Could You Be A Small Town Family Doctor?

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Small town family doctors often operate in rural areas, miles and miles away from the nearest hospital. They need to know a bit of everything. When is Fred's fever dangerous? Is Darla's bone broken, or is it just a sprain? Is it time to call in an ambulance? Their diagnoses can mean the difference between life and death. Do you have what it takes to do the job?

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1. Kids at the local kindergarten are coming down with "nits": /
  1. They have lice
  2. They have a bad case of food poisioning
Nits (or lice) is a term used to describe the eggs or young form of a louse, specifically of head louse, which can be attached to human hair. It is very common in children between the ages of 3 and 11 years old and is often spread through contact. It is also used to refer to other parasitic insects.
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2. Rodney complains of a headache. You prescribe a(n):

goodluz /
  1. Analgesic
  2. Hormonal contraceptive
Analgesics are medication used to relieve pain by acting on the peripheral and central nervous systems. They are commonly referred to as pain killers or pain relievers.
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3. Oh no! Josh needs to get his appendix removed. Schedule an:

  1. Appendicitis
  2. Appendectomy
The suffix -ectomy refers to the surgical removal of a specific part of the body. For example, a tonsillectomy is the removal of the tonsils.
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4. Little kids might get scared when they see this in your office:

Mikhail Pankov /
  1. Laryngeal tube
  2. Syringe
A syringe is a tube with a nozzle and piston, which are used for sucking in and ejecting liquid, usually through a hollow or fitted needle. They are also used in the culinary industry, in laboratories, and some of them are found in parts of firefighting equipment.
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5. Chrissie came in holding her patella, also called a:

steph photographies /
  1. Carpus
  2. Kneecap
You might know the patella better as your knee cap! What do you have in common with an ostrich? Turns out, ostriches are the only other animals with double-kneecaps.
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6. How do you check little Tommy's reflexes?

Praisaeng /
  1. A reflex hammer
  2. Heavy metal music
A reflex hammer is a medical instrument that is used by medical professionals to test deep tendon reflexes as part of neurological physical exams to detect anomalies in the nervous system.
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7. Is Ms. Miller's liver inflamed? She may have:

Katheryna Kon /
  1. Hepatitis
  2. Diabetes
Hepatitis is the inflammation of the liver. It can be caused by both infectious (viral) and noninfectious (medication) agents. In some cases, it can be self-limiting and run its course, but in others, it can progress to fibrosis, causes serious damage to the liver.
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8. Daniel's wrist is swollen, and his joints feel loose. You suspect it's: /
  1. A bruise
  2. A torn ligament
That's right! A ligament is flexible fibrous connective tissue which connects two bones OR the cartilages or holds together a joint. The give your joints support and limit their movement.
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9. Joe consumes too much processesd meats and soda. He is at risk of:

Lightspring /
  1. Cardiovascular disease
  2. Lower respiratory infection
The cardiovascular system, also called the circulatory system, consists of the heart and other vessels, arteries, veins, and capillaries. Blood in the circulatory system is pumped by the heart in a closed circuit.
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10. Use this tool to examine the:

BT-Suksan /
  1. Anal cavity
  2. Ear
An otoscope is a device used to look in the ear to get a view of the ear canal and tympanic membrane. They are typically used during regular check-ups and when patients complain of symptoms concerning the ear.
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11. You suspect Mr. Johnson has liver failure because he:

Explode /
  1. Can't see clearly
  2. Has yellow eyes
One of the first signs of liver failure is swelling in the abdominal area, along with yellow skin, dark urine, and chronic fatigue.
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12. Spring is in the air! 70 - 80% of the U.S. population suffer from:

Africa Studio /
  1. Sinus headaches
  2. Scarlet fever
The sinuses are cavities within the bones of the face and skull, which serves many functions. They help to decrease the weight of the skull, and they produce a type of mucus which moisturizes the inside of the nose.
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13. What's Steve holding?

Nerthuz /
  1. His gastric folds
  2. His trachea
The trachea is also called your windpipe! You might want to check Steve for tracheitis, the inflammation of the trachea's linings.
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14. Most people that come into your practice have what kind of blood?

Schira /
  1. AC-
  2. O+
Nearly 35% of all people have O-positive blood types, making it the most common blood type in the world. 30% of all people have A-positive blood.
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15. Patsy can't climb the lighthouse without getting dizzy. Maybe she has:

Chinnapong /
  1. Vertigo
  2. Nausea
Vertigo is the feeling that either you or your environment is spinning. Healthcare professionals attribute it to issues involving the balance centers of the inner ear and brain.
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16. When might you suggest a blood plasma transfusion?

