FP Exam

Question 1

Patient has recurrent onset of feeling of fear and doom with tachycardia during these episodes. What is the condition?

Answer 1

Panic Attack

Question 2

Mom brings daughter in for emesis. Girl is short and very underweight. Admits to taking laxatives 2-3 times per week and states that she sometimes throws up when she feels fat after dinner. Exam shows scratches/abrasions across knuckles. What is the condition she has?

Answer 2

Bullemia

Question 3

What drug is the longest lasting on a UDS?

Answer 3

Marijuana

Question 4

An old man comes in for breathing tests. They give him albuterol and repeat it. Both is FEV1 and FVC are reduced but his ratio is normal. What does this patient have?

Answer 4

Restrictive lung disorder

Question 5

Patient comes in with left sided hemipariesis. Emergent CT is nml. What is the next step for tx of this pt?

Answer 5

Give tPA

Question 6

A lady needs a physical to be a teacher at school. Her TB test comes back as 7-8mm. What do you do next?

Answer 6

Skin test is intermediate/indeterminant; Order CXR

Question 7

HCTZ is least likely to cause what electrolyte abnormality?

Answer 7

HYPOcalcemia

Question 8

A young pt comes in w/ eye pain and a small yellowish-white pimple on his lower eye. What does he have?

Answer 8

Hordeolum

Question 9

An old man comes into clinic complaining of eye irritation. On exam, both of his eyelids are red and have a yellowish crust on them. What condition does he have?

Answer 9

Blepharitis

Question 10

A lady just returned from a long flight overseas and is now complaining of SOB and chest pain. What does she have?

Answer 10

Pulmonary Embolism

Question 11

13 year old kid who plays sports is complaining of anterior knee pain. Physical exam is unremarkable with the exception of pain over the anterior portion of his tibia. What is the most likely Dx?

Answer 11

Osgood Schlatter

Question 12

A very skinny, competitive female runner comes in asking about her amenorrhea and contraceptives. You tell her what?

Answer 12

Her menses will likely return upon some weight gain or decrease in running

Question 13

Which drug is least likely to cause tachycardia?

Answer 13

Beta Blocker

Question 14

Which drug is most likely to cause dependency if used as a sleep aid for extended periods?

Answer 14

Restoril

Question 15

What is the most likely thing to happen to a patient who is on chronic narcotic use at therapeutic levels for pain with no use of meds for breakthrough pain?

Answer 15

Constipation

Question 16

A girl is running downhill with her soccer team and all of a sudden has onset of anterior knee pain and collapses. PE shows moderate effusion of the anterior knee and x-rays are normal. You are unable to assess her knee injury due to pain. Her hip has full ROM. What is the likely cause of her knee pain?

Answer 16

ACL tear

Question 17

What is used to treat an overdose of Ethylene Glycol?

Answer 17

Fomepizole

Question 18

An old man comes in with right eye pain and slightly decreased visual acuity in his right eye. His eye is pink and he doesn’t remember any trauma. Complete eye exam is normal with the exception of a red ring of irritation around his limbus. What would you do?

Answer 18

Contact Ophthalmology ASAP; Maybe give Topical Cipro

Question 19

Pulsus paradoxus can be best described how?

Answer 19

Decreased in SBP w/ inspiration

Question 20

What in a female’s medical hx would be most likely reason to NOT give OCP?

Answer 20

Past Hx of DVT

Question 21

Fat kid comes in complaining of limping and hip pain for past 2-3 weeks. What is the least likely cause of this?

Answer 21

Osteoarthritis

Question 22

What criteria is used for IBS?

Answer 22

Rome Criteria

Question 23

What would most likely cause BC > AC?

Answer 23

Otosclerosis

Question 24

A female complaining of sudden onset of left ear pain and entire PE was wnl w/ exception of dried blood in left ear canal. What is most likely cause?

Answer 24

Trauma from Q-tip use

Question 25

A young recruit is new to the area and comes in complaining of watery eyes, feeling tired, congestion, and sore throat. What drug will help?

Answer 25

Flonase

Question 26

A young guy comes in complaining of fever, sore throat, congestion, and has red erythematous nasal mucosa. What is his most likely condition?

Answer 26

URI

Question 27

What Abx is nephrotoxic?

Answer 27

Gentamicin

Question 28

Which drug causes sun light sensitivity?

