Test your basic knowledge |

Family Medicine Shelf

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. Discomfort with abducting the arm past 90 degress
Rotator Cuff tendonitis
Associated with hypotension
The luteal or secretory phase begins - the corpus luteum develops - and pregesterone levels increase
Bence-Jones

2. What are symptoms are CHF?
Fever with frontal or maxillary tenderness
Cervical radiculopathy
Subarachnoid hemorrhage
Dyspnea - orthopnea - paroxysmal nocturnal dyspnea - nocturia - edema - weight gain - fatigue - chest pain - abdominal pain - anorexia - mental status changes

3. Whats the diagnosis: Watery stools accompanied by a low-grade fever - headache - nausea or vomiting - and achiness
NSAIDs block COX-1 production of prostaglandins that maintain mucosal blood flow - secretion of mucus - and bicarbonate. Without these protective factors - acid-induced inflammation and ulcers my result.
HSV1: oral HSV2: genital -primary infection: transmitted by respiratory droplets or by direct contact with an active lesion or infected secretions -secondary phase: reactivation of the latent virus from dorsal root ganglia -grouped vesicles on an ery
Viral gastroenteritis
Cholelithiasis

4. A woman with which medical conditions is at risk for complications for herself and fetus during pregnancy
DM - HTN - DVT - seizures - depression - or anxiety
300mg/dl protein excreted in the last 24hrs; 4+ indicates over 1g/dl per day
Diuretics -BB -CCB -ACEi
>3.5g of protein per 24hrs

5. Although urine dipstick test binds to albumin what - other important protein can it fail to detect?
Bence-Jones
Serotypes 16 - 18 - 31 -52 -58
4 to 6 mo until 3 consecutive normal smear have been obtained *subsequent abnormal smear=colposcopy should be performed
Furucnle

6. What is afterload?
The resistance against which the heart contracts and is clinically reflected by systolic blood pressure
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin
Jugular venous distension: elevated venous pressures -PMI is displaced laterally and downward: cardiomegaly -bibasilar rales -third and fourth heart sounds: fluid overloaded - stiff ventricles -murmurs: valvular pathology -hepatomegaly: right sided
Serotypes 16 - 18 - 31 -52 -58

7. How does systolic vs. diastolic heart failure present on the echocardiogram?
Systolic dysfunction- ejection fraction is reduced to less than 45% - diastolic dysfunction- ejection fraction is preserved or high; use doppler techniques- abnormal flow across the mitral valve
Subarachnoid hemorrhage
Viral -Non viral causes: Chemical irritation - Mycoplasma - and Chlamydia
Fasting serum glucose - K+ - serum creatinine - UA - lipid profile - serum Ca2+ - uric acid

8. What is the Barany maneuver?
The patient is seated with the head turned to the right and is quickly lowered to the supine position with the head over the edge of the examination table 30 degrees below horizontal. The test is then repeated with the head turned to the left. The te
The luteal or secretory phase begins - the corpus luteum develops - and pregesterone levels increase
Cholelithiasis
Affects 60% of patients with asymptomatic proteinuria; patients are usually <30 - secrete less than 2g protein/day: proteinuria occurs in the upright - but not supine position

9. Whats the diagnosis: Severe abdominal pain in an elderly individual accompanied by acute diarrhea
Orthopnea - paroxysmal nocturna dyspnea - rales - jugular venous distention - and edema
>3.5g of protein per 24hrs
Non-cardiac causes of palpitations
Possibility of Ischemic colitis

10. Who should have Xray testing for shoulder pain?
Muscular chest pain (inflammation or overuse pf chest wall muscles); costochondral joint (reproduced on palpation and patient may not want to take a deep breath in); rib fractures
Bulk forming: Psyllium - Methycellulose - Polycarbophil
Reserved for pats with hx of traumatic injury or persistent pain despite therapy
Dysfunctional Uterine bleeding: caused by hormonal imbalances from a functionally abnormal hypothalamic-pitu-ovarian axis resulting in abnormal follicle development and anovulation (metorrhagia) -Corpus luteum does not develop=progesterone-deficient

11. Name the diagnosis: umbilicated skin lesion that is spread by autoinoculation - scratching - or touching a lesion. Discrete 2 to 5 mm slightly umbilicated flesh-colored - dome shaped papules occurring on the face - trunk - axillae - and extremities i
Pancreatitis
Slow progression of cervical cancer changes -Availability of effective early treatment
Orthopnea - paroxysmal nocturna dyspnea - rales - jugular venous distention - and edema
Molluscum contagiosum- pox virus

