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Family Medicine Review > Family Medicine Review > Flashcards

Family Medicine Review Flashcards

0
Q

What two medications should be used for prophylaxis for migraines?

A

Beta blockers or verapamil (calcium channel blocker)

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1
Q

What’s the treatment for pertussis?

A

5-day course of azithromycin

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2
Q

A patient presenting with a swollen uvula and anterior cervical adenopathy is indicative of what condition?

A

Group A beta-hemolytic strep

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3
Q

Generally speaking, anterior cervical adenopathy is indicative of what?

A

A viral or bacterial pharyngitis

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4
Q

A patient who presents with posterior cervical adenopathy should be worked up for what condition?

A

Mononucleosis

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5
Q

What is the treatment for group A beta-hemolytic strep?

A

Amoxicillin

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6
Q

What is first-line therapy for symptomatic relief of peripheral vestibular disorder?

A

Antihistamines

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7
Q

What medication should be used for prophylactic management of cluster headaches?

A

Nifedipine (calcium channel blocker)

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8
Q

What is the treatment for Rosacea?

A

Oral antibiotics

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9
Q

What’s the treatment for a patient who presents with persistent cough after acute bronchitis (a.k.a. hyper responsive airways, “post bronchitic cough”)?

A

An oral steroid taper

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10
Q

At what age should a woman begin getting routine mammographies?

A

50 years old

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11
Q

At what age should a young girl begin getting Pap smears and how often should she get them until what age?

A

Start at 21 years of age, continue for every three years until the age of 30.

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12
Q

For a young girl who was receiving continuous Pap smears, what changes at 30 years of age?

A

A physician can add HPV testing, and if negative, the patient would only have to receive Pap smears every 5 years

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13
Q

For a woman with a history of normal Pap smears, at what age should Pap smear screening stop?

A

65 years old

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14
Q

When should a patient start colon cancer screening with colonoscopies?

A

At 50 years old, repeated every 10 years

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15
Q

When should a patient get screened for colon cancer if they have a family history of colon cancer in a first degree relative?

A

Start at age 40 or 10 years after the age at which the relative was diagnosed, whichever comes first

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16
Q

If a patient is found to have familial adenomatous polyposis, what type of screening should be given, at what age, and at what interval thereafter?

A

Sigmoidoscopies should begin at age 12, repeat every year

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17
Q

When should prostate cancer screening be done? How effective is it?

A

Patients should not be screened for prostate cancer; there is no test that reduces mortality

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18
Q

What’s an interesting nuance to prostate cancer screening?

A

A patient may ask for a PSA to be measured, which should spark a conversation with the physician. If a patient asks…they can receive this testing, but the physician should make it aware that there is no true benefit to getting the test done

19
Q

When should a patient be screened for lung cancer?

A

Patients should not be screened for lung cancer

20
Q

At what age should lipid screening begin in men and women?

A

Men: 35 years old; women: 45 years old

21
Q

What is the treatment goal for HDL?

A

> 40

22
Q

For a patient with 0-1 risk factors, what should be the treatment goal for LDL through diet and medication, respectively?

A

Diet: LDL < 160
Drugs: LDL < 190

23
Q

For a patient with two or more risk factors, what should be the LDL treatment goal via diet and drugs, respectively?

A

Diet: LDL <160

24
Q

For a patient with coronary artery disease and equivalents, what should be the LDL treatment goal with combined diet and drug therapy?

A

LDL <100 with diet and drugs

25
Q

What should be the LDL treatment goal for patients with coronary artery disease and diabetes?

A

LDL <70

26
Q

When should screening for hypertension begin and at what interval thereafter?

A

> 18 years old; at least every two years after that

27
Q

Diabetes can be diagnosed at a fasting blood glucose level greater than or equal to what number?

A

126 mg/dL

28
Q

Diabetes can be diagnosed with an oral glucose tolerance test that exhibits a level greater than or equal to what number?

A

200 mg/dL

29
Q

What is the most sensitive test for the diagnosis of diabetes?

A

Oral glucose tolerance test

30
Q

Diabetes can be diagnosed at a hemoglobin A1C level greater than or equal to what percentage?

A

6.5%

31
Q

Who and at what interval should the general population receive the influenza vaccine?

A

Everybody, every year!

32
Q

Chronic steroid users, asplenic patients, the chronically ill, and the elderly 65 years of age and older should receive what vaccine?

A

Pneumococcal vaccine

33
Q

For patients who are chronic steroid users, asplenic, and chronically ill, what should be the interval of re-vaccination?

A

Every 5 years; the elderly who are 65 years and older do not have to be revaccinated

34
Q

The varicella zoster vaccine should be given to patients at what age?

A

60 years of age and older

35
Q

When should an adult receive the chickenpox vaccine?

A

If he or she is seronegative (did not have the chickenpox as a child)

36
Q

What specific population of patients should have the hepatitis A and hepatitis B vaccine?

A

Men who have sex with men

37
Q

Should a patient diagnosed with diabetes receive a hepatitis vaccine? If so which one…

A

Yes; the hepatitis B vaccine

38
Q

At what interval should patients receive the tetanus vaccine? What specific vaccine should be amongst these series of shots?

A

Every 10 years; the Tdap vaccine should be one of them

39
Q

At what age should the meningococcal vaccine be given?

A

11 years old

40
Q

What 3 specific adult populations should be given the meningococcal vaccine?

A

Patients who are asplenic, military recruits, and college students

41
Q

What antibiotic is the first-line agent for malaria prophylaxis for travelers going to the Caribbean, Mexico, Costa Rica, El Salvador, Paraguay, and Argentina?

A

Chloroquine

42
Q

What antibiotic combination is recommended for malaria prophylaxis in all malaria-endemic areas of the world, except for Chloroquine-sensitive endemic areas?

A

Atovaquone/proguanil

43
Q

What two antibiotics are considered an alternative to atovaquone/proguanil?

A

Mefloquine and doxycycline

44
Q

All sexually active women under the age of 25 should be offered what type of routine screening? What is the gold standard for this type of screening?

A

Routine screening for gonorrhea, chlamydia, and HIV; the gold standard is polymerase chain reaction (PCR) of endocervical specimen or urine for gonorrhea and chlamydia

Family Medicine Review (1 decks)

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