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Family medicine paea eor questions and Answers 100% Solved
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Family medicine paea eor questions andAnswers 100% Solved
A 35-year-old man is admitted to the hospital with progressive shortness of breath, fever, and
worsening cough. The patient had been in good health until 2 months ago, when he began
losing weight. This was associated with anorexia, intermittent diarrhea, night sweats, and then a
nonproductive cough. He had lost more than 20 pounds by the time he was admitted to the
hospital. His past medical history is unremarkable. He has been divorced for 5 years, and he has
1 child. He is employed as a medical equipment salesman, traveling extensively in the Midwest.
He admits to drinking alcohol in large amounts on weekends, but he denies tobacco and
intravenous drug use. He gives history of a previous homosexual encounter. Physical
examination shows that the chest was normal to percussion and clear by auscultation, except
for a few scattered ronchi. The heart is normal except for tachycardia. The abdomen is soft with
normal bowel sounds. Genitalia are normal; however, there is a painful 2 cm ulceration at the
anal verge. The neurologic exam is unremarkable. Chest radiological findings show diffuse
bilateral interstitial infiltrates. Arterial blood gases on room air show pO2- 57mmHg, pCO2 31
mmHg, and pH 7.45. His alveolar-arterial O2 gradient is 55mmHg. Bronchoalveolar lavage flui d
with lung biopsy shows the presence of cysts. Sputum cytology is negative for acid-fast bacilli.
What is the most likely diagnosis?
A AIDS-related tuberculosis
B Secondary syphilis
C Pneumocystis pneumonia
D Lung cancer
E Legionella pneumonia ✔✔C
A 45-year-old man presents with a 24-hour history of severe anal pain and swelling. The pain
started after straining at defecation and has worsened over the course of the day. There is no
history of fever. Examination of the anal area reveals a swollen ecchymotic mass in the perianal
skin, very close to the anal verge. What is the treatment of choice for this condition?
A Immediate surgical drainage in the operating room
B Antibiotics
C Excision of thrombosed external hemorrhoid
D Immediate colonoscopy
E Internal sphincterotomy ✔✔C
A 30-year-old man presents with a 2-month history of coughing and a 2-day history of coughing
blood. He has been losing weight and sweating at night. On physical examination, the patien t
appears wasted, tachypneic, has bronchial breath sounds on the right upper lobe, an
crepitations on the left upper lobe and right mid zone. His direct sputum result comes bac
, d
k
nd
treatment is started. Refer to the image. Retrobulbar neuritis is the predominant adverse
effect of what drug? A Isoniazid
B Rifampin
C Pyrazinamide D Streptomycin
E Ethambutol ✔✔E
what is the first line imaging test when you suspect a DVT ✔✔venous duplex US
- will show non compressible echogenicity
what is the gold standard diagnoses of DVT ✔✔venography
what is the gold standard diagnoses of PE ✔✔pulmonary angio
what is the most useful test to diahnose HF ✔✔echo
systolic HF has EF while diastolic has EF ✔✔decreased
normal (preserved)
a patient has blood pressure 180/110 without end organ damage ✔✔HTN urgency
a patient with HCM is what type of dysfunction ✔✔diastolic
hCM on echo will show ✔✔hypertrophied septum
the MC initial complain in HCM is ✔✔Dyspnea
hars systolic crescendo decrescedno mumru at LUSB in HCM will decrease and increase with
what ✔✔Decrease:
Squatting
Laying Down
,Increase:
Vlasalva
Standing
, Digoxin
a patient presents with dyspnea chest pain, weakness, fatigue,S2, sxs of RSHF, what is the
diagnoses ✔✔Pulmonary HTN
EKG in Pulm HTN shows ✔✔cor pulmonale
Dx pulmonary HTn with ✔✔Right sided cath
the CBC in a patient with polycythemia will show ? ✔✔increased everything
how do you treat pericarditis ✔✔NSAIDs
how do you treat dressers syndrome ✔✔aspirin
colchine
how do you treat systolic heart faulure ✔✔ACE and diuretic
vasodilators decrease? ✔✔afterload
the most effective treatment for symptoms of heart failure ✔✔loop diuretics
inflammation of superficial vein due to IV with erythema and edema with a palpable cord, is
known as , what is the sign for this ✔✔Thrombophlebitis
Trousseaus sign
common in malignancy and pancreatic cancer
how do you treat brown recluse spider bite ✔✔dapsone
or erythro
how does brown spider bite present ✔✔necrotic area near the wound
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