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COMAT - Family Medicine Test with Questions and Solutions
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COMAT - Family Medicine Test with Questions and Solutions
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COMAT - Family Medicine Test withQuestions and Solutions
difference between common and classic migraine? - ✔✔common migraine: *NO AURA*
classic migraine: *HAS AURA*
difference between acute otitis media and otitis media with effusion? - ✔✔*acute otitis
media*
- inflammation and bulging of TM
- white or even pale yellow TM
- possible pus behind TM
*otitis media with effusion*
- middle ear effusion in the absence of acute symptoms
- mild bulging of the TM with recent ear pain or erythema
- new onset otorrhea
- amber or blue TM
- fluid levels or bubbles behind TM
treatment for patient with Pseudomonas UTI - ✔✔*ciproflolxacin* or *levofloxacin*
work-up of thyroid nodules - ✔✔1. *TSH*
2. If *NORMAL TSH → ULTRASOUND OF THYROID*
,3. For *NODULES . 1 CM → FNA*
4. For *DECREASED TSH →
RADIONUCLIDE THYROID SCAN*
intermittent claudication or chronic lower extremity pain in a young adult
typically:
male
*claudication associated with movement*
palpable pedal pulses - ✔✔*popliteal artery entrapment*
- symptoms may progress to paresthesias as they develop fibrosis of the popliteal artery
methimazole vs propylthiouracil - ✔✔*METHIMAZOLE* is recommended over
propylthiouracil due to potential hepatotoxicity
"*M*ethimazole *M*inimal side effects"
"*PTU* IS *PREFERRED* IN *PREGNANCY*"
fever
malaise
fatigue
weight loss
pallor
petechiae
, bone pain
PE findings:
*generalized LAD*
*hepatosplenomegaly*
(in a young child 1-10 years old) - ✔✔*acute lymphoblastic leukemia*
diagnosis:
* IMMEDIATE BONE MARROW BIOPSY*
relationship between L5 and sacrum? - ✔✔*L5 ALWAYS ROTATES IN THE OPPOSITE
DIRECTION AS THE SACRUM*
*L5 SIDEBENDS IN SAME DIRECTION AS ENGAGED OBLIQUE SACRAL AXIS*
- forward sacral torsions are type I neutral mechanics
- backward sacral torsions are type II flexed or extended
B/L or U/L lower extremity numbness and weakness with back pain
pain worsens with flexion and radiates down the legs
discomfort can get worse with prolonged sitting - ✔✔*lumbar disk herniation*
pain in the buttocks and hamstrings
aggravated by sitting (long distance drivers) or squatting (long distance running) -
✔✔*piriformis syndrome*
anterior knee pain
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