Edgloris Marys /
  1. To cure cancer
  2. To replace missing blood proteins
You may need a plasma transfusion to replace missing or low levels of blood proteins due to a medical condition such as liver disease.
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17. Clara can't stop coughing! She has a problem with her:

  1. Respiratory system
  2. Digestive system
One of the most common respiratory diseases is bronchitis. Bronchitis is the inflammation of the bronchial tubes, the main passageways/airway into the lungs.
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18. Being a doctor isn't pretty! Betty's ulcers are acting up again. Tell her to:

Pop Tika /
  1. Stop eating spicy food
  2. Stop eating broccoli
Not eating spicy foods won't cure ulcers, but it may stop irritating them. An ulcer is a break in the skin or mucous membrane, causing the loss of surface tissues and the disintegration/destruction of the surface's epithelial layer. They can be caused by injury, infection, or disease and are often slow to heal.
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19. Julie has a runny nose. She should administer this medication to her:

Just dance /
  1. Ears
  2. Nasal cavity
The nasal cavity refers to the inside of the nose. It is lined by a mucous membrane that helps to keep the nose moist. Some medications are administered intranasally, including sinus medication.
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20. What's that smell? Something's wrong with Bob's:

Emily Frost/Shutterstock
  1. Colon
  2. Larynx
The colon, also known as the large intestines, is an organ of the digestive system. It is responsible for removing water, salt, and nutrients from the food in the gut, thereby forming stool.
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21. Sam was born with no pigment in his skin, hair, and eyes. He is:

andreonegin /
  1. A Norwegian god
  2. An albino
Albinism is a group of genetic disorders that result in little to no color of the skin, hair, and eyes. It is due to reduced amounts of melanin pigment in these areas.
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22. Little Lauren wants to know what life is like without a spleen. You say:

Magic mine /
  1. You are prone to more infections
  2. You can think more clearly
It's technically possible to live without a spleen, but not recommendable. The spleen is an organ located under the rib cage and above the stomach on the left side of the body. Some of its main functions include filtering the blood and recycling old red blood cells, key to preventing infection!
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23. To cure dry skin, you prescribe moisturizer for the:

Roman Samborskyi /
  1. Epidermis
  2. Fundus
The epidermis is the outermost layer of the skin and is mostly made up of squamous cells. It also contains hair follicles and sweat glands.
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24. When blood stops flowing to the brain, it causes: /
  1. Pimples
  2. A stroke
A stroke occurs when the blood supply to a part of the brain is interrupted or significantly reduced. The decreased blood supply prevents the brain tissue from getting oxygen and vital nutrients. Within minutes, brain cells begin to die.
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25. Some dental work requires anesthetizing the buccal nerve in your...

jaojormami /
  1. Cheek
  2. Lumbar spine
In humans, the regions where the cheeks sit are supplied by the buccal nerve. It’s the reason why any word or phrase with the word “buccal” refers to the cheek.
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26. When do you call the podiatrist?

Smeilov Sergey /
  1. When someone has allergies
  2. When someone has a foot problem
Podiatrists treat everything related to feet, including skin problems, calluses and corns, nail disorders, foot injuries, and foot infections.
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27. We've lost a heartbeat! To suddenly revive your patient's heart, use:

Horth Rasur /
  1. A defibrillator
  2. A refrigillator
A defibrillator is a battery-powered device that is used to restore a normal heartbeat, whether it be too fast, too slow, or irregular. It works by sending electrical impulses or shocks to the heart. It can also be used to restore a heart’s beat if it has suddenly stopped.
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28. Did Timmy swallow his gum again? Blame it on his:

Aldona Griskeviciene /
  1. Swallow reflex
  2. Deep tendon reflex
You might test someone's swallow reflex to see if he or she has dysphagia, otherwise known as trouble swallowing. This condition can be brought on by a stroke, dental problems, or mouth sores.
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29. The local karate kids come in with injuries to their:

Africa Studio /
  1. Patellas
  2. Knuckles
Each hand has two rows of knuckles: The first is near the wrist and is called the metacarpophalangeal joints. The second set, which is what people usually consider to be the “real” knuckles, is called the interphalangeal joints.
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30. What muscle controls your smile?

  1. Biceps
  2. Zygomaticus major
The zygomaticus major is a muscle of the human body. It is a muscle of facial expression which draws the angle of the mouth superiorly and posteriorly to allow one to smile.
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31. Mrs. Smith has blood clots. You prescribe:

Piotr Wytrazek /
  1. Blood thinners
  2. Antibiotics
Blood thinners are medications that are taken to prevent blood clot formation. Blood clots can stop the flow of blood through and to different organs. They can be taken orally (through the mouth) or intravenously (through a vein).
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32. Evelyn has arthritis, which affects her:

BigBlueStudio /
  1. Blood
  2. Joints
Arthritis is the swelling and tenderness of one or more joints. Some of the most common symptoms of arthritis include pain and stiffness of the joints. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.
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33. Alberta has a toe fungus. Do you prescribe antibiotics?

Fahroni /
  1. Yes, antibiotics work for EVERYTHING!
  2. No, fungi are not bacterial
Antibiotics, also called antibacterial, are medications used to destroy or slow the growth of bacteria. They cannot be used to treat viral or fungal infections. Antivirals and antifungals are used to treat those pathogens.
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34. Which part of your eye dilates?

