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Family Med COMAT (COMBANK) exam with correct solutions
Typology: Exams
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Most |sensitive |diagnostic |modality |to |initially |look |for |H. |Pylori? |- |correct |answer |✔serologic |testing
test |to |see |if |eradication |of |H. |pylori? |- |correct |answer |✔urea |breath |test
Best |first |test |to |see |if |have |fungal |toe |infection? |- |correct |answer |✔KOH |scrapings |from |toe
can |take |up |to | 12 |weeks |for |turbinafen |to |take |effect
most |common |lobe |of |aspiration |in |alcoholics? |- |correct |answer |✔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 |answer |✔NSAIDS |cause |intake |of |Na+ |as |well |as |inc |vascular |resistance.
-Tramadol/opiates
fasting |lipid |profile |requires |how |much |time |between |Alcoholic |beverages? |-
|correct |answer |✔ 24 |hrs
tests |for |diabetics |to |ensure |no |complications? |- |correct |answer |✔-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 |answer |✔when |bronchioles |inflame |and |mucus |builds |up |inside--> |productive |cough |like |white |sputum
Honeycombing |on |CT
Acute |Otitis |Media |Tx |Plan: |- |correct |answer |✔1) |don't |give |if |kid |healthy |btw. |6mo-2y/o
3)amoxacillin-clavinic |acid |if |recurrent
test |to |see |if |have |mono |- |correct |answer |✔-CBC |w/ |Heterophile |Ab |test |(monospot)
dog/cat |bites: |- |correct |answer |✔-gram |negative |bugs |(pasteurella)
-Abx: |amoxacillin-clavulanate |(augmentin) |3-5 |days
ezetimibe |MOA |- |correct |answer |✔inhibits |neiman |pick |C1 |protein
inhibiting |absorption |of |Cholesterol |in |intestinal |lining
most |likely |complication |of |nephrotic |syndrome |- |correct |answer |✔venous |thrombosis
-throbosis |of |L. |Renal |Vein-->varicocele
Routine |screening |for |old |males |that |smoked/smoke |- |correct |answer |✔- abdominal |US |for |AAA
-colonoscopy |(w/in |last | 10 |years)
-FLP's
morton's |neuroma |- |correct |answer |✔pain |btw. |the |toes |often |from |wearing |tight |toed |shoes |for |a |long |time
which |SSRI |is |linked |with |birth |defects |during |first |trimester? |- |correct |answer |✔paroxetine
what |to |supplement |babies |exclusively |fed |breast |milk? |- |correct |answer |✔Vit. |D......cuz |it's |not |in |breast |milk!
sciatica |- |correct |answer |✔pain |radiating |down |to |distal |leg
piriformis |syndrome |- |correct |answer |✔pain |radiating |down |upper |leg |with |point |tenderness |over |piriformis |muscle
lumbar |disc |herniation |- |correct |answer |✔sciatic |pain/numbness |all |the |way |down |the |lower |leg |but |usually |w/ |history |of |lifting |something |heavy
acute |otitis |media |vs. |otitis |media |w/ |effusion |- |correct |answer |✔AOM: |painful |right |away |with |acute |symptoms-->bulging |tympanic |membrane
OME: |more |gradual |symptoms--> |no |bulge
cholesteatoma |- |correct |answer |✔abnormal |growth |of |squamous |epithelium |in |eustacian |tube, |plugging |it |up
tympanosclerosis |- |correct |answer |✔from |recurrent |damage |to |TM
-whitish |plaque |of |TM, |no |light |reflex
HIV |prophylaxis |- |correct |answer |✔inhibition |of |Viral |Replication
TB |test |for |someone |w/ |BCG |vaccine |- |correct |answer |✔quantiferon |test
how |do |you |treat |strep. |pneumo? |- |correct |answer |✔doxycyclin |or |macrolides
Drusen |- |correct |answer |✔small |yellow |round |spots |on |retina |--> |normal |aging |or |macular |degeneration
screen |for |AAA? |- |correct |answer |✔old |men |65-75 |that |have |ever |smoked
which |can |be |grown |in |culture, |brucellosis |or |Q |fever? |- |correct |answer
|✔brucellosis
IBS |refers |to |what | 2 |diseases? |- |correct |answer |✔UC |or |Chrones
first |line |tx |for |comedone |acne |- |correct |answer |✔topical |retinoid |(tretinoin)
common |causes |of |ED |- |correct |answer |✔-SSRI's
anti-HTN |meds
TCA's
Digoxin
Antihistamines
*make |lifestyle |changes |or |med |changes |before |adding |sildenafil
dementia |mild-moderate |Tx |- |correct |answer |✔donepizil
dementia |mod-severe |Tx |- |correct |answer |✔memantine
thyroid |nodule |workup |- |correct |answer |✔nodule--> |TSH-->U/S-->Radiolabeling- ->Fine |Needle |Aspiration
most |common |thyroid |cancer? |- |correct |answer |✔papillary |thyroid |CA...psamoma |bodies
Diabetes |Diagnostic |Criteria |- |correct |answer |✔HbA1C |> |6.5%
fasting |glucose |>
oral |glucose |tolerance |(2 |hr) |>
random |blood |glucose |>200 |+ |diabetes |symptoms
LAIV4 |quadrivalent |flu |shot:
PPSV23; |Pneumovax:
Tetanus |diptheria:
IIV3: |- |correct |answer |✔LAIV4: |healthy |non-prego |adults |up |to | 50
PPSV23: |co-morbid |conditions(diabetes,HIV, |immunocompromized)
Td: |booster |every | 10 |yrs
IIV3: |dead |flu |shot: |people |with |egg |allergies
chron's |always |affects |where? |- |correct |answer |✔terminal |ileum |(chapman |= |R |prox. |femur)
Hep. |A |possible |people |exposure |prophylaxis |- |correct |answer |✔Vaccine |all |people |around |that |person |in |last |day
macular |degeneration |will |lose |what |type |of |vision? |- |correct |answer |✔central |vision, |not |peripheral
any |sort |of |bite |gets |what? |- |correct |answer |✔augmentin |(amoxacillin/clavulanate)
AV |(arteriovenous) |nicking |- |correct |answer |✔HTN |retinopathy
neovascularization |of |retina |is |specific |to |what |disease? |- |correct |answer |✔diabetic |retinopatny
methmazole |is |not |used |in?
