TRUE LEARN FAMILY MEDICINE
QUIZZES WITH RIGHT ACTUAL
ANSWERS.
how often do these people have asthma sx: intermittent asthma, mild persistent, moderate persistent
ANS - s
what medication should you start in a 74 yr old with cognitive slowing, shuffling gait and stooped
posture w/ tremors for 3 months? ANS - MAOi inhibitor (selegiline) to treat for parkison movements +
dementia. it slows degradaton of dopamine and levodopa
don't use citalopram in patients with ___ ANS - cardiac arrythmias. this SSRI elongates the QTc
what medication can treat mild to moderate dementia but are not disease modifying? ANS - -
cholinesterase inhibitors like donepezil
-NMDA receptor antagonists: memantine
can you give an SSRI to someone with alzheimer's dementia ANS - yes it will improve mood and
neuropsychiatric sx
donepezil has the same mech of action as... ANS - rivastigmine, galantine
what drugs can treat depression and dementia ANS - SSRI or MAOi (selegeline)
patient has a aortic abdominal aneurysm found on ultrasound and they are asymptomatic. what is the
next question to ask ANS - what size is it? AAA less than 5.5cm require monitoring. MOST IMPORTANT
next step= smoking cessation
how often do you need to follow up with the patient if their AAA is less than 5.5cm? ANS - do another
U/S every 2 years if AAA is between 3-4cm. Do CT scan or U/S if its above 4cm every 6-12 months
, when do you need to surgically repair an AAA? ANS - it ruptured, a small AAA rapidly grew, or the AAA
is over 5.5cm
what influenzes the size and risk of rupture of a AAA the most? ANS - smoking. smoking cessation is the
best thing to do if the person has a AAA
pediatric patient has his second febrile UTI. what does american college of pediatrics recommend to
figure out the etiology? ANS - voiding cystourethrogram to evaluate for vesicourethral reflux
what should you do if a kid younger than 2 gets febrile UTI? ANS - ultrasound to look for structural
abnormalities
-if you find hydronephrosis, get voiding cystourethrogram
bilateral lower extremity discomfort that improves with movement ANS - restless leg syndrome: sx at
rest, worse in evening. better with movement. Physical exam is normal.
bilateral or unilateral leg weakness or numbness. worse with backwards bend ANS - lumbar disk
herniation
what aggravates sciatica ANS - lots of sitting, squatting (long distance running)
you see the face of a coin in an AP chest CXR. where is the coin? ANS - esophagus. you confirm your
thinking by the fact that SpO2 is 99%
in the lateral CXR you see the face of a coin. where is it located? ANS - trachea
what objects in the esophagus need to be removed with away by endocopy ANS - sharp objects bc they
can cause perforation
what if a food bolus is stuck in the esophagus? ANS - try pharmacologic management: nitroglycerine,
nifedipine or glucagon. if that doesnt work do endoscopy to prevent perforaiton or stricture formation
QUIZZES WITH RIGHT ACTUAL
ANSWERS.
how often do these people have asthma sx: intermittent asthma, mild persistent, moderate persistent
ANS - s
what medication should you start in a 74 yr old with cognitive slowing, shuffling gait and stooped
posture w/ tremors for 3 months? ANS - MAOi inhibitor (selegiline) to treat for parkison movements +
dementia. it slows degradaton of dopamine and levodopa
don't use citalopram in patients with ___ ANS - cardiac arrythmias. this SSRI elongates the QTc
what medication can treat mild to moderate dementia but are not disease modifying? ANS - -
cholinesterase inhibitors like donepezil
-NMDA receptor antagonists: memantine
can you give an SSRI to someone with alzheimer's dementia ANS - yes it will improve mood and
neuropsychiatric sx
donepezil has the same mech of action as... ANS - rivastigmine, galantine
what drugs can treat depression and dementia ANS - SSRI or MAOi (selegeline)
patient has a aortic abdominal aneurysm found on ultrasound and they are asymptomatic. what is the
next question to ask ANS - what size is it? AAA less than 5.5cm require monitoring. MOST IMPORTANT
next step= smoking cessation
how often do you need to follow up with the patient if their AAA is less than 5.5cm? ANS - do another
U/S every 2 years if AAA is between 3-4cm. Do CT scan or U/S if its above 4cm every 6-12 months
, when do you need to surgically repair an AAA? ANS - it ruptured, a small AAA rapidly grew, or the AAA
is over 5.5cm
what influenzes the size and risk of rupture of a AAA the most? ANS - smoking. smoking cessation is the
best thing to do if the person has a AAA
pediatric patient has his second febrile UTI. what does american college of pediatrics recommend to
figure out the etiology? ANS - voiding cystourethrogram to evaluate for vesicourethral reflux
what should you do if a kid younger than 2 gets febrile UTI? ANS - ultrasound to look for structural
abnormalities
-if you find hydronephrosis, get voiding cystourethrogram
bilateral lower extremity discomfort that improves with movement ANS - restless leg syndrome: sx at
rest, worse in evening. better with movement. Physical exam is normal.
bilateral or unilateral leg weakness or numbness. worse with backwards bend ANS - lumbar disk
herniation
what aggravates sciatica ANS - lots of sitting, squatting (long distance running)
you see the face of a coin in an AP chest CXR. where is the coin? ANS - esophagus. you confirm your
thinking by the fact that SpO2 is 99%
in the lateral CXR you see the face of a coin. where is it located? ANS - trachea
what objects in the esophagus need to be removed with away by endocopy ANS - sharp objects bc they
can cause perforation
what if a food bolus is stuck in the esophagus? ANS - try pharmacologic management: nitroglycerine,
nifedipine or glucagon. if that doesnt work do endoscopy to prevent perforaiton or stricture formation
