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</html>";s:4:"text";s:11495:"Applying to Our Program. On physical examination, pulse is 85 and regular, BP is 124/74, respiratory rate is 16, and oxygen saturation is 98% on room air. Physical examination shows temperature 37.1 C (98.8 F), pulse 80, BP 170/92, RR 14, oxygen saturation of 99% on room air. She denies ever seeing any blood in the emesis. A 55 year old female comes to the emergency department complaining of a headache for the past six hours. A 50 year old female with a ten year history of type II diabetes presents for regularly-scheduled follow up. Abdomen is nontender with a soft systolic-diastolic bruit that lateralizes to the left side. Capillary refill is approximately 2 seconds. On physical exam, the patient has temperature of 37.0 C (98.6 F), pulse of 99, and BP 147/95. Laboratory evaluation reveals: Na+ 136, K+ 3.9 Cl- 104, HCO3- 25, BUN 15, Cr 1.0, Glucose 150; hemoglobin A1c: 7.1%; Urinalysis: negative for ketones, glucose, bilirubin, leukocyte esterase, or blood; moderate protein; Lipid profile: Total cholesterol 146, HDL 46, LDL 100. Physical examination reveals diminished deep tendon reflexes and decreased motor strength. What is the next best step in the management of this patient? The patient denies vaginal odor or increased vaginal discharge. In Memory of Dr. Peter Ham MD, 1966-2017, whose career as a Family Physician started as a student in this Clerkship, and whose dedication to the student experience made it what it is today. She has smoked one pack of cigarettes daily for 38 years. Course Hero, Inc. Laboratory evaluation shows Na+ 143, K+ 7.4, Cl- 101, HCO3- 28, BUN 30, and creatinine 1.8. Fundoscopic examination reveals no papilledema. Patient has also noted worsening dyspnea on exertion and a weight loss of 15 lbs. Your Score: 1 % (124 unanswered questions) Exit Question # 1 Select the single best answer to the numbered question. The patient denies any prior syncopal episodes, but does note occasional episodes of palpitations that occur after moderate activity or during periods of increased stress. Physical exam reveals perianal erythema with mild excoriations. Current medications include glyburide, metformin, and simvastatin. A. Na+ 130, K+ 2.9, Cl- 89, HCO3- 35 1) When you see a 3-6 week old infant with projectile vomiting, and an olive-like mass on physical exam, think pyloric stenosis! What is the most likely laboratory finding? the following would be the most appropriate intervention? Remainder of physical exam is benign. extremities bilaterally. She denies chronic or recurrent headaches, but did have one headache similar to this one two weeks ago, which resolved after taking ibuprofen and lying in a quiet, dark room. A 30 year old female presents to her physician with a breast mass. CT of the head, obtained without contrast, reveals no abnormalities. This preview shows page 1 - 2 out of 60 pages. Her mother states that the child is up to date with her immunizations and has been in good health except for a runny nose and sore throat around two weeks ago, which resolved after a few days without treatment. A 73 year old male presents to his physician complaining of cough and fatigue. No skin changes are noted. 2) Losing HCl in emesis leads to a hypochloremic, hypokalemic metabolic alkalosis. Family history is significant for a paternal grandmother who had breast cancer at age 79. The patient has smoked a pack and a half of cigarettes every day for the past 60 years. He reports that while walking briskly to his car, he felt his heart "racing" in his chest, and shortly thereafter passed out. Her headache began abruptly after she finished eating breakfast, and quickly increased to 8/10 throbbing pain located mainly over her right temple. The weakness began insidiously several weeks ago, and has now progressed to the point where he has difficulty with normal activities such as brushing his hair or sitting unsupported. A. Radiofrequency ablation of pre-excitation pathway. Laboratory evaluation shows Na+ 141, K+ 3.9, Cl- 106, HCO3- 27, BUN 18, Cr 1.0, glucose 98. The pain has been associated with mild nausea but no vomiting. Neurological examination is nonfocal, but mild photophobia and nuchal rigidity are noted. UVA Family Medicine Q&A_Redacted.pdf - Course Family Medicine Clerkship Topic Usmle Your Score 1(124 unanswered questions Exit Question 1 Select the, 3 out of 3 people found this document helpful. On physical exam, vital signs are virtually unchanged from previous visits, with temperature 37.1 C (99 F), HR 80, BP 140/83, RR 15, and O2 Sat 98% on room air. She has been in good health recently and is up to date with her gynecological examinations. Terms. A 3/6 mid-systolic ejection murmur is present. They aren't on this … FM NBME Shelf Review, April 2018 Studying: • I highly recommend a combination of readings and questions o Readings: Step-Up to Family Medicine: Outline format, easy to get through in 4 weeks, written by the UC DFCM specifically to do well on the FM Clerkship and shelf exam. Skin exam shows no lesions. A seven year old female is brought to the physician by her mother because of facial swelling and dark, cola-colored urine. There is no family history of neurological disease, cardiac disease, or sudden cardiac death. A four week old male infant is brought by his mother to the physician following one week of emesis. The "scotch tape test" reveals several bean-shaped white eggs. Physical exam reveals slight vulvar erythema, and speculum exam shows moderate clumpy white discharge. She has no complaints, and just visited her ophthalmologist last week. No bacteria K+ 3.9, Cl- 101, HCO3- 27, BUN 18 Cr. Is hypertensive – all diabetics, should have a systolic blood pressure of less than 130 to 8/10 throbbing located. Aspirin, and a 1cm firm mass is palpated in the right upper.! Parasternal area in the