Milos Batinic /
  1. The cornea
  2. The pupil
The pupil of the eye is what allows light to hit the retina. It controls how much light enters. When it is dilated, more light enters to maximize our vision.
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35. The tympanic membrane is in your...

Marlon Lopez MMG1 Design /
  1. Ear
  2. Mouth
Tympanic thermometers are inserted into the patient's ear canal, which ends at the "tympanic membrane". These thermometers measure a patient's temperature by way of an infrared ray.
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36. Is Mrs. Peabody pregnant again? Time for a(n):

Dmytro Zinkevych /
  1. Catheter
  2. Ultrasound
An ultrasound is a type of imaging that uses high-frequency sound waves to look at various organ structures, specifically soft tissue, in the body. The imaging tool can also be used to measure the flow of blood in the arteries, and therefore blockages.
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37. Derrick doesn't know if his food is sweet or salty! Time to check his:

Roman Samborskyi /
  1. Abdomen
  2. Tongue
The average tongue is about 3 inches long. The tongue that holds the Guinness World Record for the longest tongue in the world is nearly 4 inches!
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38. Fanny has constant seizures and convulsions. You suspect:

Katheryna Kon /
  1. Epilepsy
  2. Hypothermia
Epilepsy is a chronic disorder characterized by recurrent unprovoked seizures. It is a central nervous system disorder in which electrical brain activity becomes abnormal.
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39. When do you call a nephrologist?

Shidlovski /
  1. Something's wrong with Evan's kidneys
  2. Kevin has dry skin
A nephrologist is a medical doctor who specializes in treating and diagnosing conditions affecting the kidneys. The prefix “nephro-” refers to the kidneys or renal.
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40. What would be difficult without your pancreas?

mi_viri /
  1. Digesting your pizza
  2. Swallowing your pizza
The pancreas is an organ in the abdomen which has both endocrine and exocrine functions. On the endocrine end, it helps to regulate the body’s blood sugar by releasing insulin and glucagon. On the exocrine side, it helps with digestion by releasing digestive juices.
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41. Looking at this x-ray, you might want to call a(n):

steph photographies /
  1. Orthopedic doctor
  2. Rheumatologist
If something's wrong with a patient's cervical spine, you need a bone doctor. Call someone with a specialty in orthopedics.
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42. Can the Smiths help prevent their child from getting tuberculosis?

Numstocker /
  1. There's a vaccination
  2. It's inevitable!
Tuberculosis is nearly obsolete, thanks to vaccines!
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43. Old Mr. Davies uses a pacemaker to...

Swapan Photography /
  1. Maintain his heart rate
  2. Lose weight
A pacemaker is a small electrical device that is placed in the chest or abdomen, just under the skin, to maintain a suitable heart rate. It sends impulses to the heart, thereby setting and sustaining the heart rate.
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44. Careful! It's quite easy to break this bone when you fall on your shoulder:

Kniazeff /
  1. C
  2. D
The clavicle isn't actually one bone! It's two! (There's a right and a left one.) Also known as the collarbone, these bones are between your breast and your shoulder blade.
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45. To help Mary walk again after her surgery, you prescribe an exercise to strengthen her:

Anatomy Insider /
  1. Biceps
  2. Gluteal region
Perhaps you've heard of the gluteus maximus? Medically, your gluteal muscles are the main extensor muscles of the hip, i.e. your butt.
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46. Your heart is the size of a:

Liya Graphics /
  1. Fist
  2. Soccer ball
Your fist-sized heart is a workhorse! It beats an average of 115,000 times a day, and it pumps over 2,000 gallons of blood!
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47. It's not for weighing your lunch! What is this tool for?

Africa Studio /
  1. To weigh newborn babies
  2. To collect urine samples
A baby scale, like an adult scale, is a monitoring tool used to keep track of a baby’s weight gain/ loss. Consistent and reliable monitoring is a fundamental part of keeping track of a newborn’s continued development.
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48. Tamara's not getting enough oxygen in her blood. You can tell by her...

Zay Nyi Nyi /
  1. Cyanotic lips
  2. Glow-in-the-dark lips
Cyanosis turns your skin blue! That's usually a sign of low oxygen levels in your blood. It's color science. Blood with lower levels of oxygen is darker red and reflects bluer light. Voila! You look like an alien.
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49. Stan's voice is hoarse. Check his:

Sebastian Kaulitzki /
  1. Neck
  2. Larynx
David might have laryngitis! Laryngitis is the inflammation of the voice box or larynx. Its symptoms include voice changes, hoarseness, or complete loss of voice.
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50. Identify the largest artery in your body, the aorta:

Olga Bolbot /
  1. C
  2. A
The aorta is your body's largest artery! It's like the highway for your bloodstream. Take care of it. It's the thing that gives your head oxygen.
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