Family Medicine Internship Mar-Apr 2020 Exit Exam

Name

At what level of liver enzyme elevation is it required to stop statin treatment immediately?

62. At what score will a patient be considered at risk for fall according to the Fall Risk Assessment?

A 19/F med tech student consults with you about her feeling of depression for more than 6 months. PHQ-9 score of 19, GAD-7 score of 7. If you intend to begin therapy with escitalopram 10mg/tab ½ tab ODHS, the following are potential adverse effects except:

A 77/F patient arrives at the OPD with chief complaint of low back pain. On lumbosacral spine x-ray. Results showed that there was anterior displacement of the 5th lumbar vertebra. This condition is known as:

At what level of liver enzyme elevation is it required to stop PTB treatment immediately?

An 80 y/o F patient scored 4 on her Katz Index of Independence in Activities of Daily Living. How would you describe this patient’s level of independence?

In prescribing medication for DM type 2, at what GFR level should dose reduction of metformin be implemented?

You conduct the MMSE on a 77 y/o F college graduate patient where she scores 19. What is her cognitive status?

Treatment of asthma consists of both controllers and relievers. Which of the following medications can be used as both?

A 60 y/o M patient consults with you with a chief complaint of epigastric pain. The patient describes it as burning in character, exacerbated by lying down. Past medical history shows previous MI occurring 1 year PTC. Which of the following medication is suitable for your patient?

A 43/M tailor comes to you with a chief complaint of bilateral hand numbness, with pricking sensation and electricity-like sensation and occasional ache, aggravated by overuse of the hands. If you were to give pain relief for this patient, which medication can you give?

Which of the following is a synonym for lateral epicondylitis

Proton Pump Inhibitors are usually the first line medication for patients with GERD and are well-tolerated. In what case, however, are PPIs contraindicated?

What is the gold standard antibiotic for treatment of uncomplicated UTI?

A 42 y/o M patient consults with you with a lab result of AFB+ on sputum AFB smear with no previous history of PTB treatment. If you are going to begin treatment for PTB, which of the following is not necessary?

What is our target HBA1C in a 70 y/o F patient with Hypertension as comorbidity?

You administer the family APGAR score to a relative of your patient with the result a score of 6. What is your interpretation of this result?

A 32/F office clerk is diagnosed with hyperthyroidism and you intend to begin anti-thyroid medication. Which of the following lab tests is required prior to starting treatment?

A 24/M patient arrives at OPD with maculopapular rash over his face, torso and extremities that appeared the day before. Patient currently has high- grade fever and you note that the skin lesions show areas of branny desquamation. Patient is unsure of his vaccination status. White clustered lesions were seen on the patient’s buccal mucosa next to the molars. What is your diagnosis?

In assessing and treating this patient, what precaution should be observed?

A 10 y/o M patient was brought to you for jaundice and weakness lasting for 1 month duration. Which of the following is the most important topic in your history taking?

At what level of serum triglycerides are fibrates indicated?

In this situation, what disorder are we preventing?

A 55 y/o F 70kg patient returns for follow up consult with laboratory results showing FBS of 230 and HBA1C of 11%. If you are to prescribe insulin glargine for this patient, how many units should she receive daily?

Which of the following activities is not included in the Lawton Instrumental Activities of Daily Living Scale?

A 40 y/o F patient came to you with a chief complaint of lower back pain. She is a labandera who works 8 hours every other day, with a past medical history of peptic ulcer. Which of the following is ideal medication?

Which of the anti-Koch’s meds is the most hepatotoxic?

On a family map, a relationship between two people represented by a triple line represents what type of relationship?

A patient 38/M, known asthmatic on salmeterol-fluticasone maintenance arrives at our outpatient department with a BP of 150/100. The following are appropriate medication except:

Which of the following information is not found at the top of a genogram?