family medicine EOR questions
+acid fast bacilli with ziehl neelsen stain - ANS-TB
25 yo female with history or 3 syncope episodes in the last 12 months and a III/VI systolic
ejection murmur heard best at the LSB and decreased with squatting= - ANS-HCM
5 yo with paroxysm of cough tha increase in severity and duration with some coughingepisodes
followed by a whooplike, high pitched inspiratory noise - ANS-bordatella pertussis (whooping
cough)
50 yo male with 3 mo hx of weakness, fatigue and abdominal discomfort with
hepatosplenomegaly and metallic gray hue of face, neck and elbows
normal TIBC, increased plasma iron, high transferrin saturation. what is a serious complication
of this condition - ANS-HCC
hemochromatosis can cause hepatocellular carcinoma
62 yo with hx of htn, severe 'tearing' cp radiating to back with unequal pulses bp 180/110, hr
120, rr 34, +s4, II/IV diastolic rumbling murmur leaning forward and lvh= - ANS-thoracic aortic
dissection
65 yo man with polyuria, balanitis, ED and slightly enlarged smooth prostate. what condition
would you be concerned about? - ANS-diabetes mellitus
ED occurs in 75% of males with dm
A 25-year-old man presents to you with an acute otitis media with serous otitis in the right ear.
You perform the Weber and Rinne tests. what will the results be? - ANS-weber-heard louder in
right ear. rinne- bone conduciton > air
conductive hearing loss:)
ABG normals - ANS-pH 7.35-7.45 (7.4)
pCO2 35-45 (40)
CO2 (bicarb) 23-30 (24)
acne with a few papules and pustules without nodules (severity?) - ANS-mild acne
ACOG mammo guidelines - ANS-40-49 every 1-2 years
50 and older annually
agent to tx OD of TCA - ANS-sodium bicarb
*mc ekg finding is a wide qrs complex*
, alveolar arterial 02 gradient severity levels - ANS-mild <35mmHg
mod 35-45
severe with >45
*indicates severity of respiratory dysfunction*
American cancer society guidelines for mammogram - ANS-40-44 have choice to start
45-54 annually
55 and older until less than 10 yr life expectancy = every 2 yrs
antibiotic options for typhoid fever and resistance - ANS-bactrim, ampicillin, ceftriaxone
bactrim and ampicillin resistance has started happening so important to get susceptibilitiy
testing
apneusis breathing - ANS-*htn pt with sudden loss of consciousness and decerebrate respone
(extensor postureing)=brain stem hemorrhage*
deep, gasping inspiration with a pause at full inspiration followed by a brief, insufficient release
and end inspiration pause before expiration
due to lesion in the pons or upper medulla that causes the removal of input from the vagus
nerve and the pneumotaxic center
asbestos exposure is a RF for what - ANS-mesothelioma
*construciton, mining, brake linings, roofing, and working shipyards*
s/s: dyspnea, weight loss, pleural effusion, affects lower lobes, nonproductive cough
ascetic fluid with protein <3g/dl is exudative or transudative? - ANS-transudative: extravascular
fluid with low protein content and low specific gravity. low nucleated cell counts. primary cell
types are mononuclear cells, macrophages, lymphocytes and mesothelial cells
ie: CHF, cirrhosis, constrictive pericarditis, IVC obstruction, hypoalbuminemia, meigs syndrome
and some nephrotic syndrome
ascetic fluid with protein >3g/dl is exudative or transudative? - ANS-exudative-seeps out of
blood vessels or an organ especially in inflammation
ie: peritoneal neoplasm, pancreatc ascites, myxedema, tb peritonitis
barking cough + stridor + hoarseness + dyspnea that is worse at night - ANS-croup
MC caused by parainfluenza type 1
blot hemorrhages, cotton wool spots and microaneurysms are indicative of what type of
retinopathy - ANS-nonproliferative diabetic retinopathy
bones, groans, stones and psychic moans= - ANS-hypercalcemia
