Family Medicine Review

Question 0

What two medications should be used for prophylaxis for migraines?

Answer 0

Beta blockers or verapamil (calcium channel blocker)

Question 1

What’s the treatment for pertussis?

Answer 1

5-day course of azithromycin

Question 2

A patient presenting with a swollen uvula and anterior cervical adenopathy is indicative of what condition?

Answer 2

Group A beta-hemolytic strep

Question 3

Generally speaking, anterior cervical adenopathy is indicative of what?

Answer 3

A viral or bacterial pharyngitis

Question 4

A patient who presents with posterior cervical adenopathy should be worked up for what condition?

Answer 4

Mononucleosis

Question 5

What is the treatment for group A beta-hemolytic strep?

Answer 5

Amoxicillin

Question 6

What is first-line therapy for symptomatic relief of peripheral vestibular disorder?

Answer 6

Antihistamines

Question 7

What medication should be used for prophylactic management of cluster headaches?

Answer 7

Nifedipine (calcium channel blocker)

Question 8

What is the treatment for Rosacea?

Answer 8

Oral antibiotics

Question 9

What’s the treatment for a patient who presents with persistent cough after acute bronchitis (a.k.a. hyper responsive airways, “post bronchitic cough”)?

Answer 9

An oral steroid taper

Question 10

At what age should a woman begin getting routine mammographies?

Answer 10

50 years old

Question 11

At what age should a young girl begin getting Pap smears and how often should she get them until what age?

Answer 11

Start at 21 years of age, continue for every three years until the age of 30.

Question 12

For a young girl who was receiving continuous Pap smears, what changes at 30 years of age?

Answer 12

A physician can add HPV testing, and if negative, the patient would only have to receive Pap smears every 5 years

Question 13

For a woman with a history of normal Pap smears, at what age should Pap smear screening stop?

Answer 13

65 years old

Question 14

When should a patient start colon cancer screening with colonoscopies?

Answer 14

At 50 years old, repeated every 10 years

Question 15

When should a patient get screened for colon cancer if they have a family history of colon cancer in a first degree relative?

Answer 15

Start at age 40 or 10 years after the age at which the relative was diagnosed, whichever comes first

Question 16

If a patient is found to have familial adenomatous polyposis, what type of screening should be given, at what age, and at what interval thereafter?

Answer 16

Sigmoidoscopies should begin at age 12, repeat every year

Question 17

When should prostate cancer screening be done? How effective is it?

Answer 17

Patients should not be screened for prostate cancer; there is no test that reduces mortality

Question 18

What’s an interesting nuance to prostate cancer screening?

Answer 18

A patient may ask for a PSA to be measured, which should spark a conversation with the physician. If a patient asks…they can receive this testing, but the physician should make it aware that there is no true benefit to getting the test done

Question 19

When should a patient be screened for lung cancer?

Answer 19

Patients should not be screened for lung cancer

Question 20

At what age should lipid screening begin in men and women?

Answer 20

Men: 35 years old; women: 45 years old

Question 21

What is the treatment goal for HDL?

Answer 21

> 40

Question 22

For a patient with 0-1 risk factors, what should be the treatment goal for LDL through diet and medication, respectively?

Answer 22

Diet: LDL < 160
Drugs: LDL < 190

Question 23

For a patient with two or more risk factors, what should be the LDL treatment goal via diet and drugs, respectively?

Answer 23

Diet: LDL <160

Question 24

For a patient with coronary artery disease and equivalents, what should be the LDL treatment goal with combined diet and drug therapy?

Answer 24

LDL <100 with diet and drugs

Question 25

What should be the LDL treatment goal for patients with coronary artery disease and diabetes?

Answer 25

LDL <70

Question 26

When should screening for hypertension begin and at what interval thereafter?

Answer 26

>18 years old; at least every two years after that

Question 27

Diabetes can be diagnosed at a fasting blood glucose level greater than or equal to what number?

Answer 27

126 mg/dL

Question 28

Diabetes can be diagnosed with an oral glucose tolerance test that exhibits a level greater than or equal to what number?

Answer 28

200 mg/dL

Question 29

What is the most sensitive test for the diagnosis of diabetes?

Answer 29

Oral glucose tolerance test

Question 30

Diabetes can be diagnosed at a hemoglobin A1C level greater than or equal to what percentage?

Answer 30

6.5%

Question 31

Who and at what interval should the general population receive the influenza vaccine?

Answer 31

Everybody, every year!

Question 32

Chronic steroid users, asplenic patients, the chronically ill, and the elderly 65 years of age and older should receive what vaccine?

Answer 32

Pneumococcal vaccine

Question 33

For patients who are chronic steroid users, asplenic, and chronically ill, what should be the interval of re-vaccination?

Answer 33

Every 5 years; the elderly who are 65 years and older do not have to be revaccinated

Question 34

The varicella zoster vaccine should be given to patients at what age?

Answer 34

60 years of age and older

Question 35

When should an adult receive the chickenpox vaccine?

Answer 35

If he or she is seronegative (did not have the chickenpox as a child)

Question 36

What specific population of patients should have the hepatitis A and hepatitis B vaccine?

Answer 36

Men who have sex with men

Question 37

Should a patient diagnosed with diabetes receive a hepatitis vaccine? If so which one...

Answer 37

Yes; the hepatitis B vaccine

Question 38

At what interval should patients receive the tetanus vaccine? What specific vaccine should be amongst these series of shots?

Answer 38

Every 10 years; the Tdap vaccine should be one of them

Question 39

At what age should the meningococcal vaccine be given?

Answer 39

11 years old

Question 40

What 3 specific adult populations should be given the meningococcal vaccine?

Answer 40

Patients who are asplenic, military recruits, and college students

Question 41

What antibiotic is the first-line agent for malaria prophylaxis for travelers going to the Caribbean, Mexico, Costa Rica, El Salvador, Paraguay, and Argentina?

Answer 41

Chloroquine

Question 42

What antibiotic combination is recommended for malaria prophylaxis in all malaria-endemic areas of the world, except for Chloroquine-sensitive endemic areas?

Answer 42

Atovaquone/proguanil

Question 43

What two antibiotics are considered an alternative to atovaquone/proguanil?

Answer 43

Mefloquine and doxycycline

Question 44

All sexually active women under the age of 25 should be offered what type of routine screening? What is the gold standard for this type of screening?

Answer 44

Routine screening for gonorrhea, chlamydia, and HIV; the gold standard is polymerase chain reaction (PCR) of endocervical specimen or urine for gonorrhea and chlamydia