Family Medicine EOR Exam Topic List --- Maryna
Haydash
? Placenta previa: - ANS-No digital exam *** -- covers the cervical os
Painless bleeding -- before 20 weeks
dx: US tx: watchful wait/c-sec
2nd most common benign breast disorder; black women: - ANS-fibroadenomas -- round, firm,
smooth, mobile;
<25yo -- biopsy
Acanthosis nigricans - ANS-obesity, insulin resistance
tx: no ; addressing underlying dz
Acne vulgaris - ANS-adolescents/males
"comadones"
tx: mild - retinoids, azelaic acid; more severe - tetracycline; isotretinoin
Actinic keratosis - ANS-cumulative exposure to the sun - fair skin ppl
thickened lesions progress very slow to -- SCC; cutaneous horn
tx: liquid nitrogen
Acute abdomen - ANS-peptic ulcer disease
Acute and chronic lower back pain - ANS-**prolapsed intervertebral disk and low back strain
Acute/chronic Sinusitis - ANS-tx: NSAIDs -pain; saline washes, steam;
antibiotics only for -- 10-14days symptoms
Additional tx for burn pts: - ANS-NG tube -- for gastric distention
Foley catheter -- UO at least 0.5 ml/kg/hr -- adult
escharotomy -- compartment syndrome/ventilation diff
Sulfadiazine -- topical burn ointment
deep burns/full-thickness -- autography
Adrenal insufficiency - ANS-Addison disease **
autoimmune - adrenal cortex
hyperpigmentation
,dx: hyperkalemia; 8am low cortisol; elevated ACTH >200
tx: corticosteroids and mineralocorticoids
ALL** - ANS-more common; deoynucleotidyl transferase
Allergic reaction/anaphylaxis - ANS-
Allergic rhinitis - ANS-IgE -- pollen, molds, dust..
atopic dz hx; "bluish discoloration below the eyes", allergic salute
tx: avoid allergens; antihistamines, cromolyn sodium
Alopecia - ANS-loss of hair;
androgenetic alopecia - male/genetic - tx: minoxidil solution
alopecia areata -- unknown - exclamation point hairs; scalp - tatalis, body -uviversalis -- tx:
systemic steroids
alpha-Glucosidase inhib =acarbose - ANS-blocking the enzyme -- GI symptoms
Alzheimer's disease - ANS-patho: intracellular neurofibrillatory tangles and extracellular neuritic
plaques
tx: delay dz - Acetylcholinesterase inhibitors= tacrine; severe dz= Memantine (NMDA)
AML - ANS-Auer rods
Anal fissure; most common location? symptoms? - ANS-Posterior midline**
severe tearing pain on defecation -- hematochezia-- bright red blood; stool/tissue
Anemia - ANS-micro: STIC
macro: folate, B12 def
Angina - ANS-
Angle-clouse glaucoma - ANS-emergency -- complete closure of the angle
painful eye; loss of vision
circumlimbal injection, steamy cornea, fixed mid-dilated pupil; N&V
tx: IV carbonic anhydrase inhibitor - acetazolamide, topical BB, and osmotic diuretics- mannitol
mydratics*
,Anorexia - ANS-less than 85% of expected weight for heigh; BMI<17.5
tx: family member *
nutritional state; hospitalization if - more 20% below body wight
Anticholinergic OD causes: - ANS-warm, dry skin
Antidote for acetaminoophen: - ANS-acetylcysteine
Antidote for Aspirin (salicylates): - ANS-activated charcoal, whole-bowel irrigation,
physostigmine
Antidote for Iron: - ANS-evoke emesis, gastric lavage, whole-bowel irr,
*Desferoxamine, Dialysis
Antidote for Organophosphates (chlorthio, diazinon): - ANS-decontamination of skin, atropine +
pralidoxime
Aphthous ulcers - ANS-painful, round ulcer -yellow-gray center; red-halos
buccal/labial mucosa
ARF - ANS-fenoldopam (dopamine-1 receptor)
Arrhythmias - ANS-A-fib**