PTU |is |not |used |in? |- |correct |answer |✔-pregnancy |b/c |teratogen, |so |use |PTU
-children/adults, |use |methimazole |first
what |is |first |line |to |lower |TRG's?
First |line |to |dec. |CV |risk? |- |correct |answer |✔-fibrates
-statins
most |common |cause |of |pancreatitis |- |correct |answer |✔hypertriglyceridemia |
-next |is |alcoholism |and |acute |pancreatitis
acute |vision |loss |+ |headache |in |abscence |of |motor |deficits |- |correct |answer |✔cerebral |vascular |accident
symptoms |of |asthma |<2 |days/week |- |correct |answer |✔intermittent |asthma
asthma |symptoms |>2days/week |- |correct |answer |✔moderate |asthma
dietary |supplements |in |osteoporosis
-premenopause |w/ |osteoporosis
-normal |ppl |- |correct |answer |✔Calcium: |1200mg/day
Vit. |D3: | 800 |IU's
calcium: |1000mg/day
Vit. |D: | 600 |IU's
migraine |w/out |visual |aura |- |correct |answer |✔common |migraine
very |bad |headache
usually |men
short |lasting
Near |Eye |- |correct |answer |✔cluster |headache
screening |test |for |prego |@ | 11 |wks |- |correct |answer |✔Urinary |screen |for |asymptomatic |Bacteriuria
screening |test |for |prego |@ |35-36 |wks, |just |before |delivery |- |correct |answer
|✔Group |B |Strep.
aphthous |ulcers: |- |correct |answer |✔small |ulcers |w/ |grayish |base-->spontaneous
Tx: |steroids |(triamcinolone)
CV |events |biggest |risk |factor? |- |correct |answer |✔HTN
AFP |levels |in |downs |syndrome? |- |correct |answer |✔dec.
what |gives |increased |AFP |during |prego? |- |correct |answer |✔multiple |gestations
neural |tube |defects
wide |QRS |means |what? |- |correct |answer |✔conduction |coming |from |ventricles, |and |not |perkinjie |system, |which |ultimately |causes |a |slower |depolarization |of |ventricles
what |age |for |mammorgraphy? |- |correct |answer |✔ 50 |y/o |
same |as |colonoscopy
what |is |RADS?
what |do |you |see |on |broncheolar |lavage? |- |correct |answer |✔Reactive |dysfunction |syndrome: |when |you |breath |toxic |shit...
you |see |neutrophilia
what |should |all |adults |and |pregnant |women |be |screened |for? |- |correct |answer |✔alcohol |misuse |using |CAGE |questionnaire
Cut |down
Annoyance |when |asked
Guilt
Eye-openers |in |morning |to |function
sinusitis |in |kids? |- |correct |answer |✔amoxacillin-clavulanate
if |allergy |to |penicillin |use: |3rd |gen |cephalosporin
routine |screen |for |first |visits |with |prego |woman |- |correct |answer |✔-pap |smear
-cervical |cancer |screen
first |step |in |carpal |tunnel |tx. |- |correct |answer |✔neutral |wrist |splinting
all |women |should |receive |what |vaccine |during |every |pregnancy |- |correct
|answer |✔Tdap |vaccine
craniosynostosis |first |diagnostic |step |- |correct |answer |✔x-ray |of |head
how |often |to |do |PAP |smears |in |women |21-65? |- |correct |answer |✔every | 3 |yrs
pt. |w/ |RA, |feeling |tired |and |low |Hb. |- |correct |answer |✔Anemia |of |Chronic |Disease. |
Looks |just |like |Iron |Deficiency |Anemia, |except |Ferritin |is |storing |all |of |the |iron |in |the |body, |so |FErritin |is |High |in |ACD.