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Primary Care EXAM 3 > General > Flashcards

General Flashcards

1
Q

What is the classic triad for asthma?

A
  • intermittent dyspnea
  • cough
  • wheezing
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2
Q

What is the most commonly used lung function screening study for asthma?

A

spirometry

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3
Q

What is the treatment for the following:

a. intermittent asthma
b. mild persistent asthma
c. mod persistent asthma
d. severe persistent asthma

A

a. intermittent asthma = Albuterol (SABA) PRN
b. mild persistent asthma = Fluticasone + SABA PRN
c. mod persistent asthma = either increase ICS OR add LABA to ICS + SABA PRN
d. severe persistent asthma = refer to specialist

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4
Q

What is the major complication of influenza?

A

pneumonia

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5
Q

What is the treatment for uncomplicated pneumonia?

A
  • Amoxicillin + Macrolide OR Doxycycline
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6
Q

What is the treatment for complicated pneumonia?

A
  • Augmentin + Macrolide OR Doxycycline
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7
Q

What is the treatment for bacterial pharyngitis?

A

Penicillin

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8
Q

What is the treatment for pertussis (whooping cough)?

A

Azithromycin

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9
Q

What is the screening recommendation for colon cancer?

A

colonoscopy every 10 years starting at 45

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10
Q

What is the most common blood-borne pathogen in the U.S.?

A

Hep C

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11
Q

What are the 4 rotator cuff muscles?

A
  • supraspinatus
  • infraspinatus
  • subscapularis
  • teres minor
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12
Q

Lateral epicondylitis is inflammation of what muscle?

A

extensor carpi radialis brevis

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13
Q

What ligament is injured in a lateral ankle sprain?

A

ATFL

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14
Q

How do you measure motor and reflex of L4?

A
  • motor = resist ankle dorsiflexion

- reflex = patella

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15
Q

How do you measure motor innervation of L5?

A
  • great toe extension

* no reflex for this one*

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16
Q

How do you measure motor and reflex of S1?

A
  • motor = resisted eversion and heel raise

- reflex = achilles

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17
Q

Chronic pain as characterized as lasting > ___ months.

A

3

18
Q

How is gastroenteritis defined?

A

The passage of loose or watery stools at least 3 times within 24 hour period

19
Q

What is the mainstay of treatment for chronic constipation?

A

fiber and bulk forming laxatives (e.g. Metamuci)

20
Q

What are the 4 red flags in patient with IBS?

A
  • weight loss
  • FMHx of CRC
  • iron deficiency anemia
  • FMHx of IBD/celiac
21
Q

What is the first line of treatment for IBS?

A

lifestyle adjustment

22
Q

How is small intestinal bacterial overgrowth (SIBO) diagnosed and treated?

A
  • diagnosed = breath test

- treated = rifaximin

23
Q

Colon cancer screening should start at what age?

A

45

24
Q

What are the 2 neoplastic colonic polyps?

A
  • adenomas

- serrated

25
Q

What is the first line therapy for uncomplicated UTI?

A

nitrofurantoin (macrobid) 100 mg BID x 5-7 days

26
Q

If UTI recurs within 1-2 weeks of treatment what is the next medication to give?

A

FQLN (broad spectrum)

27
Q

What 2 medications have the highest incidence in the development of ED?

A
  • beta blockers

- SSRIs

28
Q

What is the mainstay of treatment for ED?

A

PDE-5 inhibitors

29
Q

What is the first line treatment for ejaculatory disorders?

A

SSRIs

30
Q

What drug can significantly worsen symptoms of underlying anxiety disorders and bipolar disorder, as well as cardiac disorders

A

caffeine

31
Q

How long do the euphoric effects of cannabis last?

How long do the motor/cognitive effects last?

A
  • euphoric effects = 2-4 hours

- motor/cognitive effects =5-12 hours

32
Q

what medication is good for smoking related to depression or anxiety?

A

buproprion

33
Q

what is the most successful drug used for smoking cessation?

A

chantix (varenicline)

34
Q

What are the 3 states of sleep architecture?

A
  • awake
  • NREM
  • REM
35
Q

Your circadian rhythm is effected by what?

A

light signals

36
Q

What drug is great for short term insomnia?

A

benzodiazepines

37
Q

What mineral deficiency do you need to evaluate for in restless leg syndrome?

A

iron

38
Q

An overnight sleep study is able to do a __________

A

polysomnogram

39
Q

What is the threshold for CPAP use in treating OSA?

A
  • Apnea-Hypopnea Index (AHI) >30 events/hour
40
Q

Narcolepsy is caused by the absence of what neuropeptide?

A

hypocretin

Primary Care EXAM 3 (5 decks)

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