Family Medicine

Question 1

Leading cause of accidental death in the US

Answer 1

Drug overdose

Question 2

The number one cause of mortality in the setting of overdose

Answer 2

Lack of Airway Management

Question 3

Indications for intubation

Answer 3

Hypoxemia
Hypercapnia
Inability to protect airway

Question 4

The most common cause of hypothyroidism

Answer 4

Hashimoto’s thyroiditis

Question 5

The Five A’s of smoking

Answer 5

Ask about smoking 
Advise cessation
Assess willingness
Assist with counseling or possible therapy 
Arrange for follow up

Question 6

UPSPTF recommendation for screening for breast cancer

Answer 6

Mammogram q2years from ages 50-74

Question 7

Screening recommendations for Pap smear

Answer 7

Women q 3 years 21-29, q 3 years 30-65 (ok) unless HOV co-testing, then q 5 years (preferred)

Question 8

Screen for colon cancer.

Age?

Answer 8

Ages 50-75

Question 9

Screen for lung cancer

Answer 9

Offer screening to active (or quit < 15 yrs) smokers who have 30+ pack year history between age of 55-80 with annual Low Dose CT

Question 10

How do you know screening for DM is positive in kids

Answer 10

Fasting glucose > 126mg/dL
Random glucose > 200 mg/dL
HbA1c > 6.5%
Oral glucose >200 after 2hrs

Question 11

L hemiplegia + visuospatial + L lower facial weakness

Answer 11

R MCA

Question 12

R hemiplegia + speech + R lower facial weakness

Answer 12

L MCA

Question 13

tPA has a given within

Answer 13

4.5 hours

Question 14

5 P’s of compartment syndrome + bonus

Answer 14

Pain
Pulselessness
Pallor
Paresthesiasis 
Paralysis 
Poikilothermia

Question 15

Ottawa Ankle rules

Image ankle if:

Answer 15

Pain in malleolar zone and bony tenderness along distal 6cm of the posterior edge of either malleolus
OR
Inability to bear weight 4 steps immediately and during exam.

Question 16

Ottawa Rules

Image foot if:

Answer 16

Pain in the mid foot and bony tenderness about the navicular, base of 5th metatarsals
OR
inability to bear weight 4 steps immediately and during exam.

Question 17

Back pain emergencies

Answer 17

Infection (fever)
Caudal Equina (incontinence, saddle anesthesia)
Neurological compromise
Fracture
Cancer

Question 18

Complications of influenza

Answer 18

Pneumonia

Acute otitis media

Question 19

Treatment of pneumonia in kids

Answer 19

0-3 months - ampicillin and gentamicin

5+ years - Azithromycin

Question 20

What is metabolic syndrome

Answer 20

3 out of 5:
Low HDL
hypertriglyceridemia
Elevated FBS
Increased waist circumference 
HTN

Question 21

VINDICATE for Differential Diagnosis

Answer 21

Vascular 
Inflammatory/ infectious 
Neoplasm 
Degenerative
Ischemic 
Congenital 
Autoimmune/ allergy
Trauma
Environmental

Question 22

Alarming symptoms that would prompt EDG in a GERD patient

Answer 22

Dysphagia 
Onset > 50 years
Weight loss
Melena/ hematochezia
Hematemesis

Question 23

What is colic in new born

Answer 23

Paroxysmal crying for 3h/d 3days/ week, 3+ weeks and peaks at week 6

Question 24

What are the risk factors for CAD (CVD)?

Answer 24

Male
Aging
Smoker
HTN
DM
HLD
Obesity 
Family history

Question 25

Primary prevention of CAD

Answer 25

50-59: 81mg ASA of 10 yr > 10% (USPSTF)

Question 26

How do you treat stable angina?

Answer 26

CCB or B- blocker or nitrates

Question 27

LDL > 190

Management

Answer 27

High intensity statin: atorvastatin 40mg, 80mg; rosuvastatin 20mg, 40mg

Question 28

Who gets high intensity statin therapy?

Answer 28

Clinical ASCVD < 75 years
LDL > 190
DM 45-75 years with cardiac risk > 7.5%

Question 29

Risk factors for DVT

Answer 29

Smoking
Obesity
Inactivity 
Hypercoagulable state
OCP
Trauma

Question 30

BATHE technique

Answer 30

Background 
Affect
Trouble
Handling 
Empathy

Question 31

Drug of choice for C. Difficile

Answer 31

Oral vancomycin

Question 32

Recommended for screening for osteoporosis

Answer 32

All women from age 65

Question 33

ABCDE Rule for skin lesions

Answer 33

Asymmetry
Border
Color 
Diameter >6mm
Evolving