tx: >48hrs -- tx: heparin or enoxaparin -- rate control 3-4 weeks; cardioversion
HF -- digoixin, amio, dronedarone
no HF - metoprolol or esmolol
Asthma - ANS-dx: FEV1/FVC: <75%; 10% increase in FEV1 after bronchodilator
tx: B-adrenergic agonist- rescue; inhaled croticosteroids --chronic use
Atrophic vaginitis: - ANS-thinning/shrinking of tissues/decrease estrogen
dx: - wet prep
tx: estrogen replacement therapy
Atypical CAP: - ANS-mycoplasma pneumoniae
tx: erythromycin or doxy
tetracycline (for chlamydia)
B12 def anemia: - ANS-pernicious anemia --lack of intrinsic factor
, dx; hyperseg neutrophils -6 lobes; increased LHD/indirect bilirubin;
B12 low, Schilling test ***
tx: B12 1,000 IM monthly - lifelong
bacterial conjunctivitis: - ANS-strep pneumonia -- development keratitis
chlamydia (mocopurulent/follicular) & neisseria -sex/delivery
* copious purulent discharge "glued"
dx: PMNs
tx: drops - sulfa, fluoroquiinolones, aminoglycosides
bacterial meningitis - ANS-strep pneumonia, Neisseria men; Group B-babies
dx: LP; CT before LP
WBC elevated, protein high 100-500; glucose low
tx: Adults >55, Etoh, -- ampicillin + cefotaxime + vanco
Bacterial Vaginitis - ANS-fish odor/bubbly gray discharge;
dx: Wet prep: clue wells, alkaline pH; Whiff test
tx: metronidazole or clinda cream
Balanitis - ANS-
Basal cell carcinoma - ANS-tx: mohs mirographic surgery
Bell's palsy - ANS-Right side; pregnant, DM;
CN 7 ; forehead +face
dx: clinical
tx: lubrication eye drops -- prevent corneal drying/ oral prednisone
Benign prostatic hypertrophy - ANS-60-65 yo male; LUTS -45
Dx: PSA slightly elevated; DRE -enlarged prostate
tx: watchful/wait; alpha-adrenergic agonists -prazosin
Bites/stings: human - ANS-Eikenella corrodens -- tx: Augmentin
Bites/stings: spider (2) - ANS-brown recluse - Loxosceles reclusa -- infarct of skin/rapid blood
coag./sinking macule/pale gray/ halo LARGE -- tx: would cleansing & analgesia
Haydash
? Placenta previa: - ANS-No digital exam *** -- covers the cervical os
Painless bleeding -- before 20 weeks
dx: US tx: watchful wait/c-sec
2nd most common benign breast disorder; black women: - ANS-fibroadenomas -- round, firm,
smooth, mobile;
<25yo -- biopsy
Acanthosis nigricans - ANS-obesity, insulin resistance
tx: no ; addressing underlying dz
Acne vulgaris - ANS-adolescents/males
"comadones"
tx: mild - retinoids, azelaic acid; more severe - tetracycline; isotretinoin
Actinic keratosis - ANS-cumulative exposure to the sun - fair skin ppl
thickened lesions progress very slow to -- SCC; cutaneous horn
tx: liquid nitrogen
Acute abdomen - ANS-peptic ulcer disease
Acute and chronic lower back pain - ANS-**prolapsed intervertebral disk and low back strain
Acute/chronic Sinusitis - ANS-tx: NSAIDs -pain; saline washes, steam;
antibiotics only for -- 10-14days symptoms
Additional tx for burn pts: - ANS-NG tube -- for gastric distention
Foley catheter -- UO at least 0.5 ml/kg/hr -- adult
escharotomy -- compartment syndrome/ventilation diff
Sulfadiazine -- topical burn ointment
deep burns/full-thickness -- autography
Adrenal insufficiency - ANS-Addison disease **
autoimmune - adrenal cortex
hyperpigmentation
,dx: hyperkalemia; 8am low cortisol; elevated ACTH >200
tx: corticosteroids and mineralocorticoids
ALL** - ANS-more common; deoynucleotidyl transferase
Allergic reaction/anaphylaxis - ANS-
Allergic rhinitis - ANS-IgE -- pollen, molds, dust..
