FREE Family Practice Exam MCQ Question and Answers
Which of the following is important to know when treating influenza?
Please select 2 correct answers
Explanation:
When taken within 24 to 48 hours of the onset of influenza symptoms, antivirals are most effective. But, if started after 48 hours, there are still some advantages. Older antivirals like amantadine and rimantadine are ineffective against influenza because of heightened resistance.
Which of the following should be avoided while treating depression in the elderly due to the possibility of cardiotoxic adverse effects?
Explanation:
Amitriptyline is one of several tricyclic antidepressants with a history of cardiotoxic adverse effects, particularly in the elderly. Because to their safety profile, SSRIs (selective serotonin reuptake inhibitors), like fluoxetine, are frequently used as the first line of therapy. Also generally safe for senior patients are dopamine reuptake inhibitors (DRIs) and SNRIs (serotonin and norepinephrine reuptake inhibitors), such as bupropion and venlafaxine, respectively.
A young couple comes in to get their 4-year-well-child old's checkup. You do a fluoride test after learning that their well is their main water supply. The test findings indicate 0.4 ppm (parts per million). Which of the following should the doctor tell the parents?
Explanation:
The primary prevention of dental cavities requires fluoride. If the main source of their water supply contains more fluoride than 0.6 ppm, fluoride is not necessary. Fluoride supplements should be taken as 0.25 mg PO qD from 3-6 years old and 0.5 mg PO qD from 6-16 years old because their fluoride content ranges from 0.3-0.6 ppm. Fluoride supplements should be administered at 0.25 mg PO qD between the ages of 6 months and 6 years, 0.5 mg PO qD from 3-6 years old, and 1 mg PO qD from 6 to 16 years old if the water's fluoride content is less than 0.3 ppm.
Which of the following symptoms is used to identify Parkinson's disease?
Explanation:
Parkinson's is a hypokinetic illness characterized by 4-6 Hz resting tremors, which appear in 50–70% of patients. Fall risk is increased by postural instability, a late sign. Myoclonus and dyskinesia are hyperkinetic syndromes, not related to Parkinson's.
A 27-year-old lady laments having trouble becoming pregnant. She observes a dramatic increase in weight, erratic menstruation cycles, acne, and hirsutism. Which of the following conditions should the doctor be on the lookout for?
Explanation:
Obesity in the center and a "moon" face are indicators of Cushing syndrome. Menstrual irregularities, glucose intolerance, and hirsutism are all related to an excess of cortisol. Graves' illness is a type of hyperthyroidism, whereas Addison's disease results from low cortisol production. The body's mechanism for controlling calcium is impacted by hyperparathyroidism.
Which of the following does not pose a risk for cataract development?
Explanation:
All of the aforementioned, with the exception of a poor diet and inadequate vitamin consumption, are risk factors for cataract development. Additional risk factors include growing older, being a woman, having diabetes, and using chromic steroids. Cataracts cause the lens to become opaque and thicker. It is the main contributor to blindness globally.
Regarding acute bronchitis, which is accurate?
Explanation:
As viruses are the primary cause of acute bronchitis, antibiotics are ineffective in treating them. Supportive care should be the main emphasis of treatment. According to studies, acute bronchitis with wheezing or airflow restriction may be treated with bronchodilators.
