Family Medicine EOR exam Questions
and answer
Fundal height at umbilicus correlates to what week? - correct answer-20-22 weeks
Kawasaki disease criteria - correct answer-"Feel my conjunctivitis"- Fever, edema,
erythematous rash, lymphadenitis, mucositis, conjunctivitis (non purulent)
Pharm TOC for gestation DM - correct answer-Regular Insulin- will not cross placenta
MC mechanism leading to primary pneumothorax - correct answer-Rupture of apical bleb
Tx of choice for hyperthyroidism in pregnant patient - correct answer-PTU
Annual BP check should be begin at what age? - correct answer-3 years old
Which bone is most commonly infected by osteomyelitis? - correct answer-Bones of the
vertebral spine (Long bones in children)
What first test should be ordered if Calcium is high? - correct answer-Albumin level since
50% of Calcium is protein bound
constrictive pericarditis PE finding - correct answer-Kussmaul sign
Chadwicks sign - correct answer-Blue cervix when pregnant
Achalasia Tx - correct answer-Botox
Ganglion Cyst - correct answer-
Spontaneous Abortion - correct answer-
Placenta Previa - correct answer-Painless
Secondary hypothyroidism - correct answer-
Internal Hemorrhoids Tx - correct answer-
Diagnosis of CF - correct answer-Elevated sweat chloride test
In infants the eyes should move parallel with one another by what age? - correct answer-6
months
Empysema PE findings - correct answer-Decreased tactile fremitus, diffuse hyperresonance
to percussion and distant heart sounds
,Indications for Chronic pancreatitis treatment - correct answer-Severe pain that limits the
patient's functioning
or intractable pain despite the use of non-narcotic analgesics and absence of alcohol intake.
Acute pericarditis treatment - correct answer-Indomethacin or other NSAID
What tissue and hormonal phase are present in the last 14 days of cycle - correct
answer-Secretory luteal phase under influence of estrogen and progesterone
Salmon patch - correct answer-light red macule over the nape of the neck or the glabella
Hallmark sign of EBV on smear - correct answer-presence of lymphocytosis with atypical
large lymphocytes
seen in the blood smear.
Best test to help manage patient that having seizures and hallucinations and says he has
done "drugs" - correct answer-Serum creatinine kinase is the most sensitive test to detect
rhabdomyolysis, a serious complication of seizures
and hyperthermia related to drug abuse.
TOC in chronic gout - correct answer-best drug to lower rate acid. It is xanthine oxidase
inhibitor-- lowers rates of gout
Colchine use - correct answer-Used in patients with topic gout and is used in the acute
phase of gout
When does Moro reflex start to disappear - correct answer-5-6 months of age
When does grasp reflex start to disappear - correct answer-2-3 months of age
When does the tonic neck reflex start to disappear? - correct answer-6-7 months of age
First line drug therapy for schizophrenia - correct answer-Atypical anti psych: olanzapine,
risperidone, quetiapine, ziprasidone, and clozapine
Galazzei fracture - correct answer-Along the length of the radius with damage to the distal
radioulnar joint
Colles fracture - correct answer-Fracture of the distal radius with dorsal displacement of the
radial head
Smith fracture - correct answer-Fracture of the distal radius with ventral displacement of the
radial head
Aortic stenosis murmur - correct answer-Straining decreases the intensity of the murmur
associated with aortic stenosis and squatting increases the
intensity.
, Use of systemic corticosteroids can cause what eye condition? - correct answer-Glaucoma
For a pregnant mother who's has not been vaccinated for rubella, when should she receive
the vaccine? - correct answer-The proper time to receive the vaccine is after delivery of the
infant.
What is the best initial screening test for SLE? - correct answer-ANA
Confirmation labs for SLE - correct answer-anti-smith and dsDNA
Positive kernig's sign - correct answer-pain is noted on straightening the knee after flexing
both the hip and knee.
Vulvular squamos cell hyperplasia presentation - correct answer-Thickening and
hyperkeratosis of the vulva. The lesions are red and
moist and cause intense pruritus over time the area becomes thickened and a white plaque
may develop.
Biopsy must be done to evaluate for intraepithelial neoplasm or invasive tumor.
MCC of serious bleeding in pregnancy - correct answer-Placenta abruptio- painful uterine
bleeding
Addison disease s/sx - correct answer-anorexia, weight loss, fatigue, GI symptoms, salt
craving, hyper pigmentation, hypotension
Addison disease dx - correct answer-1. corticotropin stimulation test (Cosyntropin)--> low
cortisol and high ACTH.