Answer 28

Tetracycline

Question 29

Old man comes in w/ URI symptoms. On CXR, you see air-fluid levels among other things. What is the most likely cause?

Answer 29

Staph Infection

Question 30

A guy wrecks his motorcycle and had been treating his abrasions on his arms with Neosporin at home. He is now having increased inflammation w/ oozing from the sites. What should you do?

Answer 30

Put him on PO abx

Question 31

An old man complains of a bump on his back that is painless but irritates him when he tries to lean back in his rocking chair. PE shows a rubbery subcutaneous mass; what is this mass most likely to be?

Answer 31

Lipoma

Question 32

An old man comes in for Physical Exam. You listen to his heart and hear S2 split. What do you do?

Answer 32

Do and say nothing; it is NORMAL

Question 33

What is the best way to hear a mitral murmur?

Answer 33

Lay on their side, halfway between supine

Question 34

What drug is associated with tendon ruptures?

Answer 34

Flouroquinolones

Question 35

A guy with known osteoporosis now has symptoms of GERD. Which drug would you not want to give him because it is known to cause osteoporosis?

Answer 35

PPI

Question 36

Antitrypsin deficiency most commonly affects what?

Answer 36

Liver and Lungs

Question 37

And old man has an EKG done and the P waves are inconsistent. What is the most likely reason?

Answer 37

Wandering Atrial Pacemaker

Question 38

A young recruit comes in for recurrent nosebleeds. During PE, you not multiple bruises and his platelet is low. What is the most likely cause?

Answer 38

ITP

Question 39

An old man comes in complaining of sore throat that has been going on for months. He has had multiple negative cultures and rapid streps as well as tried a couple of different abx. What is the next step in tx?

Answer 39

Refer

Question 40

An old man comes into the ER w/ severe sore throat. You notice that his voice is a little muffled when speaking and his uvula is shifted. What is the most likely dx?

Answer 40

PTA

Question 41

What food should you tel your Coumadin patient to avoid?

Answer 41

Spinach

Question 42

What food contains the least amount of gluten?

Answer 42

Rice

Question 43

What is the least likely cause of RUQ pain?

Answer 43

Diverticulitis

Question 44

A sexually active female comes in complaining of pain with intercourse, discharge, and dysuria. PE shows adnexal and uterine tenderness. What should you do?

Answer 44

Treat her with IM Ceftriaxone as well as Flagyl and Doxy

Question 45

Young female comes in c/o pelvic pain that seems to get worse around her menses and with sex. What is the most likely dx?

Answer 45

Endometriosis

Question 46

An old man comes to the ER with a 2 hour hx of swollen face. What drug is the most likely cause?

Answer 46

ACE-I

Question 47

A patient has decreased MCV; what is not in your differential?

Answer 47

HYPOthyroidism (Increased MCV)

Question 48

Which is true about microalbuminuria?

Answer 48

Indicator of DM?

Question 49

What is NOT true about pseudomembranous colitis?

Answer 49

DOC for tx is Clindamycin

Question 50

A guy returns from a cruise with what you suspect to be food borne hepatitis. What is the marker used to determine this?

Answer 50

IgM HAV

Question 51

What is NOT considered a tx for external hemorrhoids?

Answer 51

Rubber band ligation for an active bleeding hemorrhoid

Question 52

A pt reports hematuria. His dipstick test is positive but microscopic exam showed no RBCs; what could this be due to?

Answer 52

Beets, Rifampin

Question 53

A new recruit trying to join the military is undergoing PE. During the exam, you notice his testicles have a horizontal deformity. What is this known as?

Answer 53

Bell Clapper Deformity

Question 54

A young man comes to ER c/o painful lesions on his penis. He stated that he had one about 4 months ago which was much more painful but he didn't seek treatment for that. What is most likely dx?

Answer 54

HSV

Question 55

A lady comes in c/o post coital bleeding. During PE, you notice she has an ectropion cervix and all other tests were negative (GC/Chlam) and PAP was nml w/ exception of some mild bleeding that occured when you took your sample. What would you do?

Answer 55

Ensure the pt that this is normal

Question 56

A lady comes in c/o a painful, swollen knot around the opening of her vagina. Exam reveals a cyst. What would you do now?

Answer 56

Drain and place word catheter

Question 57

Least likely symptoms of Reiter Dz?

Answer 57

Small joint arthritis

Question 58

Medication that causes osteonecrosis of jaw?

Answer 58

Bisphosphonates

Question 59

Least common cause of Candida?

