Family Medicine

Question 1

< 25 yr old female sexually active with no GI/GU symptoms.

Answer 1

Screen for chlamydia and gonorrhea annually

Question 2

Pap smear guidelines

Answer 2

> 21 year old females

Question 3

Ottawa ankle rules

Answer 3

X ray needed if pain at malleolar zone AND tender at posterior margin of medial or lateral maleolus or unable to bear weight 4 steps.

Question 4

Ottawa foot rules

Answer 4

X ray needed if pain at midfoot zone AND tender at navicular, base of 5th metatarsal or unable to bear weight 4 steps

Question 5

Herpetic neuralgia treatment

Answer 5

persists 1 day to 4 months = NSAID and analgesics

>4 months = TCA, gabapentin, pregabalin

Question 6

Poorly localized shoulder pain and stiffness. Reduced active and passive ROM in multiple axes, loss of arm swing during ambulation

Answer 6

Adhesive capsulitis
Treat with range of motion exercises
May use NSAIDs

Question 7

Effect of intensive glycemic control in T2DM

Answer 7

improve microvascular complications (nephropathy and retinopathy)

Question 8

Leading cause of death in Adolescents

Answer 8

Suicide

Question 9

Premature ejaculation treatment

Answer 9

SSRIs paroxetine, citalopram

Question 10

Most common causes of a fib

Answer 10

Systemic HTN