2. Labs: hypnoatremia, hyperkalemia, hypoglycemia, hypercalcemia (?)
CURB 65 - correct answer-Confusion, Uremia (BUn >19), RR> 30, BP <90 or <60, >65 or 65
Criteria for pleural effusion - correct answer-Light's criteria--> fluid is exudative if one of the
following is present--> Effusion protein/serum protein ratio greater than 0.5
Effusion lactate dehydrogenase (LDH)/serum LDH ratio greater than 0.6
Effusion LDH level greater than two-thirds the upper limit of the laboratory's reference range
of serum LDH
Exudative causes of PE - correct answer-TB, malignancy, pulmonary embolism
Transudative causes of PE - correct answer-Cirrhosis, CHF, nephrotic syndrome
Thiazide diuretic ADR - correct answer-hypokalemia, hyponatremia, hyperuricemia,
hyperglycemia
The finding of egophany is most consistent with? - correct answer-Lobar consolidation of
PNA
and answer
Fundal height at umbilicus correlates to what week? - correct answer-20-22 weeks
Kawasaki disease criteria - correct answer-"Feel my conjunctivitis"- Fever, edema,
erythematous rash, lymphadenitis, mucositis, conjunctivitis (non purulent)
Pharm TOC for gestation DM - correct answer-Regular Insulin- will not cross placenta
MC mechanism leading to primary pneumothorax - correct answer-Rupture of apical bleb
Tx of choice for hyperthyroidism in pregnant patient - correct answer-PTU
Annual BP check should be begin at what age? - correct answer-3 years old
Which bone is most commonly infected by osteomyelitis? - correct answer-Bones of the
vertebral spine (Long bones in children)
What first test should be ordered if Calcium is high? - correct answer-Albumin level since
50% of Calcium is protein bound
constrictive pericarditis PE finding - correct answer-Kussmaul sign
Chadwicks sign - correct answer-Blue cervix when pregnant
Achalasia Tx - correct answer-Botox
Ganglion Cyst - correct answer-
Spontaneous Abortion - correct answer-
Placenta Previa - correct answer-Painless
Secondary hypothyroidism - correct answer-
Internal Hemorrhoids Tx - correct answer-
Diagnosis of CF - correct answer-Elevated sweat chloride test
In infants the eyes should move parallel with one another by what age? - correct answer-6
months
Empysema PE findings - correct answer-Decreased tactile fremitus, diffuse hyperresonance
to percussion and distant heart sounds
,Indications for Chronic pancreatitis treatment - correct answer-Severe pain that limits the
patient's functioning
or intractable pain despite the use of non-narcotic analgesics and absence of alcohol intake.
Acute pericarditis treatment - correct answer-Indomethacin or other NSAID
What tissue and hormonal phase are present in the last 14 days of cycle - correct
answer-Secretory luteal phase under influence of estrogen and progesterone
Salmon patch - correct answer-light red macule over the nape of the neck or the glabella
Hallmark sign of EBV on smear - correct answer-presence of lymphocytosis with atypical
large lymphocytes
seen in the blood smear.
Best test to help manage patient that having seizures and hallucinations and says he has
done "drugs" - correct answer-Serum creatinine kinase is the most sensitive test to detect
rhabdomyolysis, a serious complication of seizures
and hyperthermia related to drug abuse.
TOC in chronic gout - correct answer-best drug to lower rate acid. It is xanthine oxidase
inhibitor-- lowers rates of gout
Colchine use - correct answer-Used in patients with topic gout and is used in the acute
phase of gout
When does Moro reflex start to disappear - correct answer-5-6 months of age
When does grasp reflex start to disappear - correct answer-2-3 months of age
When does the tonic neck reflex start to disappear? - correct answer-6-7 months of age
First line drug therapy for schizophrenia - correct answer-Atypical anti psych: olanzapine,
risperidone, quetiapine, ziprasidone, and clozapine
Galazzei fracture - correct answer-Along the length of the radius with damage to the distal
radioulnar joint
Colles fracture - correct answer-Fracture of the distal radius with dorsal displacement of the
radial head
Smith fracture - correct answer-Fracture of the distal radius with ventral displacement of the
radial head
Aortic stenosis murmur - correct answer-Straining decreases the intensity of the murmur
associated with aortic stenosis and squatting increases the
intensity.
, Use of systemic corticosteroids can cause what eye condition? - correct answer-Glaucoma
For a pregnant mother who's has not been vaccinated for rubella, when should she receive
the vaccine? - correct answer-The proper time to receive the vaccine is after delivery of the
infant.
What is the best initial screening test for SLE? - correct answer-ANA
Confirmation labs for SLE - correct answer-anti-smith and dsDNA
Positive kernig's sign - correct answer-pain is noted on straightening the knee after flexing
both the hip and knee.
Vulvular squamos cell hyperplasia presentation - correct answer-Thickening and
hyperkeratosis of the vulva. The lesions are red and
moist and cause intense pruritus over time the area becomes thickened and a white plaque
may develop.
Biopsy must be done to evaluate for intraepithelial neoplasm or invasive tumor.
MCC of serious bleeding in pregnancy - correct answer-Placenta abruptio- painful uterine
bleeding
Addison disease s/sx - correct answer-anorexia, weight loss, fatigue, GI symptoms, salt
craving, hyper pigmentation, hypotension
Addison disease dx - correct answer-1. corticotropin stimulation test (Cosyntropin)--> low
cortisol and high ACTH.
2. Labs: hypnoatremia, hyperkalemia, hypoglycemia, hypercalcemia (?)
CURB 65 - correct answer-Confusion, Uremia (BUn >19), RR> 30, BP <90 or <60, >65 or 65
Criteria for pleural effusion - correct answer-Light's criteria--> fluid is exudative if one of the
following is present--> Effusion protein/serum protein ratio greater than 0.5
Effusion lactate dehydrogenase (LDH)/serum LDH ratio greater than 0.6
Effusion LDH level greater than two-thirds the upper limit of the laboratory's reference range
of serum LDH
Exudative causes of PE - correct answer-TB, malignancy, pulmonary embolism
Transudative causes of PE - correct answer-Cirrhosis, CHF, nephrotic syndrome
Thiazide diuretic ADR - correct answer-hypokalemia, hyponatremia, hyperuricemia,
hyperglycemia
The finding of egophany is most consistent with? - correct answer-Lobar consolidation of
PNA