Answer 59

IUD

Question 60

MC symptom of cat scratch fever?

Answer 60

Lymphadenopathy

Question 61

DM pt comes in complaining of new onset of numbness and pain on the anterolateral side of her thigh. What is most likely cause?

Answer 61

Meralgia paresthetica

Question 62

A newer immunization in children?

Answer 62

Rotavirus

Question 63

An old man comes in complaining of back pain. A bunch of labs are ran and some came back abnormal with an x-ray showing punched out lesions on spine. What is most likely DX?

Answer 63

Multiple Myeloma

Question 64

Which drugs are used to treat DM that most commonly causes GI upset?

Answer 64

Metformin and Acarbose

Question 65

An old man from FL comes in for exam. You can tell he has a lot of exposure to the sun and you notice a pearly lesion with rolled borders and telegantascia. What is the most likely dx?

Answer 65

BCC

Question 66

Which SSRI causes fetal cardiac anomalies?

Answer 66

Paxil

Question 67

An old man brought in by his family w/ symptoms of dementia that have come and gone. You examine him and notice he does have dementia but also has some left sided paresis. What is the dx?

Answer 67

Multi-infarct Dementia

Question 68

A lady c/o palpitations comes in to your clinic. During her visit, everything is normal. If you want to find out what is going on with her palpitations that occur randomnly, what would you do?

Answer 68

Holter Monitor

Question 69

What are common Parkinson's sx?

Answer 69

resting tremor, bradykinesia, slow movements

Question 70

A DM pt comes in c/o recent onset of bright red rash over her cheek and forehead. What is the most likely DX?

Answer 70

Erysipelas

Question 71

What are the common sx of migraines?

Answer 71

Unilateral, Pounding, and Debilitating

Question 72

What drug can be used as a prophylaxis for migraines?

Answer 72

Topamax

Question 73

What is the least likely cause of gynecomastia?

Answer 73

In between stages of Tanner II and III

Question 74

Pt has a hx of Reynauds. What drug would you not give them?

Answer 74

Beta Blocker

Question 75

A pt has decompensated COPD. What is the most likely cause?

Answer 75

Beta Blocker

Question 76

An alcoholic and smoker comes to the ER c/o central abdominal pain that doesn't radiate. What is the most likely cause?

Answer 76

Acute Pancreatitis

Question 77

A young guy comes in complaining of hypopigmented spots on his back and shoulder. What is the most likely dx?

Answer 77

Tinea versicolor

Question 78

What is true about mastitis?

Answer 78

An abx for staph is usually indicated

Question 79

Chlamydia in a female's reproductive tract is?

Answer 79

Usually asymptomatic

Question 80

Spinal stenosis can be identified how?

Answer 80

Pain relief with bending over

Question 81

How is mild asthma treated?

Answer 81

Inhaled corticosteroid and fast-acting B-agonist

Question 82

What is true of Trichimonas?

Answer 82

It is an STD

Question 83

A mom brings her gid in for what she things is warts but upon PE it shows a central crater. What is the most likely dx?

Answer 83

Molluscum Contagiosum

Question 84

Metabolic Syndrome Criteria?

Answer 84

Central obesity, Increased Triglycerides, Glucose intolerance

Question 85

Cystic Fibrosis mostly affects what organs?

Answer 85

lungs, sinuses, GI

Question 86

A guy complaining of symptoms of plantar fasciitis; what do you do?

Answer 86

give him inserts and stretches for his feet

Question 87

You recently changed your patients meds for hypothyroid. When should you do follow up labs and what lab do you order?

Answer 87

TSH in 5-6 weeks

Question 88

A female comes in with no risk factors, just a retroverted cervix and wants to start OCPs; what do you do?

Answer 88

Counsel her on the SE of OCPs and start her on them

Question 89

A lady comes in c/o right eye pain w/ slightly decreased visual acuity. Her cornea is hazy and everything else is normal. When you palpate her globes with her eyes closed, the right eye feels more firm than the left. What is the most likely dx?

Answer 89

Iritis

Question 90

What is NOT likely a sign of PCOS?

Answer 90

HYPOglycemia

Question 91

What drug that a pt is own would make you NOT prescribe Viagra?

Answer 91

Nitro

Question 92

What acne drug is known to make acne worse before it gets better?

Answer 92

Retin-A

Question 93

What does pregnancy Cat X mean?

Answer 93

Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.