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CCFP Exam 2021 > 2015-2016 Mock Samp > Flashcards

2015-2016 Mock Samp Flashcards

1
Q

What is the most important lab test for AUB?

A

Pregnancy test

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2
Q

What tests should not routinely be ordered with AUB?

A

LH/FSH
Estradiol
Progesterone

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3
Q

What are indications for endometrial biopsy with AUB?

A 
Age > 40
Obesity
Diabetes
Nulliparity
PCOS
Failure of medical treatment
Intermenstrual bleeding
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4
Q

What are 4 contraindications for endometrial sampling in AUB

A

Pregnancy
PID
Clotting disorders
Cervical pathology

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5
Q

What are four treatments for menorrhagia?

A

Iron
NSAIDs
Antifibrinolytics
OCPs

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6
Q

What three things to treat angioedema secondary to ACEi? What do you add if severe?

A

Discontinue ACE
Corticosteroids
Antihistamines

Epinephrine if severe

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7
Q

What are 5 conditions that may mimic GAD?

A 
Hyperthyroidism
Pheo
Arrythmia
Epilepsy
Substance use
Substance withdrawal
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8
Q

If patient has SNOOP with headache, what test should you order?

A

MRI head

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9
Q

What is the prophylactic treatment for tension headaches?

A

TCA’s (Amitrtipyline, nortriptyline)

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10
Q

Who is at risk for analgesia overuse headache?

A

NSAID/Tylenol > 15d/mo

Opiates > 10 d/mo

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11
Q

What are three red flags in the crying infant?

A

Distended abdomen
Fever
Lethargy

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12
Q

What are 5 possible causes of distended abdomen and crying infant?

A 
Hirschsprung
Malrotation with volvulus
Necrotizing enterocolitis
Abdominal mass
Hepatosplenomegaly
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13
Q

What are 5 possible causes of fever and crying infant?

A 
AOM
Appendicitis
Meningitis
Osteomyelitis
Pneumonia
Sepsis
Viral resp infection
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14
Q

What would you suspect in an infant with intermittent explosive diarrhea?

A

Hirschsprung’s

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15
Q

What are two things that could cause scrotal swelling in an infant? What test would you order?

A

Testicular torsion
Incarcerated hernia

U/S

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16
Q

What would you expect in a child with recurrent vomiting?

What test do you order?

A

Pyloric stenosis

U/S

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17
Q

What are the diagnostic criteria for pediatric colic?

A

> 3 hours/day
3 days/week
3 weeks

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18
Q

What are two treatments for pediatric colic?

A

Low allergen diet for mom

Probiotic

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19
Q

What treatment class do you use for CAP?

A

Macrolide

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20
Q

How long do you treat CAP?

A

5-7 days

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21
Q

What one physical exam finding can you order to determine disposition for CAP?

A

Sp02

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22
Q

What inpatient tests would you order to determine the cause of a CAP?

A 
Gram stain and sputum culture
Blood culture
Legionella urinary antigens
PCR for respiratory viruses
PCR for chlamydia pneumonia
23
Q

List 5 complications of constipation.

A 
Rectal prolapse
Decubitus ulcer
UTI
Urinary retention
Hydronephrosis
Electrolyte disturbance
Fecal incontinence
Abdominal pain
Anorexia/weight loss
24
Q

What can you offer for local disimpaction of fecal material?

A

Mineral oil enema
Warm water enema
Glycerin suppository

25
Q

What osmotic laxative is best tolerated in elderly?

A

PEG

26
Q

What percentage of asymptomatic gallstones will become symptomatic?

A

10-20%

27
Q

List 3 medication classes for biliary colic.

A

NSAIDs
Opiates
Antispasmodics

28
Q

List 4 complications of gallstones

A

Acute cholecystitis
Choledocholithiasis
Gallstone pancreatitis
Acute cholangitis

29
Q

What three imaging studies should be considered with biliary colic and indeterminate U/S?

A

CT
HIDA scan
MRCP

30
Q

List 6 physical exam signs of liver disease.

A 
Jaundice
Muscle wasting
Asterixis
Gynecomastia
Caput medusa
Dupuytren's
Testicular atrophy
31
Q

What are 6 complications of liver cirrhosis?

A 
HCC
Varices
Portal hypertension
Liver failure
Hepatic encephalopathy
Spontaneous Bacterial Peritonitis
32
Q

What are 5 risk factors for acquiring viral hepatitis?

A 
IVDU
High risk sex
Tattoos
Piercings
Transfusions
33
Q

What is the definition of GHTN?

A

Average sBP or dBP above 140 or 90

34
Q

What are 8 labtests to do in patients with GHTN?

A 
U/A
Hgb (increased due to decrease in vascular volume/decreased in HELLP)
WBC
Platetlets
Creatinine
Uric acid
AST
ALT
LDH
Bilirubin
35
Q

When must you deliver a preeclamptic patient by?

A

37 weeks.

Equivacal for 34-36+6

36
Q

What are three BP medications contra-indicated in pregnancy?

A

ACEi
ARB
Thiazide diuretics

37
Q

What are three BP medications safe in pregnancy?

A

Nifedipine
Labetalol
Hydralazine (IV)

38
Q

What are 5 steps in management for pre-eclampsia?

A 
Continuous EFM
Continuous maternal monitoring
Antihypertensives
MgSO4
Avoid fluid overload
39
Q

What medication and dose do you use for eclampsia?

A

MgS04 4g IV

40
Q

What three medications for short-term treatment of chronic back pain?

A

NSAIDs
Opioids
Topiramate

41
Q

What medications are not effective for chronic low back pain?

A

Acetaminophen
Muscle relaxants
Antidepressants

42
Q

What are three conditions that would make you get imaging for back pain?

A

Fracture
Cauda equina
Infection

43
Q

What causes spine pain worse with extension relieved with flexion?

A

Spinal stenosis

44
Q

What two lab tests do you order for pediatric UTI?

A

U/A

Urine culture

45
Q

What are 5 clinical signs that together would be suggestive of UTI?

A 
Age under 12 months
white race
Fever
Fever longer than 2 days
Absence of other source of infection
46
Q

How long do you treat pediatric UTI for?

A

7-10 days

47
Q

What imaging do you order for pediatric UTI under 2 years?

A

Ultrasound of bladder and kidneys

48
Q

What imaging do you order for two UTIs under age two?

A

Voiding cystourethrogram

49
Q

What is the best diagnostic tool for stroke?

A

Nonconcrast CT

50
Q

What medication do you treat an ischemic stroke with?

A

IV tPA

51
Q

What are the two inclusion criteria for tPA?

A

Confirmation of ischemic stroke

Last seen normal 4.5 hours before administration

52
Q

What are 4 contraindication on history for tPA?

A

Intracranial hemorrhage in previous 6 months
Stroke or head/spinal trauma in 3 months
Major surgery in 14 days
Arterial puncture in 7 days

53
Q

What are 5 lab findings that are contraindications to tPA

A 
Hypoglycemia <2.7
hyperglycemia >22.2
Elevated aPTT
Elevated INR>1.7
Platelet count below 100
54
Q

What are 5 things to help recurrent stroke?

A 
HTN treatment
Dyslipidemia treatment
Diabetes treatment
Lifestyle
Patient education

CCFP Exam 2021 (11 decks)

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