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Family Med > Family Med > Flashcards

Family Med Flashcards

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1
Q

Benzodiazepine overdose treatment

A

flumanezil

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2
Q

anticholinergic toxicity treatment

A

Physostigmine is a acetylcholinesterase inhibitor.

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3
Q

Mono symptoms

A

fever, pharyngitis, and (usually posterior cervical) adenopathy and splenomegaly

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4
Q

Rocky mountain spotted fever symptoms and trx?

A

Symptoms are a classic triad of headache, fever, and a vasculitic rash that begins at the wrists and ankles and spreads to the trunk, palms, and soles. Treatment is with doxycycline.

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5
Q

Her 2 positive breast cancer drug if (pro/est negative)

A

Trastuzumab

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6
Q

Signs of congenital syphilis..

A

absent nasal bridge, saber shins, rhinorrhea, disseminated rash, failure to thrive, and Hutchinson teeth.

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7
Q

Symptoms of Intussusception in a baby and best diagnostic test?

A

vomiting, lethargy, and a palpable abdominal mass. child may display signs of bouts of severe pain… U/S best Dx and a ‘target sign’ may be seen

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8
Q

Round lesions in that are often symmetrically distributed on both of the extremities

A

nummular eczema

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9
Q

Types of Ovarian Cancers

A

Cystadenocarcinoma- granular epithelium complex cysts, acites possible
Dysgerminomas- rare, fried egg histology, increased HCG and lactose dehydrogenase
Granulosa cell tumor- most common, Call-Exner histo, may produce progesterone/estrogen, breast tenderness
Yolk Sac- Solid, yellow, Schiller Duval histo, high alpha fetoprotein

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10
Q

cataplexy trx?

A

Venlafaxine (SNRI)

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11
Q

Torettes tic med?

A

Pimozide

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12
Q

Myasthenia-gravis symptoms and common cancerous assoc. ??

A

muscle fatigue and weakness, double vision

Thymoma in 20%

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13
Q

Nephrogenic Diabetes Insipidus Symptoms??

A

Polyuria, polydipsia, that is unaffected by water deprivation or desmopressin often a byproduct of bipolar trx

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14
Q

Blastomycosis infection

A

Big, broad based, Budding organism. East coast pneumonia like symptoms.

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15
Q

What is the best first option for treating disruptive/behavioral symptoms of dementia.

A

non pharmacological options

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16
Q

Achondroplasia gene

A

fibroblast growth factor receptor 3. Usually Dominant

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17
Q

Cholesteatoma

A

conductive hearing loss in middle ear. keratinized tissue expansion

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18
Q

cryptorchidism trx

A

Surgical fixation ASAP to facilitate malignancy screening and increase chances of fertility

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19
Q

Kawasaki trx

A

asa and IVIG

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20
Q

pap findings in mono infection?

A

Atypical lymphocytes with clumped chromatin and irregular nuclei surrounded by normal RBCs

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21
Q

what causes secondary hyperparathyroidism?

A

CKD due to low blood calcium

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22
Q

TNFalpha inhibitor side effects??

A

reactivation of latent TB? used to treat crohn’s

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23
Q

tinea infection of the nail trx

A

terbinafine

24
Q

SARS-CoV

A

a week of high fever and non-specific viral symptoms followed by development of a dry cough and dyspnea. often assoc. with Asia

25
Q

Esophageal atresia or TEF Dx

A

feeding tube and chest x ray

26
Q

Seborrheic keratoses can be associated with what?

A

internal malignancy

27
Q

Aids defining cancers

A

Kaposi’s Sarcoma, Cervical carcinoma, Primary Central NS lymphoma (assoc with Epstein Barr virus)

28
Q

Empirical trx of meningitis in adult over 50

A

Vanc + amp + ceftriaxone

29
Q

What drug is contraindicated in HTN emergency

A

nifedipine a dihydropteridine Ca channel blocker

30
Q

Molar pregnancies lab? dx?

A

Snowstorm appearance on US. Abnormally high fundal height on exam and more elevated hCG than expected

31
Q

hemochromatosis dx?

A

genetic test positive for HFE mutations

32
Q

What causes xanthoderma (yellow skin) in a person who is hypothyroid

A

Beta carotene

33
Q

Main treatment for gastric carcinoma?

A

Surgical resection of cancer and lymph nodes

34
Q

Open angle glaucoma progression?

A

Primary open-angle glaucoma is characterized by the insidious loss of peripheral visual fields. This loss progresses with the macula being the last place to loose vision. Leads to blindness

35
Q

Anterior knee pain that gets worse with sitting, exercise and going up/down stairs? Relatively benign physical exam

A

patellofemoral pain syndrome

36
Q

most common cause of non bloody diarrhea?

A

norovirus

37
Q

Wilson’s disease trx?

A

D-penacillamine

38
Q

Bacterial vaginosis sign and trx

A

fishy odor, homogenous white discharge. Metronidazole

39
Q

what causes persistent hypokalemia despite treatment??

A

hypomagnesium

40
Q

Chronic prostatitis/chronic pelvic pain syndrome?

A

pelvic pain condition in men characterized by pelvic or perineal pain without evidence of uti

41
Q

Steven Johnston’s pathophys and symptoms??

A

Type IV hypersensitivity. Oral lesions + red splotches and blistering

42
Q

most common childhood heart tumors name and association?

A

Rhabdomyoma is associated with tuberous sclerosis

43
Q

Signs that dengue fever has progressed to hemorrhagic fever?

A

petechiae, thrombocytopenia, leukopenia

44
Q

leptospirosis vs dengue fever??

A

both can cause hemorrhagic fever. Leptospirosis raises leukocytes. Dengue fever virus replicates in leukocytes lowering counts.

45
Q

typhoid fever vs dengue fever

A

typhoid progresses in stages dengue can occur all at once.

46
Q

Giant cell tumor or bone on xray?

A

Soap bubble

47
Q

Primary trx of HTN in Normal vs DM pts?

A

normal: HCTZ DM: ACE inhibitor like Enalapril

48
Q

Persistant Truncus arteriosus presentation?

A

hock-like picture, with poor feeding. lethargy, tachypnea, and diaphoresis, as pulmonary vascular resistance falls and pulmonary over circulation increases, causing congestive heart failure.

49
Q

Hartnup disease pathophys?

A

tryptophan transporter deficiency leading to Vit B3 loss (niacin) (SLC6A19) gene

50
Q

Vit B3 deficiency (niacin) symptoms?

A

pellagra, a dry, scaly, eczema-like rash with well-defined margins. sun-sensitivity . Other findings include intermittent cerebellar ataxia, a wide-based gait, spasticity, delayed motor development, double vision

51
Q

Spontaneous pneumothorax trx small vs large

A

Small: high flow O2, Large: needle decompression

52
Q

most likely region of head to fracture following blunt trauma?

A

Temporal bone

53
Q

Scaphoid fracture and imaging

A

often missed on x-ray after fall on outstretched hand so go to MRI

54
Q

When is asymptomatic bacteriuria treated?

A

pregnancy. Oral nitrofurantoin

55
Q

finger clubbing, recurrent respiratory infections and egophony in a young child

A

cystic fibrosis

56
Q

Raynauds phenomenon trx?

A

Amlodipine

57
Q

At what age can you give IGRA to test for TB

A

After age 5

Family Med (1 decks)

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