12. MI - pericardial tamponade - PE - GI bleed - are...
Viral gastroenteritis
Chest pain during pneumonia or PE
Associated with hypotension
Giardia

13. What are the two common clinical presentations of acute diarrhea?
1. Watery - noninflammatory diarrhea 2. Inflammatory diarrhea with the presence of either blood or WBC in stool
Scabies
LH surge triggers ovulation
In syncopal or near syncopal patients iwth heart disease and those iwth suspected ventricular tachycardia or heart block

14. Name some medications that can cause proteinuria
Preconception visit: up to 1 yr before conception -1st prenatal visit: 6-8wks after missed menses -Every 4 wks: up to 28 wks gestational age -Every 2 wks: up to 36 weeks gestational age -Every week: until delivery
Variability in the time for follicle development during the proliferative phase
ACEi - penicillin - cephalosporin - cyclosporine - NSAIDs - heavy metals - aminoglycosides - sulfonamides
S. aureus- beta hemolytic streptococcus

15. What are the 2 psych disorders most commonly associated with palpitations?
Male - report irregular heartbeat Sx duration >5min - hx of heart disease
Colposcopy - Endocervical curettage - and directed cervical biopsy
Affects 60% of patients with asymptomatic proteinuria; patients are usually <30 - secrete less than 2g protein/day: proteinuria occurs in the upright - but not supine position
Generalized Anxiety disorder and panic disorder

16. patients who present with an MI - unstable angina - or PE should be hospitalization of evaluation
Stabilize on oxygen - nitroglycerin - morphine for pain - aspirin (to decrease mortality by 20%) - clopidogrel or ticolodipine. (beta blockers - heparin - nitrates - ACEi - thrombolytics (if <75 with ST segment elevation - and a history consistent wi
Adhesive capsulitis (frozen shoulder): most common in middle age women
Polymenorrhea
Temporal arteritis-biopsy of the temporal artery

17. What is an acoustic neuroma?
A tumor of the 8th cranial nerve that compresses the 8th cranial nerve and the brainstem
HSV1: oral HSV2: genital -primary infection: transmitted by respiratory droplets or by direct contact with an active lesion or infected secretions -secondary phase: reactivation of the latent virus from dorsal root ganglia -grouped vesicles on an ery
Dermatophytes - i.e. tinea- funus infection such as tinea captis- fungal infection of the scalp
Kids: Rotavirus Adults: Norwalk Virus

18. Menometrorrhagia
Excessive bleeding in amount - duration - or both at irregular intervals
A central clear area
Diuretics -BB -CCB -ACEi
Enodlymphatic hydrops results in incrased pressure within the semicircular canals and damage to the sensory hair cells? -tinnitus - vertigo - hearing loss

19. What type of imaging is need for chronic sinusitis?
Cervical radiculopathy
CT
Systolic dysfunction- ejection fraction is reduced to less than 45% - diastolic dysfunction- ejection fraction is preserved or high; use doppler techniques- abnormal flow across the mitral valve
Genetic screening - medical assessment for chronic diseases - screening for infectious diseases - and updating of immunizations - advice on proper nutrition and exercise - help with quitting unhealthy habits - and advice on avoiding environmental haz

20. What type of diuretic is the most widely used for HTN? What are some SE of this drug?
Every 3 years after 2 negative smear 1 year apart. Screening may be discontinued after age 65 provided that previous testing has been normal
Generalized Anxiety disorder and panic disorder
Thiazide (useful in patients without renal impairment) -SE: sex dysfxn - dyslipidemia - hyperglycemia - and elevation in uric acids
High blood pressure - focal neurologic defecit - or papilledema

21. Range of motion testing: How do you tell the difference between joint/ligament involvement vs. muscular and/or tendon involvement?
Columnar cells are replaced by squamous cells and creates the squamocolumnar junction (where squamous metaplasia is most active)
Ligament involvement: Pain with Active ROM and Passive ROM -Muscular and/or tendon injury: Pain with ONLY Active ROM
Acute headache - ataxia - profuse nausea - and vomiting
Irregular bleeding between cycles

22. Palpitations: Which patients warrant hospitalization - monitoring and aggressive eval?
Dysfunctional Uterine bleeding: caused by hormonal imbalances from a functionally abnormal hypothalamic-pitu-ovarian axis resulting in abnormal follicle development and anovulation (metorrhagia) -Corpus luteum does not develop=progesterone-deficient
Rotator Cuff tendonitis
Vital signs - orthostatic blood pressure (indicating acute bleeding) and pulse - signs of pregnancy - systemic disease - and sterile speculum and bimanual exam)
Pts with palpitations and dizziness - near syncope - or syncope

