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What Every Family Practice Doctor Should Know

written by: mattbeckwith
 
These are medical concepts which any good family practitioner would know. You might want to try it on your doctor!

Question 1:


When a patient presents with a sore throat, which of the following diagnoses may indicate immediate intubation?
Quinsy
Peri-tonsillar Abscess
Epiglottitis
Mononucleosis

Question 2:


All of the following medications are contraindicated during pregnancy, EXCEPT which one?
Methotrexate
Tetracycline
Nitrofurantoin
Valproic Acid

Question 3:


If a patient over the age of 50 presents with shoulder-and pelvic-girdle muscle pain, and you suspect a diagnosis of Polymyalgia Rheumatica, what question should you ask to rule out another diagnosis which often accompanies this one?
Does it ever seem that your heart is beating fast?
Do you have tingling in your feet or toes?
Does your jaw hurt when you chew?
Do you get short of breath?

Question 4:


If a patient has chest pain and ST elevation in nearly all leads of the EKG, what is the likely diagnosis?
Acute Myocardial Infarction
Pneumothorax
Pulmonary Embolism
Pericarditis

Question 5:


All of the following are treatments for rheumatoid arthritis EXCEPT which one?
Hydroxychloroquine
Gold
Carbamazepine
Prednisone

Question 6:


Which of the following opiates is most likely to cause seizures?
Morphine
Hydromorphone
Oxycodone
Meperidine

Question 7:


Treatment of asthma with a long-acting beta agonist is inadvisable unless you are also treating the asthma with a steroid.
False
True

Question 8:


All of the following are common causes of elevated liver enzymes EXCEPT which one?
Cholelithiasis
HMG Co-enzyme-A Reductase Inhibitors
Alcohol abuse
Fatty Liver

Question 9:


Which of the following is a possible cause of sudden-onset shortness of breath?
Neither of these
Both of these
Pulmonary embolism
Acute myocardial infarction

Question 10:


Which of the following is INCORRECT?
Esophoria need not be addressed before the age of 3.
In epispadias the urethral meatus is superior to its normal location.
Umbilical hernias almost always resolve spontaneously by the age of 5.
Acute otitis media in a child need not be treated with an antibiotic.

Question 11:


Which of the following patients should have the lowest goal low-density lipoprotein?
A 55-year-old man with colon cancer
A 60-year-old man with erectile dysfunction and a family history of coronary artery disease
A 50-year-old cigarette-smoking woman with familial hypercholesterolemia
A 30-year-old woman with type 2 diabetes

Question 12:


Which of the following tests would be appropriate to confirm the diagnosis of B12 deficiency in a patient whose B12 level is at the low end of the normal range?
Urine Catecholamines
Folic Acid level
Methylmalonic Acid level
Haptaglobin level

Question 13:


It is certainly feasible to practice medicine without ever prescribing opiate medications.
False
True

 


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