Primary Care & Family Medicine EOR
"Hot potato" voice, deviated uvula away from mass - ANSWER-Peritonsillar abcess
1-4 weeks after genourtial or enteric infection, conjunctivitis, urerithis and arthritis in young male -
ANSWER-Reiters syndrome
11 of 18 trigger point pain for 3 months - ANSWER-Fibromyalgia
5 things that make GERD Worse according to Lazarrza - ANSWER-Coffee, soda, alchohol, smoking,
peppermint**
50 year old male with back pain, smoker, atherscerlosis , what should you screen for - ANSWER-AAA
A form of rheumatoid arthritis that primarily causes inflammation and hardening of the joints between
the vertebrae, bamboo spine - ANSWER-ankylosing spondylitis
AAA diagnostic studies - ANSWER-Ultrasound
abnormal permanent dilation of the alveoli and destruction of alveolar wall - ANSWER-Emphysema
Abrupt onset of watery diarrhea, cramping and vomitting - ANSWER-E. Coli
AC ligament separation causes - ANSWER-AC joint Dislocation
acute bronchitis - ANSWER-an inflammation and mucus secretions of the lower respiratory tract that is
usually due to adenovirus
After URI inflammation of CN VIII causes vertigo and tinniuitis, tx how - ANSWER-Corticosteroids
Aids cd4 under 100 - ANSWER-kaposi sarcoma
anterior epistaxis - ANSWER-Kiesselbach plexus, trauma form nose picking
Anterior wall MI - ANSWER--involves LAD artery
-Leads V1, V2, V3, V4 with ST elevation
-supplies blood to left anterior ventricle
-may result in left ventricular pump failure, cardiogenic shock, or death
-increased risk of death
Anticylic citriullinated peptide antibodies - ANSWER-RA most specific
Antiphospholipid antibody syndrome - ANSWER-associated with SLE (30%)
Characterized by autoantibody against proteins bound to phospholipids
Anti-Cardiolipin --> false positive syphillis test
Lupus anticoagulant --> falsely elevated PTT lab
,Primary Care & Family Medicine EOR
Leads to arterial/venous thrombosis including DVTs, hepatic vein thrombosis, placental thrombosis
(recurrent pregnancy loss) and stroke
Requires lifelong anticoagulation
Asian anemia, normal HBGA and HBGF ratio - ANSWER-Alpha Thalassemia
Asthma with daily exacerbations per week that is not controlled with ICS - ANSWER-LABA + steroid
(Symbiort, Advair)
Auspitz sign - ANSWER-pinpoint bleeding after a scale is removed
autoimmine destruction of melanocytes in hands, axilla and face - ANSWER-vitiligo
autoimmune blistering below the epidermis in groin, axilla, with NEGATIVE NIKOLSKY sign - ANSWER-
bullous phemphigoid
autoimmune nonscarring immune mediated hair loss, discrete smoot circular patter with exclamation
hairs - ANSWER-alopecia areata
AV nicking, copper wiring and flame hemorrhage on fundoscopic exam - ANSWER-HTNsive retinopathy
(usually asymptomatic)
Back muscle spasms, decreased ROM, loss of lordotic curve - ANSWER-Lumbrosacral sprain
Back pain is Relieved when patient sits down - ANSWER-Spinal stenosis
Bacterial conjunctivitis - ANSWER-pinkeye; very contagious by strep pneumo
Bacterial infection of parotid and submandicular glands by staph aureus - ANSWER-Sialadentitis
Bacterial Vaginosis (BV) - ANSWER-a condition caused by an overgrowth of certain bacteria inhabiting
the vagina, gardenella
bacterial vaginosis treatment - ANSWER-Metronidazole
Biguanides (metformin) - ANSWER-decrease hepatic glucose production
Bilateral eyelid Inflammation with crusting and scaling, a/w with Down's syndrome, caused by staph
aureus - ANSWER-Blepharitis
Bird's beak on barium swallow - ANSWER-Achalasia
Blepharitis treatment - ANSWER-Keeping the lids clean and free from crusts. Warm compress, gentle
washing of the eyes (baby shampoo).
