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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. QTc
= QT / sqrt(RR interval)
100% O2 6L/min - dihydroergotamine - triptans
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Coryza - congestion - pharyngitis - nasal discharge - fever - cough - dyspnea
2. contraindications to thrombolytic therapy
Alzheimer dementia
3rd month postpartum
Recent surgery - trauma - GI bleeding - MI - uncontrolled HTN
Barium enema
3. Galantamine use/sfx
Dantrolene IV - antipyretics - O2 - cooling blankets
Quinolone + metronidazole
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
100% O2 6L/min - dihydroergotamine - triptans
4. Sibutramine
Obesity (short/long term); 5-HT reuptake inhibition; sfx: 5-HT syndrome
Acute - cough w/ rust-colored sputum - fever - chills - lobar infiltrate on CXR
Obesity; NE-uptake inhibition
S. aureus
5. Bile acid sequestrants (cholestyramine - colestipol - colesevelam)
Legionella
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
6. Croup sx
Insulin resistance - abdominal obesity - dyslipidemia - elevated BP - high fasting glucose
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
Triptans - dihydroergotamine - erogtamine - NSAIDsl; aspirin + acetaminophen + caffeine;
7. DDx postoperative fever
Flat disk - button - batteries
Phenelzine - tranylcypramine
Bacterial infxn of supraglottic tissue and surrounding areas
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
8. Sx Lewy Body Dementia
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
100% O2 6L/min - dihydroergotamine - triptans
H. flu - S. pneumo - S. aureus - Strep A/B/C
MVP
9. Tx frequent/severe abd pain
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10. Tx HTN + CAD
Uterine atony
ACEI - B-blocker - diuretic - Ca-blocker
Halothane - succinylcholine
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
11. MCC non-traumatic hip pathology in adolescents
Effects: lower LDL - TGA; raise HDL - sfx: flushing - hyperglycemia - hyperuricemia - upper GI distress - hepatotoxic - CI: liver disease - gout - DM - PUD
B-blocker - Ca-channel blocker
SCFE (slipped capital femoral epiphysis)
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
12. Rivastigmine
Alzheimer dementia
Legionella
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
13. Pyloric stenosis sx
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14. 1st line tx in IBS constipation
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
Flat disk - button - batteries
Fiber (e.g. psyllium)
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
15. X-ray epiglottitis
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16. Cardiac Resynchronization Therapy (CRT) is warranted when ___
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
Foot/leg deficits - cognitive + personality changes
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
17. MCC postpartum hemorrhage
ACEI - diuretic
Fever - sore throat - muffled voice - drooling - trismus - neck pain
Uterine atony
'olive' mass in URQ - 'double-track sign -' nonbilious vomiting postparandial - 3-6 weeks old
18. GI 'alarm' features
Hallucinations - vivid dreams - fluctuating cognition - sleep disorder - frequent falls - visuospatial deficit - REM sleep disorder (vivid dreams)
Mass lesion - pseudotumor cerebri - meningitis
Fever - anemia - weight loss 10+ lbs - hematochezia - melena - refractory/bloody diarrhea - FHx colon cancer/IBD
= QT / sqrt(RR interval)
19. Mastitis tx
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Recurrent abd pain 3+ days/month for 3+ months with 2 of: improvement w/ defecation; change in stool freq; change in stool appearance
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Cephalexin OR dicloxacillin
20. Cluster headache pflx
Eikenella species
Verapamil - Li+ - divalproex sodium - methysergide - prednisone
Furosemide - nitroglycerin - IV morphine sulphate
Lumbar puncture
21. TCA
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
PCP pneumonia
1st line: TZD
Weight loss - progressive dysphagia - recurring vomiting - GI bleeding - FHx cancer
22. Tx diverticulitis
ACEI - B-blocker - spironolactone
Wind (pneumonia) - Water (UTI) - Wound (SSI) - Walk (DVT) - Wonder drugs (drug fever)
Foot/leg deficits - cognitive + personality changes
Quinolone + metronidazole
23. Empiric CAP tx in healthy person
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
MVP
ACEI - ARB
24. tx malignant hyperthermia
Dicyclomine - hyoscyamine (antispasmodics)
Dantrolene IV - antipyretics - O2 - cooling blankets
Use: mild/mod alzheimer dementia - sfx: arrhythmia - dementia - bradycardia - urinary obstruction
Furosemide - nitroglycerin - IV morphine sulphate
25. Antihypertensives in suspected stroke
Butterfly pattern of perihilar infiltrates on CXR - cardiomegaly - chamber enlargement
S. aureus
IV labetalol - nicardipine - sodium nitroprusside
Cephalosporins - fluoroquinolones - sulfonamides - penicillins - heparin - amphotericin B
26. Dx subarachnoid hemorrhage with negative noncontrast CT
10th postpartum day
Lumbar puncture
ACEI - ARB
'steeple-sign' (subglottic narrowing)
27. Focal neurologic sx (other than aura) DDx
Mass lesion - vascular malformation - stroke - collagen vascular disease
Mass lesion - subdural hematoma - medication overuse
Congenital dislocation - cerebral palsy - leg-calve-perthes - leg-length discrepancy - proximal focal femoral dysplasia - congenital short femur - congenital tibial bowing
Digoxin (B-blockers as needed)
28. MCA stroke sx
