glucose - LFTs - renal function - TSH
Obesity; increased NE release

18. MCC postpartum hemorrhage
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
Uterine atony
Meningitis - brain abscess - metastasis
Halothane - succinylcholine

19. If not breast-feeding - when does menstruation restart?
B-blocker - Ca-channel blocker - Warfarin. Antiarrhythmics (amiodarone - sotalol - flecainide - propafenone)
3rd month postpartum
SCFE (slipped capital femoral epiphysis)
'thumb sign' (protrusion of into anterior wall of hypopharynx)

20. Croup sx
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
1st line: TZD
Obesity; increased NE release

21. Drugs causing fever
Barium enema
Obesity; increased NE release
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B

22. MCC non-traumatic hip pathology in adolescents
Dementia - incontinence - gait disturbance
SCFE (slipped capital femoral epiphysis)
Dicyclomine - hyoscyamine (antispasmodics)
Septic arthritis - fractures - congenital hip dysplasia

23. Tx HTN + CVA
Eikenella species
ACEI - diuretic
Have been asked to CUT down? people have been ANNOYED? felt GUILTY? EYE opener
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome

24. Stable vtach tx
Amiodarone/lidocaine
ACEI - B-blocker - spironolactone
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram

25. Outpatient tx CHF
Venlafaxine - duloxetine - mirtazapine
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
= QT / sqrt(RR interval)
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy

26. Cardiac Resynchronization Therapy (CRT) is warranted when ___
Alzheimer dementia
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Yellow-white discharge with blood cells - decidual cells - and fibrinous products post-delivery.

27. Empiric CAP tx in hospitalized patient
Oral prednisone
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement

28. Bronchiolitis sx
Obesity; increased NE release
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
SCFE (slipped capital femoral epiphysis)
104F+ - tachycardia - metabolic acidosis - skeletal muscle rigidity

29. Tx frequent/severe abd pain

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

30. Commonly ingested foreign bodies
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
ACEI - diuretic
Flat disk - button - batteries
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic

31. Statins
MVP
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)

32. Malrotation sx
Furosemide - nitroglycerin - IV morphine sulphate
Neonate - infants - bilious vomiting - abdominal pain
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
Renal parenchymal disease

33. Pflx migraine
Dementia - incontinence - gait disturbance
Amitriptyline - propanolol - timolol - divalproex sodium
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN

34. Refer to cardiologist post-sports physical if ____
S. aureus
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
High K - high Ca - low Na

35. Cluster headache acute tx
Lumbar puncture
Obesity; increased NE release
100% O2 6L/min - dihydroergotamine - triptans
Effects: lower LDL - TGA; raise HDL - sfx: myopathy - myalgia - increased LFTs - CI: liver disease - P-450 inhibitors (cyclosporine - macrolides - antifungals)

36. Tx HTN + post-MI
ACEI - B-blocker - spironolactone
ACEI - diuretic
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

37. Galantamine use/sfx
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
1st line: TZD
Furosemide - nitroglycerin - IV morphine sulphate
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction

38. DDx pediatric intestinal obsutrction
Fiber (e.g. psyllium)
Dementia - incontinence - gait disturbance
Neonate - infants - bilious vomiting - abdominal pain
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning

39. Cholesterol absorption blocker (ezetimibe)
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Effects: lower LDL - TGA; raise HDL - sfx: abdominal pain - diarrhea - CI: liver disease

40. Dx and Tx of intussception
Barium enema
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
B-blocker - Ca-channel blocker
Marfan syndrome stigmata - HCM murmur - 3/6 systolic - ANY diastolic

41. Tx migraine
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
Meningitis - brain abscess - metastasis

42. Rivastigmine
Systolic murmur. louder with valsalva - standing. softer with squatting - leg raising - handgrip.
Alzheimer dementia
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
Eikenella species

43. Bile acid sequestrants (cholestyramine - colestipol - colesevelam)
'thumb sign' (protrusion of into anterior wall of hypopharynx)
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
ACEI - B-blocker - spironolactone

44. Empiric CAP tx in healthy person
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
ACEI - ARB - diuretic - Ca-blocker - B-blocker
Venlafaxine - duloxetine - mirtazapine
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide

45. Antihypertensives in suspected stroke
Postpartum fever - uterine tenderness - foul-smelling lochia
Foot/leg deficits - cognitive + personality changes
IV labetalol - nicardipine - sodium nitroprusside
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress

46. Tx mild/infrequent abd pain
Dicyclomine - hyoscyamine (antispasmodics)
'thumb sign' (protrusion of into anterior wall of hypopharynx)
Obesity; NE-uptake inhibition
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)

47. SNRI
Postpartum fever - uterine tenderness - foul-smelling lochia
Venlafaxine - duloxetine - mirtazapine
B-blocker - Ca-channel blocker
8%

48. Phentermine
Obesity; NE-uptake inhibition
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Mass lesion - vascular malformation - stroke - collagen vascular disease
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B

49. Retropharyngeal abscess Sx
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
S. aureus
Dicyclomine - hyoscyamine (antispasmodics)
Venlafaxine - duloxetine - mirtazapine

50. Croup pathogens
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
High K - high Ca - low Na
Dementia - incontinence - gait disturbance
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B