family medicine EOR Questions and
answer
treatment of varicose veins - correct answer-sclerotherapy
what type of breathing pattern is found in metabolic acidosis like DKA and renal failure
what is it like - correct answer-kussmaul breathing
deep, labored and gasping
what type of breathing is found in left heart breathing? what is it like? - correct
answer-cheyne stokes
rapid and deep periods of inhalation followed by apnea
when is ataxic (biots respirations) found and how is it described - correct answer-groups of
quick, shallow inspirations followed by regular or irregular periods of apnea
=poor prognosis
usually caused by medullary lesion from strokes of trauma of pressure on medulla due to
uncal or tentorial herniation
describe cluster breathing - correct answer-periods of apnea that occurs at irregular intervals
lesion of low pons or upper medulla
(no increasing or decreasing depths like cheyne stokes)
apneusis breathing - correct answer-*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
deficiency of what factor may predispose a person to recurrent thrombosis? - correct
answer-protein C deficiency
protein C action - correct answer-vK dependent produced in the liver and is a powerful
anticoagulent that is activated by thrombin after binding with thrombomodulin
digests VIIIA and Va
protein S is a co factor for protein c and is produced by enothelial cells
what does wide complex tachycardia consist of - correct answer-ventricular tachycardia and
supraventricular tachycardia
what does narrow complex tachycardia consist of - correct answer-sinus tach, a fib, a flutter,
AV nodal reentry and atrical tachy
, what is the *INNITIAL* management for narrow complex tachycardia when *unstable* -
correct answer-immediate synchronized cardioversion
what is the *INNITIAL* management for narrow complex tachycardia when *stable* - correct
answer-adenosine 12mg IV and can be repeated twiced spaced 1-2 minutes apart
how many joules should be used for cardioversion of atrial flutter - correct answer-100 joules
what should be considered in a patient with an anal fissure off the posterior midline - correct
answer-crohn, SCC, aids
topical treatment of bacterial conjunctivitis - correct answer-sulfacetamide (10% 34x/day)
what med used to treat bipolar disorder is a common cause of DI? - correct answer-Lithium
can make the distal renal tubules resistant to the action of vasopressin
what is the tx of pleuritis - correct answer-NSAIDS (ibuprofen 400-800 mg 3x/day)
diagnostic modality for PE - correct answer-CTA ct angiography
V/Q if pt cant have CT or the iv die or if it isnt available
what are effective first line therapies for mild acne - correct answer-topical retinoids:
tretinoin, adapalene and tazarotene
comedolytic: inhibits follicular canal obstruction by normaliazing keratinocyte shedding +
antiinflammatory effects
other topicals such as benzoyl peroxide, topical sulfacetamide and azelaic acid are also
effective 1L for mild acne
acne with a few papules and pustules without nodules (severity?) - correct answer-mild acne
comedones, several papule and pustules and a few nodules is what level of severity of acne
- correct answer-moderate
numerous comedones, papules, pustules and nodules - correct answer-severe acne
what does a definitive diagnosis of typhoid fever depend on - correct answer-+s. typhi blood
culture
antibiotic options for typhoid fever and resistance - correct answer-bactrim, ampicillin,
ceftriaxone
bactrim and ampicillin resistance has started happening so important to get susceptibilitiy
testing
what type of cardiomyopathy occurs in alcoholic - correct answer-dilated cardiomyopathy of
the left ventricle leading to systolic left sided heart failure
due to diminished cardiac contractility secondary to myocyte destruction
answer
treatment of varicose veins - correct answer-sclerotherapy
what type of breathing pattern is found in metabolic acidosis like DKA and renal failure
what is it like - correct answer-kussmaul breathing
deep, labored and gasping
what type of breathing is found in left heart breathing? what is it like? - correct
answer-cheyne stokes
rapid and deep periods of inhalation followed by apnea
when is ataxic (biots respirations) found and how is it described - correct answer-groups of
quick, shallow inspirations followed by regular or irregular periods of apnea
=poor prognosis
usually caused by medullary lesion from strokes of trauma of pressure on medulla due to
uncal or tentorial herniation
describe cluster breathing - correct answer-periods of apnea that occurs at irregular intervals
lesion of low pons or upper medulla
(no increasing or decreasing depths like cheyne stokes)
apneusis breathing - correct answer-*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
deficiency of what factor may predispose a person to recurrent thrombosis? - correct
answer-protein C deficiency
protein C action - correct answer-vK dependent produced in the liver and is a powerful
anticoagulent that is activated by thrombin after binding with thrombomodulin
digests VIIIA and Va
protein S is a co factor for protein c and is produced by enothelial cells
what does wide complex tachycardia consist of - correct answer-ventricular tachycardia and
supraventricular tachycardia
what does narrow complex tachycardia consist of - correct answer-sinus tach, a fib, a flutter,
AV nodal reentry and atrical tachy
, what is the *INNITIAL* management for narrow complex tachycardia when *unstable* -
correct answer-immediate synchronized cardioversion
what is the *INNITIAL* management for narrow complex tachycardia when *stable* - correct
answer-adenosine 12mg IV and can be repeated twiced spaced 1-2 minutes apart
how many joules should be used for cardioversion of atrial flutter - correct answer-100 joules
what should be considered in a patient with an anal fissure off the posterior midline - correct
answer-crohn, SCC, aids
topical treatment of bacterial conjunctivitis - correct answer-sulfacetamide (10% 34x/day)
what med used to treat bipolar disorder is a common cause of DI? - correct answer-Lithium
can make the distal renal tubules resistant to the action of vasopressin
what is the tx of pleuritis - correct answer-NSAIDS (ibuprofen 400-800 mg 3x/day)
diagnostic modality for PE - correct answer-CTA ct angiography
V/Q if pt cant have CT or the iv die or if it isnt available
what are effective first line therapies for mild acne - correct answer-topical retinoids:
tretinoin, adapalene and tazarotene
comedolytic: inhibits follicular canal obstruction by normaliazing keratinocyte shedding +
antiinflammatory effects
other topicals such as benzoyl peroxide, topical sulfacetamide and azelaic acid are also
effective 1L for mild acne
acne with a few papules and pustules without nodules (severity?) - correct answer-mild acne
comedones, several papule and pustules and a few nodules is what level of severity of acne
- correct answer-moderate
numerous comedones, papules, pustules and nodules - correct answer-severe acne
what does a definitive diagnosis of typhoid fever depend on - correct answer-+s. typhi blood
culture
antibiotic options for typhoid fever and resistance - correct answer-bactrim, ampicillin,
ceftriaxone
bactrim and ampicillin resistance has started happening so important to get susceptibilitiy
testing
what type of cardiomyopathy occurs in alcoholic - correct answer-dilated cardiomyopathy of
the left ventricle leading to systolic left sided heart failure
due to diminished cardiac contractility secondary to myocyte destruction
