FAMILY MED COMAT (COMBANK)
EXAM QUESTIONS AND ANSWERS
Most sensitive diagnostic modality to initially look for H. Pylori? - Correct Answers -
serologic testing
test to see if eradication of H. pylori? - Correct Answers -urea breath test
what to supplement babies exclusively fed breast milk? - Correct Answers -Vit. D......cuz
it's not in breast milk!
sciatica - Correct Answers -pain radiating down to distal leg
piriformis syndrome - Correct Answers -pain radiating down upper leg with point
tenderness over piriformis muscle
Best first test to see if have fungal toe infection? - Correct Answers -KOH scrapings
from toe
can take up to 12 weeks for turbinafen to take effect
most common lobe of aspiration in alcoholics? - Correct Answers -right superior lobe b/c
they are choking on their vomit while lying on their back.
why are NSAIDS contraindicated in heart failure?
what to give them for osteoarthritic pain instead? - Correct Answers -NSAIDS cause
intake of Na+ as well as inc vascular resistance.
-Tramadol/opiates
fasting lipid profile requires how much time between Alcoholic beverages? - Correct
Answers -24 hrs
, tests for diabetics to ensure no complications? - Correct Answers --urinary spot
microalbumin/creatinine ratio: diabetic glomerulonephropathy--> put on ACE/ARB to
preserve kidney function
The rest are annually...
-Opthalmic Fundoscopic Exam
-peripheral neuropathy (lightly touching skin to see if feeling)
-foot exam to check for ulcerations
bronchiectasis - Correct Answers -when bronchioles inflame and mucus builds up
inside--> productive cough like white sputum
Honeycombing on CT
Acute Otitis Media Tx Plan: - Correct Answers -1) don't give if kid healthy btw. 6mo-2y/o
2) give amoxacillin if complicated
3)amoxacillin-clavinic acid if recurrent
test to see if have mono - Correct Answers --CBC w/ Heterophile Ab test (monospot)
dog/cat bites: - Correct Answers --gram negative bugs (pasteurella)
-Abx: amoxacillin-clavulanate (augmentin) 3-5 days
what age to start giving flouride? - Correct Answers -6 mo
vaccinations if you have HIV? - Correct Answers --pneumococcal
-Hepatitis B
-tetanus
-pertusus
-influenza
Alpha-1 Antitrypsin Deficiency causes buildup in what organ?
Dx for AAT? - Correct Answers -liver-->cirrhosis
-genetic testing
how to prevent bacterial pnemonia? - Correct Answers -flu vaccination
when to give aspirin for preventative measures? - Correct Answers -men 50-60 y/o
when benefits of dec. cardiovascular risk, outweight risk of GI bleed
HbA1c goals - Correct Answers -<7% for normal ppl w/ DM
<8% for older people w/ comorbid conditions
ezetimibe MOA - Correct Answers -inhibits neiman pick C1 protein
EXAM QUESTIONS AND ANSWERS
Most sensitive diagnostic modality to initially look for H. Pylori? - Correct Answers -
serologic testing
test to see if eradication of H. pylori? - Correct Answers -urea breath test
what to supplement babies exclusively fed breast milk? - Correct Answers -Vit. D......cuz
it's not in breast milk!
sciatica - Correct Answers -pain radiating down to distal leg
piriformis syndrome - Correct Answers -pain radiating down upper leg with point
tenderness over piriformis muscle
Best first test to see if have fungal toe infection? - Correct Answers -KOH scrapings
from toe
can take up to 12 weeks for turbinafen to take effect
most common lobe of aspiration in alcoholics? - Correct Answers -right superior lobe b/c
they are choking on their vomit while lying on their back.
why are NSAIDS contraindicated in heart failure?
what to give them for osteoarthritic pain instead? - Correct Answers -NSAIDS cause
intake of Na+ as well as inc vascular resistance.
-Tramadol/opiates
fasting lipid profile requires how much time between Alcoholic beverages? - Correct
Answers -24 hrs
, tests for diabetics to ensure no complications? - Correct Answers --urinary spot
microalbumin/creatinine ratio: diabetic glomerulonephropathy--> put on ACE/ARB to
preserve kidney function
The rest are annually...
-Opthalmic Fundoscopic Exam
-peripheral neuropathy (lightly touching skin to see if feeling)
-foot exam to check for ulcerations
bronchiectasis - Correct Answers -when bronchioles inflame and mucus builds up
inside--> productive cough like white sputum
Honeycombing on CT
Acute Otitis Media Tx Plan: - Correct Answers -1) don't give if kid healthy btw. 6mo-2y/o
2) give amoxacillin if complicated
3)amoxacillin-clavinic acid if recurrent
test to see if have mono - Correct Answers --CBC w/ Heterophile Ab test (monospot)
dog/cat bites: - Correct Answers --gram negative bugs (pasteurella)
-Abx: amoxacillin-clavulanate (augmentin) 3-5 days
what age to start giving flouride? - Correct Answers -6 mo
vaccinations if you have HIV? - Correct Answers --pneumococcal
-Hepatitis B
-tetanus
-pertusus
-influenza
Alpha-1 Antitrypsin Deficiency causes buildup in what organ?
Dx for AAT? - Correct Answers -liver-->cirrhosis
-genetic testing
how to prevent bacterial pnemonia? - Correct Answers -flu vaccination
when to give aspirin for preventative measures? - Correct Answers -men 50-60 y/o
when benefits of dec. cardiovascular risk, outweight risk of GI bleed
HbA1c goals - Correct Answers -<7% for normal ppl w/ DM
<8% for older people w/ comorbid conditions
ezetimibe MOA - Correct Answers -inhibits neiman pick C1 protein
