Family Med Shelf

Question 1

MOA and major side effect of amlodipine

Answer 1

CCB -> also causes vasodilation -> can cause severe edema

Question 2

Criteria for initiating home O2 therapy

Answer 2

1. all COPD pts with O2 sat 55% (even if #1 does not apply)

3. if pt becomes hypoxic during exercise or sleep (even if #1 does not apply at rest)

Question 3

What does pneumoperitoneum on CXR indicate?

Answer 3

indicates perforated peptic ulcer disease; can see free air on upright chest or abd xray (usually right below the right diaphragm)

Question 4

How long should a child be in a rear-facing carseat?

Answer 4

until >20 lbs AND > 1 year old

can switch to booster seat when > 40 lbs

Question 5

When do kids get HepB vacc?

Answer 5

1. birth
2. 1-2 mo
3. 6-18 mo

Question 6

When do kids get DTaP?

Answer 6

1. 2 mo
2. 4 mo
3. 6 mo
4. 15-18 mo
5. 4-6 yrs

Question 7

When do kids get Hib vacc?

Answer 7

1. 2 mo
2. 4 mo
3. 6 mo
4. 12-15 mo

Question 8

When do kids get pneumo vacc?

Answer 8

1. 2 mo
2. 4 mo
3. 6 mo
4. 12-15 mo

Question 9

When do kids get inactivated polio vacc?

Answer 9

1. 2 mo
2. 4 mo
3. 6-18 mo
4. 4-6 yrs

Question 10

When do kids get MMR?

Answer 10

1. 12-15 mo

2. 4-6 yrs

Question 11

When do kids get varicella vacc?

Answer 11

1. 12-15 mo

2. 4.6 yrs

Question 12

When do kids get hepA vacc?

Answer 12

2 doses between 12-23 mo (2nd dose is 6-12 mo after first dose)

Question 13

Tamsulosin

Answer 13

AKA Flomax

alpha1 receptor antagonist -> treats BPH

Question 14

HELLP

Answer 14

Hemolysis, Elevated Liver enzymes, and Low Platelet count

Question 15

Treatment for primary Raynaud Phenom?

Answer 15

dihydropyridine CCB -> amlodipine or nifedipine

Question 16

Beck’s triad of cardiac tamponade?

Answer 16

hypotension
distended neck veins
muffled heart sounds

Question 17

hyperkalemia treatment?

Answer 17

• Calcium (to balance out membrane potentials)
• To drive K intracellularly -> insulin & glucose, bicarb, beta2-agonist)
• To remove K -> loop or thiazide diuretic

Question 18

cyanide poisoning treatment?

Answer 18

induce methemoglobin with nitrites -> then remove CN with thiosulfate

Question 19

What is multiple system atrophy (MSA)?

Answer 19

Parkinsonism + autonomic dysfunction (erectile, bladder, hypotension) + neuro dysfunction (LMN, cerebellar, pyramidal)