FP Exam Flashcards
Family Practice
Patient has recurrent onset of feeling of fear and doom with tachycardia during these episodes. What is the condition?
Panic Attack
Mom brings daughter in for emesis. Girl is short and very underweight. Admits to taking laxatives 2-3 times per week and states that she sometimes throws up when she feels fat after dinner. Exam shows scratches/abrasions across knuckles. What is the condition she has?
Bullemia
What drug is the longest lasting on a UDS?
Marijuana
An old man comes in for breathing tests. They give him albuterol and repeat it. Both is FEV1 and FVC are reduced but his ratio is normal. What does this patient have?
Restrictive lung disorder
Patient comes in with left sided hemipariesis. Emergent CT is nml. What is the next step for tx of this pt?
Give tPA
A lady needs a physical to be a teacher at school. Her TB test comes back as 7-8mm. What do you do next?
Skin test is intermediate/indeterminant; Order CXR
HCTZ is least likely to cause what electrolyte abnormality?
HYPOcalcemia
A young pt comes in w/ eye pain and a small yellowish-white pimple on his lower eye. What does he have?
Hordeolum
An old man comes into clinic complaining of eye irritation. On exam, both of his eyelids are red and have a yellowish crust on them. What condition does he have?
Blepharitis
A lady just returned from a long flight overseas and is now complaining of SOB and chest pain. What does she have?
Pulmonary Embolism
13 year old kid who plays sports is complaining of anterior knee pain. Physical exam is unremarkable with the exception of pain over the anterior portion of his tibia. What is the most likely Dx?
Osgood Schlatter
A very skinny, competitive female runner comes in asking about her amenorrhea and contraceptives. You tell her what?
Her menses will likely return upon some weight gain or decrease in running
Which drug is least likely to cause tachycardia?
Beta Blocker
Which drug is most likely to cause dependency if used as a sleep aid for extended periods?
Restoril
What is the most likely thing to happen to a patient who is on chronic narcotic use at therapeutic levels for pain with no use of meds for breakthrough pain?
Constipation
A girl is running downhill with her soccer team and all of a sudden has onset of anterior knee pain and collapses. PE shows moderate effusion of the anterior knee and x-rays are normal. You are unable to assess her knee injury due to pain. Her hip has full ROM. What is the likely cause of her knee pain?
ACL tear
What is used to treat an overdose of Ethylene Glycol?
Fomepizole
An old man comes in with right eye pain and slightly decreased visual acuity in his right eye. His eye is pink and he doesn’t remember any trauma. Complete eye exam is normal with the exception of a red ring of irritation around his limbus. What would you do?
Contact Ophthalmology ASAP; Maybe give Topical Cipro
Pulsus paradoxus can be best described how?
Decreased in SBP w/ inspiration
What in a female’s medical hx would be most likely reason to NOT give OCP?
Past Hx of DVT
Fat kid comes in complaining of limping and hip pain for past 2-3 weeks. What is the least likely cause of this?
Osteoarthritis
What criteria is used for IBS?
Rome Criteria
What would most likely cause BC > AC?
Otosclerosis
A female complaining of sudden onset of left ear pain and entire PE was wnl w/ exception of dried blood in left ear canal. What is most likely cause?
Trauma from Q-tip use
A young recruit is new to the area and comes in complaining of watery eyes, feeling tired, congestion, and sore throat. What drug will help?
Flonase
A young guy comes in complaining of fever, sore throat, congestion, and has red erythematous nasal mucosa. What is his most likely condition?
URI
What Abx is nephrotoxic?
Gentamicin
Which drug causes sun light sensitivity?
Tetracycline
Old man comes in w/ URI symptoms. On CXR, you see air-fluid levels among other things. What is the most likely cause?
Staph Infection
A guy wrecks his motorcycle and had been treating his abrasions on his arms with Neosporin at home. He is now having increased inflammation w/ oozing from the sites. What should you do?
Put him on PO abx
An old man complains of a bump on his back that is painless but irritates him when he tries to lean back in his rocking chair. PE shows a rubbery subcutaneous mass; what is this mass most likely to be?
Lipoma
An old man comes in for Physical Exam. You listen to his heart and hear S2 split. What do you do?
Do and say nothing; it is NORMAL
What is the best way to hear a mitral murmur?
Lay on their side, halfway between supine
What drug is associated with tendon ruptures?
Flouroquinolones
A guy with known osteoporosis now has symptoms of GERD. Which drug would you not want to give him because it is known to cause osteoporosis?
PPI
Antitrypsin deficiency most commonly affects what?
Liver and Lungs
And old man has an EKG done and the P waves are inconsistent. What is the most likely reason?
Wandering Atrial Pacemaker