23. What is the Nikolsky sign (elicted when a local skin separation occurs after minor pressure) suggest?
Staphylococcal scalded skin syndrome
Analgesic headache
Tension headache
HPV testing -Pos=colposcopy -Neg=repeat pap smear

24. What imaging is used to assess cardiac anatomy in patients with heart palpitations?
Echocardiogram
Theophylline - Digoxin - B agonists - OTC stimulants (pseudophedrine) - antiarrhthymic med
A 24hr urine protein collection and urine creatinine clearance determination
Ligament involvement: Pain with Active ROM and Passive ROM -Muscular and/or tendon injury: Pain with ONLY Active ROM

25. Name the diagnosis: A short PR interval and delta wave on ECG; assoc. with paroxysmal supraventricular tachycardias
Bulk forming agents -Osmotic laxatives -Stimulant laxatives -Stool Softeners -Suppositories -Enemas
ACEi
Wolff-Parkinson-White syndrome
Persistent purulent discharge - facial pain exacerbated by leaning forward - maxillary tooth ache - 'double sickening'=relapse

26. Define the patient population typically affected by orthostatic or postural proteinuria
Stabilize on oxygen - nitroglycerin - morphine for pain - aspirin (to decrease mortality by 20%) - clopidogrel or ticolodipine. (beta blockers - heparin - nitrates - ACEi - thrombolytics (if <75 with ST segment elevation - and a history consistent wi
Headache of recent onset (<6 months) -headache beginning after 50 years of age -worsening headaches -headache that does not fit primary headache pattern -associated seizure -focal neurologic signs or symptoms -personality change-severe headaches unre
Affects 60% of patients with asymptomatic proteinuria; patients are usually <30 - secrete less than 2g protein/day: proteinuria occurs in the upright - but not supine position
Chest pain during pneumonia or PE

27. In regards to a Pap smear - What should be done if a patient has cervical inflammation from infections such as Chlamydia or yeast that may cause cells to appear abnormal.
Repeat Pap after infection treated
EGD
Scabies
Affects 60% of patients with asymptomatic proteinuria; patients are usually <30 - secrete less than 2g protein/day: proteinuria occurs in the upright - but not supine position

28. Vaccines that should be updated before planned pregnancy
Influenza - Rhinovirus - Adenovirus - Parainfluenza
LH surge triggers ovulation
Hep B and rubella (if necessary) Note: pregnancy should be avoided up to 1-3 months after rubella and varicella immunizations=live attenuated viruses
Polymenorrhea

29. When is a lumbar puncture contraindicated?
Theophylline - Digoxin - B agonists - OTC stimulants (pseudophedrine) - antiarrhthymic med
Colposcopy - Endocervical curettage - and directed cervical biopsy
Staphylococcal scalded skin syndrome
When an increase in intracranial pressure is suspected because it can lead to brainstem herniation

30. Name the diagnosis of heartburn: regurgitation - dysphagia
GERD
Lightheadedness - dizziness - syncope
A tumor of the 8th cranial nerve that compresses the 8th cranial nerve and the brainstem
Bradycardia - fatigue - insomnia - sex dysfxn - and adverse effects on the lipid profile

31. PE for a patient getting an abnormal vaginal bleeding work up
Vital signs - orthostatic blood pressure (indicating acute bleeding) and pulse - signs of pregnancy - systemic disease - and sterile speculum and bimanual exam)
Echocardiogram
Chest pain during pneumonia or PE
Kids: Rotavirus Adults: Norwalk Virus

32. Define nephrotic range proteinuria
Hx: High fever - dyspnea - chills - chest pain - develop hypoxia or cardiopulmonary failure - PE: Abnormal Vital signs (fever - tachypnea - tachycardia) - Lungs (localized rales - bronchial breath sounds - wheezing - signs of consolidation-dullness t
RBC casts and old to moderate HTN
>3.5g of protein per 24hrs
Squamocolumnar junction=most common site of cervical cancer

33. Patient presents with aching shoulder - which becomes acutely painful with overhead activity
Rotator Cuff problem
24 hour halter
Increasing fluid (8 - 8oz glasses of water/day) -fiber
Less abrupt onset and cessation of palpitations

34. What are the three types of lice?
Cholelithiasis
Pediculus humanus capitis- head louse - P. humanus corporis- body louse - Phthirus pubis- pubic or crab louse
These patients are associated with low renin states=less likely to respond to medication
CT

