FAMILY MEDICINE COMQUEST QUIZZES WITH
UPDATED RIGHT SOLUTIONS.
female athlete triad ANS - menstrual abnormalities, low bone mineral density, disordered eating
most common cause of an acquired goiter in children and adolescents ANS - autoimmune
(hashimoto's) thyroiditis --> initial monitoring for TSH and free T4
women with a normal BMI (18.5-24.9) should gain how much weight during pregnancy? ANS - 25-35
pound weight gain during pregnancy
women with a BMI over 30 should gain how much weight during pregnancy? ANS - 11-20 pound weight
gain
underweight (BMI under 20) should gain how much during pregnancy? ANS - 35-45 pounds
BMI from 25-30 (overweight) should gain how much weight? ANS - 15-25 pounds
when do you screen for gestational diabetes? ANS - at 28 weeks
if you do not disclose your HIV status to your bf... ANS - then I will have to tell him myself
craniosynostosis ANS - premature and abnormal fusion of one of more suture lines
painless hematuria over the age of 40 ANS - suspect bladder cancer (transitional cell carcinoma) -->
think smoking and white males
pathognomonic for abuse ANS - spiral fracture
acute pulmonary embolism tx ANS - anticoagulation
,increased alpha feto protein ANS - neural tube defect OR multiple gestations
decreased alpha feto protein can be seen in... ANS - fetal demis (dying inside the mom's stomach)
screen for alpha feto protein between... ANS - 16-18 weeks gestation
juvenile myoclonic epilepsy ANS - absence seizures AND generalized tonic clonic seizures without loss
of consciousness. 1st line treatment in children = valproic acid
chlamydia ANS - most common genital infection. also most likely to cause reactive arthritis
temporal arteritis dx... ANS - ESR
age 11-12 child should receive which vaccines? ANS - HPV, TDaP booster, meningococcal conjugate
vaccine
4 D's of epiglottitis (thumb sign) ANS - dysphagia, dysphonia, distress, drooling
baby develops cyanosis during feeding is associated with... ANS - choana atresia (back of the nasal
pasage aka choana is blocked due to failed recanalization of the nasal fossae during fetal development)
CHARGE association ANS - AD, CHD7 gene, helicase binding protein 7, inability to pass nasal tube pass
the nasal pasage
CHARGE ANS - Coloboma (hole in the iris, retina, optic disc, choroid)
Heart defects (septal defects, AS, aortic coarctation)
choanal Atresia
Restricted growth (developmental delay)
Genital hypoplasia (micropenis, no testes)
, Ear anamolies (small, low-set) and deafness
think AD PKD when... ANS - family history of kidney disease, intracranial aneurysm with symptoms
suspicious of renal cysts (colicky abdominal pain, frank hematuria). Dx with RENAL ULSTRASOUND
diagnose nephrolithiasis with which test? ANS - non contrast CT scan of the abdomen
congenital dermal melanosis ANS - "mongolian blue spots", aymptomatic hyperpigmented macules and
patches appearing on the back on butt, usually mistaken for child abuse, benign, disappear by age 2
congenital dermal melanosis is caused by... ANS - entrapment and increase in concentration of
melanocytes during migration from the neural crest to the epidermis
mongolian blue spots associations include... ANS - cleft lip, spinal meningeal tumor, melanoma,
hunter/hurler syndrome
renal cell carcinoma triad ANS - flank pain, hemturia, palpable abdominal or flank mass
first imaging modality of the brain after TIA ANS - MRI of the brain
estrogen increases risk of clot because... ANS - it increases clotting factors and lowers the levels of
protein S and antithrombin III
anemia of chronic disease ANS - low MCV, low iron, high ferritin, low or normal TIBC
iron deficiency anemia ANS - low MCV, low iron, low ferritin, high TIBC
thalassemia ANS - low MCV, normal iron, normal ferritin, normal TIBC
hemachromatosis (bronze diabetes triad: cirrhosis, skin pigmentation, hyperglycemia due to iron
deposits in the pancreas) ANS - normal MCV, high iron, high ferritin, low TIBC
UPDATED RIGHT SOLUTIONS.