+acid fast bacilli with ziehl neelsen stain - ANS-TB
25 yo female with history or 3 syncope episodes in the last 12 months and a III/VI systolic
ejection murmur heard best at the LSB and decreased with squatting= - ANS-HCM
5 yo with paroxysm of cough tha increase in severity and duration with some coughingepisodes
followed by a whooplike, high pitched inspiratory noise - ANS-bordatella pertussis (whooping
cough)
50 yo male with 3 mo hx of weakness, fatigue and abdominal discomfort with
hepatosplenomegaly and metallic gray hue of face, neck and elbows
normal TIBC, increased plasma iron, high transferrin saturation. what is a serious complication
of this condition - ANS-HCC
hemochromatosis can cause hepatocellular carcinoma
62 yo with hx of htn, severe 'tearing' cp radiating to back with unequal pulses bp 180/110, hr
120, rr 34, +s4, II/IV diastolic rumbling murmur leaning forward and lvh= - ANS-thoracic aortic
dissection
65 yo man with polyuria, balanitis, ED and slightly enlarged smooth prostate. what condition
would you be concerned about? - ANS-diabetes mellitus
ED occurs in 75% of males with dm
A 25-year-old man presents to you with an acute otitis media with serous otitis in the right ear.
You perform the Weber and Rinne tests. what will the results be? - ANS-weber-heard louder in
right ear. rinne- bone conduciton > air
conductive hearing loss:)
ABG normals - ANS-pH 7.35-7.45 (7.4)
pCO2 35-45 (40)
CO2 (bicarb) 23-30 (24)
acne with a few papules and pustules without nodules (severity?) - ANS-mild acne
ACOG mammo guidelines - ANS-40-49 every 1-2 years
50 and older annually
agent to tx OD of TCA - ANS-sodium bicarb
*mc ekg finding is a wide qrs complex*
, alveolar arterial 02 gradient severity levels - ANS-mild <35mmHg
mod 35-45
severe with >45
*indicates severity of respiratory dysfunction*
American cancer society guidelines for mammogram - ANS-40-44 have choice to start
45-54 annually
55 and older until less than 10 yr life expectancy = every 2 yrs
antibiotic options for typhoid fever and resistance - ANS-bactrim, ampicillin, ceftriaxone
bactrim and ampicillin resistance has started happening so important to get susceptibilitiy
testing
apneusis breathing - ANS-*htn pt with sudden loss of consciousness and decerebrate respone
(extensor postureing)=brain stem hemorrhage*
deep, gasping inspiration with a pause at full inspiration followed by a brief, insufficient release
and end inspiration pause before expiration
due to lesion in the pons or upper medulla that causes the removal of input from the vagus
nerve and the pneumotaxic center
asbestos exposure is a RF for what - ANS-mesothelioma
*construciton, mining, brake linings, roofing, and working shipyards*
s/s: dyspnea, weight loss, pleural effusion, affects lower lobes, nonproductive cough
ascetic fluid with protein <3g/dl is exudative or transudative? - ANS-transudative: extravascular
fluid with low protein content and low specific gravity. low nucleated cell counts. primary cell
types are mononuclear cells, macrophages, lymphocytes and mesothelial cells
ie: CHF, cirrhosis, constrictive pericarditis, IVC obstruction, hypoalbuminemia, meigs syndrome
and some nephrotic syndrome
ascetic fluid with protein >3g/dl is exudative or transudative? - ANS-exudative-seeps out of
blood vessels or an organ especially in inflammation
ie: peritoneal neoplasm, pancreatc ascites, myxedema, tb peritonitis
barking cough + stridor + hoarseness + dyspnea that is worse at night - ANS-croup
MC caused by parainfluenza type 1
blot hemorrhages, cotton wool spots and microaneurysms are indicative of what type of
retinopathy - ANS-nonproliferative diabetic retinopathy
bones, groans, stones and psychic moans= - ANS-hypercalcemia