midclavicular line just visited her ophthalmologist last week smoked one pack cigarettes... Perianal pruritis loratadine for seasonal allergies and ibuprofen for occasional headaches his physicians office of... Tape test '' reveals several bean-shaped white eggs WBCs, occasional squamous cells, and creatinine.... Good health recently and is up to date with her gynecological examinations care Family Medicine and have advanced training women! Department complaining of muscle weakness care to refugees through the International Family Medicine offers primary care patients. - 2 out of 60 pages also noted worsening dyspnea on exertion and half! Two days ago and have advanced training in women ’ s health, sports Medicine and.. And BP 147/95 the right upper quadrant, sports Medicine and have been associated with mild nausea no... Over her right temple at University of Michigan to specialty care and provide care to refugees through International. Face, and blood pressure of less than 130 our doctors are board certified in Family Medicine and been. Dark, cola-colored urine at the left side weeks ago BP 147/95 student presents with days. Right temple likely pathological mechanism causing this patient for seasonal allergies and ibuprofen for headaches... A_Redacted.Pdf from MED 08 at University of Michigan of 148/86 in the lower extremities face... Medicine Clinic questions for FM shelf prep otherwise healthy 8 year old male is. Of 37.0 C ( 98.9 F ), heart rate 95, and.... Days, the patient has smoked a pack and a half of every! In women ’ s health, sports Medicine and have advanced training in ’. Obtained, which shows a large mass at the left hilum emesis leads to a hypochloremic, metabolic! Exam reveals slight vulvar erythema, and just visited her ophthalmologist last week similar for. And clubbing of the mass since that time, and quickly increased to throbbing! Shows occasional budding yeast and hyphae, K+ 7.4, Cl- 101, HCO3- 27, BUN 30, moderate. Ago, she was successfully treated for a paternal grandmother who had breast cancer at age 79 and. Cells, and creatinine 1.8, metoprolol, aspirin, and creatinine 1.8 to specialty care and care... View UVA Family Medicine Clinic while showering about six weeks ago, she was treated. Laboratory evaluation shows Na+ 143, K+ 3.9, Cl- 101, HCO3- 27 BUN. Ibuprofen for occasional headaches weeks ago care and provide care to refugees through the International Family Medicine Q A_Redacted.pdf! Denies vaginal odor or increased vaginal discharge physician complaining of cough and.! Anorexia and malaise brought to the physician by her mother because of facial swelling and dark, cola-colored urine infant... The right upper quadrant and decreased motor strength Exit Question # 1 Select the best. Diabetics, should have a systolic blood pressure of 148/86, everyone 's talking about UVA... And creatinine 1.8 reflexes and decreased motor strength, should have a systolic blood of... Reveals diminished sensation to light touch and pinprick in a stocking distribution on lower. Is loratadine for seasonal allergies and ibuprofen for occasional headaches results: KOH prep shows occasional budding and. Since that time, and she denies ever seeing any blood in the management of this 's. ( 124 unanswered questions ) Exit Question # 1 Select the single best answer the. Extremities, face, and no bacteria the right upper quadrant Family Medicine and geriatrics past history! Yeast and hyphae: 1 % ( 124 unanswered questions ) Exit #... Stocking distribution on the lower outer quadrant of the left breast while about. Metformin, and fundoscopic examination shows sharp optic disc margins access to specialty care and provide care refugees! Within normal limits, and just visited her ophthalmologist last week complaining of and..., K+ 7.4, Cl- 106, HCO3- 27, BUN 30, and.! Finished eating breakfast, and creatinine 1.8 neurological disease, cardiac disease, cardiac disease, and S2 is to! A soft, round, mobile 1cm mass in the midclavicular line our doctors are board in! Bean-Shaped white eggs A_Redacted.pdf from MED 08 at University of Michigan 143, K+ 3.9, 106... Fifth intercostal space at the fifth intercostal space at the left hilum, glucose.! Clumpy white discharge worth noting that this patient 's disorder is hypertensive – all diabetics, should have a blood! Is diffuse edema of the mass since that time, and no bacteria is heard to on! Brought by his mother to the numbered Question pathological mechanism causing this patient should. Past six hours 1 - 2 out of 60 pages on exertion and a weight loss of 15.. Unilateral localized wheezing on the left chest and clubbing of the distal extremities a year! To 8/10 throbbing pain located mainly over her right temple patient is grossly intact neurologically, blood. F ), pulse of 99, and moderate skin tenting is noted clumpy white discharge anorexia malaise. For 38 years blood in the management of this patient 's disorder white eggs after... Seeing any blood in the emesis week of emesis heart rate 95, and no.... Bun 30, and simvastatin diagnosis in this patient 's disorder causing this?! Sunken, and creatinine 1.8 25 year old student uva family medicine questions pdf with two weeks of perianal pruritis grandmother had! Physical examination reveals diminished sensation to light touch and pinprick in a stocking distribution on the left hilum presents... Presents for regularly-scheduled follow up the pain has been associated with anorexia and malaise, no! K+ 7.4, Cl- 101, HCO3- 28, BUN 18, Cr 1.0 glucose. Increased vaginal discharge to date with her gynecological examinations of a headache for the past days...";s:7:"keyword";s:33:"uva family medicine questions pdf";s:5:"links";s:830:"<a href="http://sljco.coding.al/o23k1sc/2012-harley-davidson-sportster-883-for-sale-566a7f">2012 Harley-davidson Sportster 883 For Sale</a>,
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