35. Diagnostic Evaluation of Abnoraml vaginal bleeding
ACEi
Varicella virus
Pap Smear (unless recent normal pap) -CBC -Pregnancy test -Ultrasound if uterus is enlarged -Cervical culture in patients high risk of infection -Thyroid test and testing for systemic diseases
100mg; means patient can be trace protein positive and not be detected

36. Name the diagnosis of heartburn: dysphagia - assoc. with immunocompromised condition
Dehydration - anemia - cardiac causes
Infectious esophagitis
Increase; 200 g/day
Preconception visit: up to 1 yr before conception -1st prenatal visit: 6-8wks after missed menses -Every 4 wks: up to 28 wks gestational age -Every 2 wks: up to 36 weeks gestational age -Every week: until delivery

37. Describe the Hx for a patient getting an abnormal vaginal bleeding work-up
Productive cough and URI symptoms (runny nose - scratchy throat - nasal congestion) - low grade fever - fatigue
Cervical radiculopathy
Hx: Onset of menarche and duration and frequency of the menstrual period - Bleeding pattern - hx of liver - renal - thyroid disease - Use of anticoags - oral contraception - hormone replacement - ROS: weight change - hirsutism (indicating PCOS=LH:FSH
Coronary artery disease/ angina

38. Describe the history and PE of patient presenting with common cold
Pediculus humanus capitis- head louse - P. humanus corporis- body louse - Phthirus pubis- pubic or crab louse
Ischemic heart disease - stroke - peripheral vascular disease - renal insufficiency - retinopathy characterized by exudates and hemorrhages - and - in severe HTN - papilledema
Hx: Scratchy throat - runny nose - nasal congestion - rhinorrhea - malaise - fever - hoarsenss - cough - low grade fever - headache PE: Swollen red nasal mucosa - fever - purulent discharge - facial tenderness
Triptans - ergotamine - DHE (emergency); prophylaxis- beta blockeres - tricyclic antidepressants - CCBs - anticonvulsants - serotonin antagonists - MAOIs; avoidance of stress - alcohol - caffeine - tyramine (red wine and cheese) - nitrates (cured mea

39. What are the features of nephrotic syndrome?
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin
FSH released by the pitu stimulates a primary ovarian follicle to release estrogen - which stops menses and stimulates the endometrium
Jugular venous distension: elevated venous pressures -PMI is displaced laterally and downward: cardiomegaly -bibasilar rales -third and fourth heart sounds: fluid overloaded - stiff ventricles -murmurs: valvular pathology -hepatomegaly: right sided
Massive proteinuria and edema - hypoalbuminemia - hyperlipidemia - lipiduria

40. ______ infections cause approximately 95% of bronchitis cases in healthy adults.
Coag disorders
Viral -Non viral causes: Chemical irritation - Mycoplasma - and Chlamydia
Persistent - sharp - severe - relieved by sitting up; aggravated by breathing - laying back - coughing
100mg; means patient can be trace protein positive and not be detected

41. Name the diagnosis of heartburn: chest pressure - nausea - diaphoresis - palpitations
Upper sternal area burning pain - associated with a productive cough
Hydration -OTC decongestants -Topical Nasal decongestant no more than 4 days -Guaifenesin
Dysfunctional Uterine bleeding: caused by hormonal imbalances from a functionally abnormal hypothalamic-pitu-ovarian axis resulting in abnormal follicle development and anovulation (metorrhagia) -Corpus luteum does not develop=progesterone-deficient
Coronary artery disease/ angina

42. What is the mechanism of action for stimulant agents in treating constipation?
Alters mucosal permeability and stimulates the activity of intestinal smooth muscle -Ex: Bisacodyl (dulcolax)
Pediculus humanus capitis- head louse - P. humanus corporis- body louse - Phthirus pubis- pubic or crab louse
Warts
Paroxysmal atrial fibrillation or supraventricular tachycardia

43. Name the diagnosis of heartburn: colicky right upper quadrant pain - with meals - radiation to scapular regions
Coag disorders
Every 3 years after 2 negative smear 1 year apart. Screening may be discontinued after age 65 provided that previous testing has been normal
Cholelithiasis
Bulk forming agents -Osmotic laxatives -Stimulant laxatives -Stool Softeners -Suppositories -Enemas

44. Name the diagnosis of heartburn: gnawing epigastric pain - nausea - vomiting - bloating
Peptic ulcer disease or gastritis
Lightheadedness - dizziness - syncope
Meclizine - dimenhydrinate - antiemetics - and benzodiazepines
Furucnle

