Family med

Question 1

Test for Hep C

Answer 1

Immunoassay then recombiant immunoblot assay (if this is negative then its false +) and then measure virus load with RNA PCR

Question 2

What to tx for non severe Salmonella infxn?

Answer 2

nothing

Question 3

Is benzo terotagenic and which SSRI is terotagenic?

Answer 3

Yes it is

Paroxetine

Question 4

Tx for severe osteoporosis?

Answer 4

Teriparatide

Question 5

Best antidepressant for children and adolescence?

Answer 5

Fluoxetine

Question 6

Tx for SX MVP?

Answer 6

Beta blocker

Question 7

MC cause of erythema mutiforme?

Answer 7

HSV

Question 8

Biggest RF for AAA?

Answer 8

Smoking

Question 9

Side effect of PPI

Answer 9

Increase C. Diff and CAP

Decrease B12 and Ca absorption

Question 10

Adjunctive tx for bipolar includes Li+ and ?

Answer 10

Low dose T3

Question 11

Tx for cervical radiculopathy

Answer 11

NSAIDs

Question 12

Tx for cerebral malaria

Answer 12

IV quinidine gluconate

Question 13

What does apraxia means?

Answer 13

Unable to perform skilled motor movement

Question 14

What is intertrigo?

Answer 14

Infxn at the skin fold

Question 15

What is and how do you get paronychia? tx?

Answer 15

Infxn at the nail bed
From prolonged immersion in water or little kids suck their fingers
Topical antifungal or steroid

Question 16

Risk of what is higher in vacuum assisted delivery than forceps?

Answer 16

Higher risk of shoulder dystocia

Question 17

Which diuretics increase and decrease uric acid?

Answer 17

Loop and thiazide - increase

ARB - decrease

Question 18

What mimics asthma (hint. throat tightness)?

Answer 18

Vocal cord dysfunction

Question 19

What is nursemaid’s elbow?

Answer 19

subluxation of head of radius

Question 20

For a child with asthma exacerbation, what else should be given with beta 2 agonist and inhaled steroid?

Answer 20

IV Mag

Question 21

When does SIDS happen?

Answer 21

within first 6 months

Question 22

MC kidney stone and tx

Answer 22

Calcium oxalate

Hydrate/low sodium/low protein/take citrate

Question 23

What is trench fever?

Answer 23

Bartonella quintana

Question 24

What drug is used for post op urinary retention

Answer 24

Alpha 2 block

Question 25

Morning hoarseness and nocturnal wheezing

Answer 25

GERD

Question 26

What cardiac side effect does methadone cause

Answer 26

Torsade de pointe

Question 27

What is CHA2DS2-VAS score

Answer 27

assess stroke risk CHF/HTN/age (2points)/DM/stroke hx (2points) - Vascular disease hx/age/sex anything above 1 - tx with anticoagulant

Question 28

First line tx for RA

Answer 28

MXT

Question 29

Tx for scaphoid fracture?

Answer 29

Thumb spica cast

Question 30

When to have varicella vaccine?

Answer 30

age 1 and then 4

Question 31

bilateral nipple pain during and between feeding indicate what infxn?

Answer 31

Candida

Question 32

When to tranfuse platelet for most pt?

Answer 32

when level under 10,000

Question 33

What to use to induce ovulation in PCOS pt

Answer 33

Metformin and clomiphene

Question 34

Anaphylaxis starts with what?

Answer 34

Itchiness around the mouth, scalp, palms and soles

Question 35

What to give within 3 days of lyme contact?

Answer 35

one dose of doxy

Question 36

Who should receive PPSV23 before 65 and do they need another dose after that?

Answer 36

Ppl with underlying disease like pul or DM | Another dose 5 years after or when they turn 65

Question 37

Pt with chronic neck pain with signs of radiating neurological symptoms, do what dx next?

Answer 37

X ray first if negative then MRI

Question 38

What are the contraindication for carboprost and methylergonovine for uterine atony pts?

Answer 38

Carboprost - asthma | Methylergonovine - HTN

Question 39

What is the age limit for triptans

Answer 39

No usage for kids under 12

Question 40

what are the 2 DM meds that cause weight loss?

Answer 40

Metformin and GLP-1 agonist like exenatide (-tide)

Question 41

When does baby blue supposed to resolve by?

Answer 41

within 10 days of delivery

Question 42

Anti nausea meds for pregnant women?

Answer 42

Doxylamine and vitamin B6

Question 43

Young 2 year old boy still cant walk, think?

Answer 43

DMD

Question 44

presentation of frozen shoulder

Answer 44

limited passive and active movement, night pain, associated with DM

Question 45

NSAIDS are contraindicated in?

Answer 45

CHF/anticoagulation/cirrhosis

Question 46

Tx for rosacea with eye involvement

Answer 46

Metro/doxy

Question 47

what drugs cause steven johnson syndrome?

Answer 47

Abx/allopurinol

Question 48

what does it look like on flow volume loop for a pt with vocal cord dysfunction

Answer 48

flatten inspiratory and normal expiratory

Question 49

Sounds like medial ankle sprain but no injury, what is it?

Answer 49

Tendionapthy - cast

Question 50

purple papules on wrists, what is it?

Answer 50

Lichen planus - topical steroid

Question 51

What does a tender thyroid mean?

Answer 51

Subacute thyroiditis (Graves disease thyroid is not tender)

Question 52

What is the best imaging for septic arthritis

Answer 52

U/S

Question 53

What is the female athlete triad?

Answer 53

Amenorrhea/osteoporosis/eating disorder

Question 54

Hypo or hyperthyroidism is associated with osteoporosis?

Answer 54

Hyperthyroidism