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
= QT / sqrt(RR interval)
Dantrolene IV - antipyretics - O2 - cooling blankets
1. macrolide OR doxycycline 2. if resistant: fluoroquinolone OR B-lactam + macrolide
29. Tx HTN + post-MI
Barium enema
ACEI - B-blocker - spironolactone
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
30. Causes of diverticular bleeding
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
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Obesity; increased NE release
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
31. Croup pathogens
'thumb sign' (protrusion of into anterior wall of hypopharynx)
ACEI - B-blocker - diuretic - Ca-blocker
B-blocker - Ca-channel blocker
RSV - PIV - adenoviris - rhinovirus - enterovirus - influenza - m. pneumo
32. Baby blues resolves by ______
Dantrolene IV - antipyretics - O2 - cooling blankets
Fever - drooling - dysphagia - odynophagia - stridor - respiratory distress
10th postpartum day
ACEI - ARB - diuretic - Ca-blocker - B-blocker
33. Outpatient tx CHF
Halothane - succinylcholine
Aphasia (dom hemisphere) - contralateral hemiparesis - sensory loss - spatial neglect - contralateral impaired conjugate gaze
Amitriptyline - nortriptyline - desipramine - clomipramine - doxepin - imipramine
ACE-I (or ARB) - fluid+sodium restriction - B-blockers - loop diuretics (furosemide - bumetanide - torsemide - ethracrynic acid) - spironolactone - cardiac resynchronization therapy
34. vertebrobasilar stroke sx
Obesity; increased NE release
Quinolone + metronidazole
Motor/sensory loss x 4 limbs - crossed signs - disconjugate gaze - nystagmus - dysarthria - dysphagia
Intussception - hypertrophic pyloric stenosis - malrotation with volvulus - foreign-body ingestion - poisoning
35. 4 T's of postpartum hemorrhage
ACEI - B-blocker - diuretic - Ca-blocker
Intermittent - severe abdominal pain - vomiting that becomes bilious - currant jelly stool
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Tone (uretine atony) - Trauma (cervical - vaginal - perineal) - Tissue (retained placenta - membranes) - Thrombin (coagulopathies)
36. Headache after 50 YO DDx
Obesity; NE-uptake inhibition
Fasting blood glucose - LFTs - renal function - TSH
Lumbar puncture
Temporal arteritis - mass lesion
37. causes of malignant hyperthernia
Septic arthritis - fractures - congenital hip dysplasia
Halothane - succinylcholine
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
= QT / sqrt(RR interval)
38. NMDA-R antagonist (memantine)
Uterine atony
Moderate/severe alzheimer dementia
3rd month postpartum
Intracranial hemorrhage - subdural hematoma - epidural hematoma - posttraumatic headache
39. SSRI's
Meningitis - brain abscess - metastasis
High K - high Ca - low Na
Fluoxetine - Paroxetine - Sertraline - Fluvoxamine - Citalopram - Escitalopram
ACEI - B-blocker - diuretic - Ca-blocker
40. Tx HTN
Renal parenchymal disease
Colonoscopy
1st line: TZD
Fasting blood glucose - LFTs - renal function - TSH
41. Sudden-onset headache DDx
Phenelzine - tranylcypramine
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Eikenella species
Subarachnoid hemorrhage - pituitary apoplexy - hemorrhage into mass lesion/vascular malformation - mass lesion
42. Diethylpropion
Obesity; increased NE release
5-HT blockers: tegasorad - alosetron
Mass lesion - pseudotumor cerebri - meningitis
TCA's
43. DDx dementia
Cephalexin OR dicloxacillin
Amoxicillin-clavulanate (augmentin) p.o 7-14 days
Alzheimer - Parkinson - normal pressure hydrocephalus - Lewy Body - chronic EtOH - anticholinergic - benzodiazepines - sleeping pills - narcotics - hypothyroidism - B12 deficiency - neurosyphilis - hyponatremia - hypocalcemia - HIV
Fiber (e.g. psyllium)
44. Afib - Aflutter tx
Amitriptyline - propanolol - timolol - divalproex sodium
Flat disk - button - batteries
Digoxin (B-blockers as needed)
5-HT blockers: tegasorad - alosetron
45. Primary SVT tx
Moderate/severe alzheimer dementia
Oral prednisone
B-blocker - Ca-channel blocker
Septic arthritis - fractures - congenital hip dysplasia
46. Orlistat
Laryngotracheitis; laryngotracheobronchitis; laryngotracheobronchopneumonitis; spasmodic
Class III/IV CHR - QRS > 120ms - LVED diameter > 55mm - LVEF =< 35% - already on maximal therapy
Obesity (short/long term); inhibit pancreatic lipase; sfx: bloating - gas - oily stools
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
47. Tacrine use/sfx
Dicyclomine - hyoscyamine (antispasmodics)
Mech: Activates intestinal chloride channels - use: IBS in women w/ constipation - sfx: nausea
ACEI - ARB - B-blocker - diuretic - Spironolactone
Use: alzheimer dementia - sfx: hepatotoxicity - arrhythmias - bradycardia - urinary obstruction
48. DDx limp in infant/toddler
Mass lesion - pseudotumor cerebri - meningitis
Effects: lower LDL; raise HDL - sfx: GI distress - constipation - decreased med absorption - CI: TGA > 400
TCA's
Septic arthritis - fractures - congenital hip dysplasia
49. rtPA should be used within ____ of stroke
Digoxin (B-blockers as needed)
3 hours
SCFE (slipped capital femoral epiphysis)
1.B-lactam (cefuroxime/ cefotaxime/ceftriaxone / ampicillin-sulbatam) AND erythromycin/azithrymycin 2. IV fluoroquinolone
50. Fibrates
Hemorrhoids > colorectal polyps > diverticulosis > CRC > UC - AVM - colonic strictures
Effects: lower LDL - TGA; raise HDL - sfx: dyspepsia - gallstones - myopathy - CI: renal - hepatic disease
Dementia - incontinence - gait disturbance
'thumb sign' (protrusion of into anterior wall of hypopharynx)
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