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
A young recruit comes in for recurrent nosebleeds. During PE, you not multiple bruises and his platelet is low. What is the most likely cause?
ITP
An old man comes in complaining of sore throat that has been going on for months. He has had multiple negative cultures and rapid streps as well as tried a couple of different abx. What is the next step in tx?
Refer
An old man comes into the ER w/ severe sore throat. You notice that his voice is a little muffled when speaking and his uvula is shifted. What is the most likely dx?
PTA
What food should you tel your Coumadin patient to avoid?
Spinach
What food contains the least amount of gluten?
Rice
What is the least likely cause of RUQ pain?
Diverticulitis
A sexually active female comes in complaining of pain with intercourse, discharge, and dysuria. PE shows adnexal and uterine tenderness. What should you do?
Treat her with IM Ceftriaxone as well as Flagyl and Doxy
Young female comes in c/o pelvic pain that seems to get worse around her menses and with sex. What is the most likely dx?
Endometriosis
An old man comes to the ER with a 2 hour hx of swollen face. What drug is the most likely cause?
ACE-I
A patient has decreased MCV; what is not in your differential?
HYPOthyroidism (Increased MCV)
Which is true about microalbuminuria?
Indicator of DM?
What is NOT true about pseudomembranous colitis?
DOC for tx is Clindamycin
A guy returns from a cruise with what you suspect to be food borne hepatitis. What is the marker used to determine this?
IgM HAV
What is NOT considered a tx for external hemorrhoids?
Rubber band ligation for an active bleeding hemorrhoid
A pt reports hematuria. His dipstick test is positive but microscopic exam showed no RBCs; what could this be due to?
Beets, Rifampin
A new recruit trying to join the military is undergoing PE. During the exam, you notice his testicles have a horizontal deformity. What is this known as?
Bell Clapper Deformity
A young man comes to ER c/o painful lesions on his penis. He stated that he had one about 4 months ago which was much more painful but he didn’t seek treatment for that. What is most likely dx?
HSV
A lady comes in c/o post coital bleeding. During PE, you notice she has an ectropion cervix and all other tests were negative (GC/Chlam) and PAP was nml w/ exception of some mild bleeding that occured when you took your sample. What would you do?
Ensure the pt that this is normal
A lady comes in c/o a painful, swollen knot around the opening of her vagina. Exam reveals a cyst. What would you do now?
Drain and place word catheter
Least likely symptoms of Reiter Dz?
Small joint arthritis
Medication that causes osteonecrosis of jaw?
Bisphosphonates
Least common cause of Candida?
IUD
MC symptom of cat scratch fever?
Lymphadenopathy
DM pt comes in complaining of new onset of numbness and pain on the anterolateral side of her thigh. What is most likely cause?
Meralgia paresthetica
A newer immunization in children?
Rotavirus
An old man comes in complaining of back pain. A bunch of labs are ran and some came back abnormal with an x-ray showing punched out lesions on spine. What is most likely DX?
Multiple Myeloma
Which drugs are used to treat DM that most commonly causes GI upset?
Metformin and Acarbose
An old man from FL comes in for exam. You can tell he has a lot of exposure to the sun and you notice a pearly lesion with rolled borders and telegantascia. What is the most likely dx?
BCC
Which SSRI causes fetal cardiac anomalies?
Paxil
An old man brought in by his family w/ symptoms of dementia that have come and gone. You examine him and notice he does have dementia but also has some left sided paresis. What is the dx?
Multi-infarct Dementia
A lady c/o palpitations comes in to your clinic. During her visit, everything is normal. If you want to find out what is going on with her palpitations that occur randomnly, what would you do?
Holter Monitor
What are common Parkinson’s sx?
resting tremor, bradykinesia, slow movements
A DM pt comes in c/o recent onset of bright red rash over her cheek and forehead. What is the most likely DX?
Erysipelas
What are the common sx of migraines?
Unilateral, Pounding, and Debilitating
What drug can be used as a prophylaxis for migraines?
Topamax
What is the least likely cause of gynecomastia?
In between stages of Tanner II and III
Pt has a hx of Reynauds. What drug would you not give them?
Beta Blocker
A pt has decompensated COPD. What is the most likely cause?
Beta Blocker
An alcoholic and smoker comes to the ER c/o central abdominal pain that doesn’t radiate. What is the most likely cause?
Acute Pancreatitis
A young guy comes in complaining of hypopigmented spots on his back and shoulder. What is the most likely dx?
Tinea versicolor
What is true about mastitis?
An abx for staph is usually indicated
Chlamydia in a female’s reproductive tract is?
Usually asymptomatic
Spinal stenosis can be identified how?
Pain relief with bending over
How is mild asthma treated?
Inhaled corticosteroid and fast-acting B-agonist
What is true of Trichimonas?
It is an STD
A mom brings her gid in for what she things is warts but upon PE it shows a central crater. What is the most likely dx?
Molluscum Contagiosum
Metabolic Syndrome Criteria?
Central obesity, Increased Triglycerides, Glucose intolerance
Cystic Fibrosis mostly affects what organs?
lungs, sinuses, GI
A guy complaining of symptoms of plantar fasciitis; what do you do?
give him inserts and stretches for his feet
You recently changed your patients meds for hypothyroid. When should you do follow up labs and what lab do you order?
TSH in 5-6 weeks
A female comes in with no risk factors, just a retroverted cervix and wants to start OCPs; what do you do?
Counsel her on the SE of OCPs and start her on them
A lady comes in c/o right eye pain w/ slightly decreased visual acuity. Her cornea is hazy and everything else is normal. When you palpate her globes with her eyes closed, the right eye feels more firm than the left. What is the most likely dx?
Iritis
What is NOT likely a sign of PCOS?
HYPOglycemia
What drug that a pt is own would make you NOT prescribe Viagra?
Nitro
What acne drug is known to make acne worse before it gets better?
Retin-A
What does pregnancy Cat X mean?
Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.