atopic dz hx; "bluish discoloration below the eyes", allergic salute
tx: avoid allergens; antihistamines, cromolyn sodium
Alopecia - ANS-loss of hair;
androgenetic alopecia - male/genetic - tx: minoxidil solution
alopecia areata -- unknown - exclamation point hairs; scalp - tatalis, body -uviversalis -- tx:
systemic steroids
alpha-Glucosidase inhib =acarbose - ANS-blocking the enzyme -- GI symptoms
Alzheimer's disease - ANS-patho: intracellular neurofibrillatory tangles and extracellular neuritic
plaques
tx: delay dz - Acetylcholinesterase inhibitors= tacrine; severe dz= Memantine (NMDA)
AML - ANS-Auer rods
Anal fissure; most common location? symptoms? - ANS-Posterior midline**
severe tearing pain on defecation -- hematochezia-- bright red blood; stool/tissue
Anemia - ANS-micro: STIC
macro: folate, B12 def
Angina - ANS-
Angle-clouse glaucoma - ANS-emergency -- complete closure of the angle
painful eye; loss of vision
circumlimbal injection, steamy cornea, fixed mid-dilated pupil; N&V
tx: IV carbonic anhydrase inhibitor - acetazolamide, topical BB, and osmotic diuretics- mannitol
mydratics*
,Anorexia - ANS-less than 85% of expected weight for heigh; BMI<17.5
tx: family member *
nutritional state; hospitalization if - more 20% below body wight
Anticholinergic OD causes: - ANS-warm, dry skin
Antidote for acetaminoophen: - ANS-acetylcysteine
Antidote for Aspirin (salicylates): - ANS-activated charcoal, whole-bowel irrigation,
physostigmine
Antidote for Iron: - ANS-evoke emesis, gastric lavage, whole-bowel irr,
*Desferoxamine, Dialysis
Antidote for Organophosphates (chlorthio, diazinon): - ANS-decontamination of skin, atropine +
pralidoxime
Aphthous ulcers - ANS-painful, round ulcer -yellow-gray center; red-halos
buccal/labial mucosa
ARF - ANS-fenoldopam (dopamine-1 receptor)
Arrhythmias - ANS-A-fib**
tx: >48hrs -- tx: heparin or enoxaparin -- rate control 3-4 weeks; cardioversion
HF -- digoixin, amio, dronedarone
no HF - metoprolol or esmolol
Asthma - ANS-dx: FEV1/FVC: <75%; 10% increase in FEV1 after bronchodilator
tx: B-adrenergic agonist- rescue; inhaled croticosteroids --chronic use
Atrophic vaginitis: - ANS-thinning/shrinking of tissues/decrease estrogen
dx: - wet prep
tx: estrogen replacement therapy
Atypical CAP: - ANS-mycoplasma pneumoniae
tx: erythromycin or doxy
tetracycline (for chlamydia)
B12 def anemia: - ANS-pernicious anemia --lack of intrinsic factor
, dx; hyperseg neutrophils -6 lobes; increased LHD/indirect bilirubin;
B12 low, Schilling test ***
tx: B12 1,000 IM monthly - lifelong
bacterial conjunctivitis: - ANS-strep pneumonia -- development keratitis
chlamydia (mocopurulent/follicular) & neisseria -sex/delivery
* copious purulent discharge "glued"
dx: PMNs
tx: drops - sulfa, fluoroquiinolones, aminoglycosides
bacterial meningitis - ANS-strep pneumonia, Neisseria men; Group B-babies
dx: LP; CT before LP
WBC elevated, protein high 100-500; glucose low
tx: Adults >55, Etoh, -- ampicillin + cefotaxime + vanco
Bacterial Vaginitis - ANS-fish odor/bubbly gray discharge;
dx: Wet prep: clue wells, alkaline pH; Whiff test
tx: metronidazole or clinda cream
Balanitis - ANS-
Basal cell carcinoma - ANS-tx: mohs mirographic surgery
Bell's palsy - ANS-Right side; pregnant, DM;
CN 7 ; forehead +face
dx: clinical
tx: lubrication eye drops -- prevent corneal drying/ oral prednisone
Benign prostatic hypertrophy - ANS-60-65 yo male; LUTS -45
Dx: PSA slightly elevated; DRE -enlarged prostate
tx: watchful/wait; alpha-adrenergic agonists -prazosin
Bites/stings: human - ANS-Eikenella corrodens -- tx: Augmentin
Bites/stings: spider (2) - ANS-brown recluse - Loxosceles reclusa -- infarct of skin/rapid blood
coag./sinking macule/pale gray/ halo LARGE -- tx: would cleansing & analgesia