bloody, mucoid, low volume diarrhea, leading to loife threatening dehydration and acidosis; insanitary
conditions - ANSWER-Shigella dysenteriae
Blowing holosystolic murmur at apex radiating to axilla - ANSWER-Mitral regurg/ MVP
C jejenum is associated wirh - ANSWER-Uncooked poultry and Gillian barre
, Primary Care & Family Medicine EOR
Can cause rebound acid in stomach - ANSWER-Antacid (bismuth)
Cat bite - ANSWER-Pasteurella multocida
Caucasian female smoker, gradual central vision loss, bilateral blurred vision - ANSWER-Muscular
degeneration
Cauda Equina Syndrome - ANSWER-compression of lower spinal cord (risk of paralysis in legs), saddle
anesthetia, no anal wink
Cause of BPPV - ANSWER-Otolith loose in the ear
Causes of Somogyi effect - ANSWER-fails to eat her bedtime snack
too high of insulin dose
Cavitary lesions found on x-ray might indicate this pulmonary condition. - ANSWER-Klebsiella
pneumonia
Ceasating granuloma in upper lobes - ANSWER-TB
Cephalization, Kerley B lines, Butterfly pattern and pulmonary edema (lipping on CVA) on CXR all Point
to - ANSWER-CHF (left)
Cerum impaction can cause what kind of hearing loss? What are treatment options? - ANSWER-
Conductive hearing loss - wax impaction in EAC
Hydrogen peroxide 3%, removal with curette
Chalazion Tx if eyelid hygiene fails - ANSWER--Surgery (incision and curettage)
chronic prostatitis - ANSWER-e. coli, boggy and non tender
Class I heart failure - ANSWER-No limitation of physical activity
Class II heart failure - ANSWER-Symptoms with ordinary exertion
Class III heart failure - ANSWER-Symptoms with minimal exertion
Class IV heart failure - ANSWER-Symptoms at rest
Cocaine induced MI - ANSWER-NO Beta blockers, give CCBs
community acquired pneumonia - ANSWER-Strep Pneumo most common
Mycoplasma/Chlamydia or Legionella in "Atypical"
H. Influenza in COPD/Smokers
Klebsiella in Drunks
Staph Aureus after FLU
continuous vertigo + hearing loss - ANSWER-labyrinthitis
"Hot potato" voice, deviated uvula away from mass - ANSWER-Peritonsillar abcess
1-4 weeks after genourtial or enteric infection, conjunctivitis, urerithis and arthritis in young male -
ANSWER-Reiters syndrome
11 of 18 trigger point pain for 3 months - ANSWER-Fibromyalgia
5 things that make GERD Worse according to Lazarrza - ANSWER-Coffee, soda, alchohol, smoking,
peppermint**
50 year old male with back pain, smoker, atherscerlosis , what should you screen for - ANSWER-AAA
A form of rheumatoid arthritis that primarily causes inflammation and hardening of the joints between
the vertebrae, bamboo spine - ANSWER-ankylosing spondylitis
AAA diagnostic studies - ANSWER-Ultrasound
abnormal permanent dilation of the alveoli and destruction of alveolar wall - ANSWER-Emphysema
Abrupt onset of watery diarrhea, cramping and vomitting - ANSWER-E. Coli
AC ligament separation causes - ANSWER-AC joint Dislocation
acute bronchitis - ANSWER-an inflammation and mucus secretions of the lower respiratory tract that is
usually due to adenovirus
After URI inflammation of CN VIII causes vertigo and tinniuitis, tx how - ANSWER-Corticosteroids
Aids cd4 under 100 - ANSWER-kaposi sarcoma
anterior epistaxis - ANSWER-Kiesselbach plexus, trauma form nose picking
Anterior wall MI - ANSWER--involves LAD artery
-Leads V1, V2, V3, V4 with ST elevation
-supplies blood to left anterior ventricle
-may result in left ventricular pump failure, cardiogenic shock, or death
-increased risk of death
Anticylic citriullinated peptide antibodies - ANSWER-RA most specific
Antiphospholipid antibody syndrome - ANSWER-associated with SLE (30%)
Characterized by autoantibody against proteins bound to phospholipids
Anti-Cardiolipin --> false positive syphillis test
Lupus anticoagulant --> falsely elevated PTT lab