female athlete triad ANS - menstrual abnormalities, low bone mineral density, disordered eating
most common cause of an acquired goiter in children and adolescents ANS - autoimmune
(hashimoto's) thyroiditis --> initial monitoring for TSH and free T4
women with a normal BMI (18.5-24.9) should gain how much weight during pregnancy? ANS - 25-35
pound weight gain during pregnancy
women with a BMI over 30 should gain how much weight during pregnancy? ANS - 11-20 pound weight
gain
underweight (BMI under 20) should gain how much during pregnancy? ANS - 35-45 pounds
BMI from 25-30 (overweight) should gain how much weight? ANS - 15-25 pounds
when do you screen for gestational diabetes? ANS - at 28 weeks
if you do not disclose your HIV status to your bf... ANS - then I will have to tell him myself
craniosynostosis ANS - premature and abnormal fusion of one of more suture lines
painless hematuria over the age of 40 ANS - suspect bladder cancer (transitional cell carcinoma) -->
think smoking and white males
pathognomonic for abuse ANS - spiral fracture
acute pulmonary embolism tx ANS - anticoagulation
,increased alpha feto protein ANS - neural tube defect OR multiple gestations
decreased alpha feto protein can be seen in... ANS - fetal demis (dying inside the mom's stomach)
screen for alpha feto protein between... ANS - 16-18 weeks gestation
juvenile myoclonic epilepsy ANS - absence seizures AND generalized tonic clonic seizures without loss
of consciousness. 1st line treatment in children = valproic acid
chlamydia ANS - most common genital infection. also most likely to cause reactive arthritis
temporal arteritis dx... ANS - ESR
age 11-12 child should receive which vaccines? ANS - HPV, TDaP booster, meningococcal conjugate
vaccine
4 D's of epiglottitis (thumb sign) ANS - dysphagia, dysphonia, distress, drooling
baby develops cyanosis during feeding is associated with... ANS - choana atresia (back of the nasal
pasage aka choana is blocked due to failed recanalization of the nasal fossae during fetal development)
CHARGE association ANS - AD, CHD7 gene, helicase binding protein 7, inability to pass nasal tube pass
the nasal pasage
CHARGE ANS - Coloboma (hole in the iris, retina, optic disc, choroid)
Heart defects (septal defects, AS, aortic coarctation)
choanal Atresia
Restricted growth (developmental delay)
Genital hypoplasia (micropenis, no testes)
, Ear anamolies (small, low-set) and deafness
think AD PKD when... ANS - family history of kidney disease, intracranial aneurysm with symptoms
suspicious of renal cysts (colicky abdominal pain, frank hematuria). Dx with RENAL ULSTRASOUND
diagnose nephrolithiasis with which test? ANS - non contrast CT scan of the abdomen
congenital dermal melanosis ANS - "mongolian blue spots", aymptomatic hyperpigmented macules and
patches appearing on the back on butt, usually mistaken for child abuse, benign, disappear by age 2
congenital dermal melanosis is caused by... ANS - entrapment and increase in concentration of
melanocytes during migration from the neural crest to the epidermis
mongolian blue spots associations include... ANS - cleft lip, spinal meningeal tumor, melanoma,
hunter/hurler syndrome
renal cell carcinoma triad ANS - flank pain, hemturia, palpable abdominal or flank mass
first imaging modality of the brain after TIA ANS - MRI of the brain
estrogen increases risk of clot because... ANS - it increases clotting factors and lowers the levels of
protein S and antithrombin III
anemia of chronic disease ANS - low MCV, low iron, high ferritin, low or normal TIBC
iron deficiency anemia ANS - low MCV, low iron, low ferritin, high TIBC
thalassemia ANS - low MCV, normal iron, normal ferritin, normal TIBC
hemachromatosis (bronze diabetes triad: cirrhosis, skin pigmentation, hyperglycemia due to iron
deposits in the pancreas) ANS - normal MCV, high iron, high ferritin, low TIBC