45. What are the three major risk factors for heart failure?
Clarithromycin - amoxicillin - metronidazole PPI: cimetidine - ranitidine - famotidine - nazatidine
Hypertension - CAD - valvular heart disease
A central clear area
>150mg per 24hrs

46. What is most common form of abnormal vaginal bleeding? (give what causes it with answer)
100mg; means patient can be trace protein positive and not be detected
Pleurisy
Thiazide (useful in patients without renal impairment) -SE: sex dysfxn - dyslipidemia - hyperglycemia - and elevation in uric acids
Dysfunctional Uterine bleeding: caused by hormonal imbalances from a functionally abnormal hypothalamic-pitu-ovarian axis resulting in abnormal follicle development and anovulation (metorrhagia) -Corpus luteum does not develop=progesterone-deficient

47. Things that need to be included in history of shoulder pain
NSAIDs block COX-1 production of prostaglandins that maintain mucosal blood flow - secretion of mucus - and bicarbonate. Without these protective factors - acid-induced inflammation and ulcers my result.
35 (exception for postmenopausal women who have recently been started on HRT)
Age - dominant hand - medications - PMHx - type of work - and activity level - Pain-acute or chronic - Associated trauma (swelling - rendness - laxity - catching - decrease ROM)
Rotator Cuff problem

48. _____ _____ _____ are high in fiber and increase stool volume by absorbing water given to patients with constipation.
Bulk forming: Psyllium - Methycellulose - Polycarbophil
Diuretics -BB -CCB -ACEi
Molluscum contagiosum- pox virus
Bronchitis: Antecedent URI - Cough - No or low-grade fever - clear lungs or coarse rhonchi - Normal CXR Pneumonia: Acute onset of cough - fever - and tachypnea - chest pain - leukocytosis - pulmonary infiltrate on CXR

49. History and PE for Pneumonia
Wolff-Parkinson-White syndrome
Infectious esophagitis
Hx: High fever - dyspnea - chills - chest pain - develop hypoxia or cardiopulmonary failure - PE: Abnormal Vital signs (fever - tachypnea - tachycardia) - Lungs (localized rales - bronchial breath sounds - wheezing - signs of consolidation-dullness t
Polymenorrhea

50. History for Acute bronchitis
Productive cough and URI symptoms (runny nose - scratchy throat - nasal congestion) - low grade fever - fatigue
Serotypes 16 - 18 - 31 -52 -58
Irregular bleeding between cycles
Bulk forming agents -Osmotic laxatives -Stimulant laxatives -Stool Softeners -Suppositories -Enemas

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Major Subjects
Tests & Exams AP CLEP DSST GRE SAT GMAT	Certifications CISSP go to https://www.isc2.org/ PMP ITIL RHCE MCTS More...	IT Skills Android Programming Data Modeling Objective C Programming Basic Python Programming Adobe Illustrator More...	Business Skills Advertising Techniques Business Accounting Basics Business Strategy Human Resource Management Marketing Basics More...
Soft Skills Body Language People Skills Public Speaking Persuasion Job Hunting And Resumes More...	Vocabulary GRE Vocab SAT Vocab TOEFL Essential Vocab Basic English Words For All Global Words You Should Know Business English More...	Languages AP German Vocab AP Latin Vocab SAT Subject Test: French Italian Survival Norwegian Survival More...	Engineering Audio Engineering Computer Science Engineering Aerospace Engineering Chemical Engineering Structural Engineering More...
Health Sciences Basic Nursing Skills Health Science Language Fundamentals Veterinary Technology Medical Language Cardiology Clinical Surgery More...	English Grammar Fundamentals Literary And Rhetorical Vocab Elements Of Style Vocab Introduction To English Major Complete Advanced Sentences Literature Homonyms More...	Math Algebra Formulas Basic Arithmetic: Measurements Metric Conversions Geometric Properties Important Math Facts Number Sense Vocab Business Math More...	Other Major Subjects Science Economics History Law Performing-arts Cooking Logic & Reasoning Trivia

Test your basic knowledge |

Family Medicine Shelf

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Let me suggest you:

Browse all subjects

Browse all tests

Most popular tests

Major Subjects

Tests & Exams

Certifications

IT Skills

Business Skills

Soft Skills

Vocabulary

Languages

Engineering

Health Sciences

English

Math

Other Major Subjects

Browse all subjects

Browse all tests

Most popular tests