,Primary Care & Family Medicine EOR
Leads to arterial/venous thrombosis including DVTs, hepatic vein thrombosis, placental thrombosis
(recurrent pregnancy loss) and stroke
Requires lifelong anticoagulation
Asian anemia, normal HBGA and HBGF ratio - ANSWER-Alpha Thalassemia
Asthma with daily exacerbations per week that is not controlled with ICS - ANSWER-LABA + steroid
(Symbiort, Advair)
Auspitz sign - ANSWER-pinpoint bleeding after a scale is removed
autoimmine destruction of melanocytes in hands, axilla and face - ANSWER-vitiligo
autoimmune blistering below the epidermis in groin, axilla, with NEGATIVE NIKOLSKY sign - ANSWER-
bullous phemphigoid
autoimmune nonscarring immune mediated hair loss, discrete smoot circular patter with exclamation
hairs - ANSWER-alopecia areata
AV nicking, copper wiring and flame hemorrhage on fundoscopic exam - ANSWER-HTNsive retinopathy
(usually asymptomatic)
Back muscle spasms, decreased ROM, loss of lordotic curve - ANSWER-Lumbrosacral sprain
Back pain is Relieved when patient sits down - ANSWER-Spinal stenosis
Bacterial conjunctivitis - ANSWER-pinkeye; very contagious by strep pneumo
Bacterial infection of parotid and submandicular glands by staph aureus - ANSWER-Sialadentitis
Bacterial Vaginosis (BV) - ANSWER-a condition caused by an overgrowth of certain bacteria inhabiting
the vagina, gardenella
bacterial vaginosis treatment - ANSWER-Metronidazole
Biguanides (metformin) - ANSWER-decrease hepatic glucose production
Bilateral eyelid Inflammation with crusting and scaling, a/w with Down's syndrome, caused by staph
aureus - ANSWER-Blepharitis
Bird's beak on barium swallow - ANSWER-Achalasia
Blepharitis treatment - ANSWER-Keeping the lids clean and free from crusts. Warm compress, gentle
washing of the eyes (baby shampoo).
bloody, mucoid, low volume diarrhea, leading to loife threatening dehydration and acidosis; insanitary
conditions - ANSWER-Shigella dysenteriae
Blowing holosystolic murmur at apex radiating to axilla - ANSWER-Mitral regurg/ MVP
C jejenum is associated wirh - ANSWER-Uncooked poultry and Gillian barre
, Primary Care & Family Medicine EOR
Can cause rebound acid in stomach - ANSWER-Antacid (bismuth)
Cat bite - ANSWER-Pasteurella multocida
Caucasian female smoker, gradual central vision loss, bilateral blurred vision - ANSWER-Muscular
degeneration
Cauda Equina Syndrome - ANSWER-compression of lower spinal cord (risk of paralysis in legs), saddle
anesthetia, no anal wink
Cause of BPPV - ANSWER-Otolith loose in the ear
Causes of Somogyi effect - ANSWER-fails to eat her bedtime snack
too high of insulin dose
Cavitary lesions found on x-ray might indicate this pulmonary condition. - ANSWER-Klebsiella
pneumonia
Ceasating granuloma in upper lobes - ANSWER-TB
Cephalization, Kerley B lines, Butterfly pattern and pulmonary edema (lipping on CVA) on CXR all Point
to - ANSWER-CHF (left)
Cerum impaction can cause what kind of hearing loss? What are treatment options? - ANSWER-
Conductive hearing loss - wax impaction in EAC
Hydrogen peroxide 3%, removal with curette
Chalazion Tx if eyelid hygiene fails - ANSWER--Surgery (incision and curettage)
chronic prostatitis - ANSWER-e. coli, boggy and non tender
Class I heart failure - ANSWER-No limitation of physical activity
Class II heart failure - ANSWER-Symptoms with ordinary exertion
Class III heart failure - ANSWER-Symptoms with minimal exertion
Class IV heart failure - ANSWER-Symptoms at rest
Cocaine induced MI - ANSWER-NO Beta blockers, give CCBs
community acquired pneumonia - ANSWER-Strep Pneumo most common
Mycoplasma/Chlamydia or Legionella in "Atypical"
H. Influenza in COPD/Smokers
Klebsiella in Drunks
Staph Aureus after FLU
continuous vertigo + hearing loss - ANSWER-labyrinthitis
