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Shelf Exams > Family Med > Flashcards

Family Med Flashcards

1
Q

What vaccine should be given to all MSM? What other groups should get this vaccine?

A

Hepatitis A

IVDA, travelers to countries where this is endemic, chronic liver disease

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2
Q

At what age can children start receiving the flu vaccine?

A

6 months

Give them two doses of the inactivated vaccine at least 4 weeks apart

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3
Q

What ages should receive the HPV vaccine?

A

Under 26

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4
Q

Age for zoster vaccine?

A

60 years old

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5
Q

Should you screen for lung cancer? If so, how?

A

No! Early detection shows no improvement in mortality

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6
Q

Ages for colon cancer screening

A

Age 50
or, if there is a hx of colon ca in the family, screen at age 40 or 10 years younger than the age that family member was diagnosed
(whichever age comes first)

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7
Q

Mammogram screening age

A

Age 50-74, every 2 years

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8
Q

Cervical cancer screening

A

Start at age 21, regardless of sexual hx
Age 21-29, pap smear every 3 years
Age 30-65, pap smear every 3 years or pap smear + HPV test every 5 years

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9
Q

Should you screen for prostate cancer? If so, how?

A

No, not sufficient evidence for or against

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10
Q

Patient newly on OCPs develops high blood pressure, what is the next step in management?

A

Stop OCP and recommend barrier method

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11
Q

IUDs inc risk of

A

STI

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12
Q

Emergency contraceptives

A 
No medical contraindications
Use within 72 hours of intercourse
No inc risk of VTE, stroke or MI
Do not disrupt current pregnancy or cause birth defects
75-85% effectiveness
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13
Q

AAA screening

A

Via Ultrasound

o In men aged 65-75 who have ever smoked

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14
Q

Td vs Tdap in adults

A

Tdap is recommended due to waning immunity against pertussis and due to inc in # of cases of pertussis

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15
Q

Murphy sign

A

= cholecystitis

sudden cessation of inspiratory effort during deep palpation of the right upper quadrant is called “Murphy sign”

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16
Q

Main causes of peptic ulcer disease

A

H pylori

NSAIDs

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17
Q

What are the alarm symptoms in GERD that would warrant evaluation with endoscopy?

A

Bleeding, abdominal mass, weight loss, dysphagia, or vomiting, especially if these symptoms are present in an elderly patient.

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18
Q

Causes of acute pancreatitis

A
  1. Gallstones
  2. Alcohol
  3. Idiopathic
    Others: hyperlipidemia, infections, meds, trauma
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19
Q

Ranson’s criteria for pancreatitis (assess the severity and prognosis of pancreatitis)

A 
On admission:
Age>55
WBC>16,000
Glucose > 200
LDH >350
AST>250
During initial 48 hours:
Hematocrit dec >10
BUN inc > 5
Calcium < 8
PaO2<60
Base deficit > 4
Fluid sequestration > 6
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20
Q

Treatment of lice

A

Permethrin 1%

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21
Q

Treatment of lyme disease

A

Early localized disease can be treated with oral anti- biotics (amoxicillin or doxycycline) for 14 to 21 days.

Early disseminated disease is treated with IV therapy for 2 to 3 weeks. Ceftriaxone or cefo- taxime and chloramphenicol are options.

22
Q

Clusters of bites indicate what insect bite?

A

Fleas

23
Q

What is the treatment for a person with a cat bite?

A

After a cat bite to the hand, hospitalization is indicated unless it is very superficial and does not appear to be infected. If the bite involves the tendon, joint capsule, or bone, hospitalization is also indicated.

*Bite wounds should NEVER be closed

24
Q

When can you hear fetal heart tones?

A

12 weeks

25
Q

When is Anatomy US perfromed for OB pts

A

18 weeks (2nd trimester)

26
Q

When is Rhogam given?

A

28 weeks

if mom is Rh-

27
Q

When is diabetes screen done in pregnant women?

A

2nd trimester: 24-28 weeks

28
Q

If OB pt hasnt had MMR, when do you give them the vaccine?

A

Soon after delivery (postpartum)

29
Q

Use of Aspirin

A

Men 45-79 (to prevent MI)

Women 55-79 (to prevent stroke)

Unnecessary 80 year and older

30
Q

What asthma drug should not be used as monotherapy?

A

LABA (long acting beta agonists)

31
Q

Which is more sensitive for ACL injury: Lachman or anterior drawer test?

A

Lachman

32
Q

Centor criteria for strep throat

A

Absence of cough
Fever
Tender anterior lymphadenopathy
Tonsillar exudate

0-1 = analgesics and supportive care
3: test and treat if positive
4= tx with antibiotics

33
Q

What can be used to treat dyspnea in cancer patients?

A

Opioids

34
Q

What pneumococcal vaccine should be given to people with chronic disease under age 65

A

PPSV23

35
Q

Pneumococcal vaccine 65+

A

PCV13, followed by PPSV23 after 6-12 months

36
Q

Diagnosis of DM

A

One of the following:

  • 2 fasting glucose measurements >126
  • Random plasma glucose of >200
  • Two hour postprandial glucose level of >200 in a symptomatic person
  • Hemoglobin A1c >6.5%
37
Q

PreHTN

A

systolic: 120-139
diastolic: 80-89

38
Q

Stage 1 HTN

A

systolic: 140-159
diastolic: 90-99

39
Q

Stage 2 HTN

A

systolic: 160+
diastolic: 100+

40
Q

Blood Pressure Goals

> 60 yo:
<60 yo:
Diabetic:
CKD:

A

> 60 yo: < 150/90
<60 yo: <140/90
Diabetic, with no CKD: <140/90
CKD: <140/90

41
Q

COPD drugs

A

Mild: SABA/SAMA
Moderate: add LABA/LAMA
Severe: add Inhaled corticosteroids
Very severe: Long term O2 therapy

42
Q

IBD

Rectal sparing vs rectal involvement

A

Crohn = rectal sparing

Ulcerative colitis = rectal involvement

43
Q

IBD

Inflammation of mucosa/submucosa vs transmural inflammation

A 
Crohn = transmural inflammation
UC = Inflammation of mucosa/submucosa
44
Q

IBS integrative medicine therapy

A

Peppermint oil

45
Q

Migraine prevention

A

Propranolol

Magnesium glycinate

46
Q

Nausea in pregnancy

A

Doxylamine and vitamin B6

47
Q

Tx for specific phobias

A

B blocker

ex. speech phobia = propranolol

48
Q

Osteoporosis screening

A

Women: age 65+
Men: age 70+

49
Q

Treatment of COPD exacerbation

A

Antibiotics and systemic corticosteroids

50
Q

What conditions is pseudogout associated with?

A

Hemochromatosis
Hypothyroidism
Hyperparathyroidism

Shelf Exams (8 decks)

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