2018 Practice exam Flashcards

1
Q

What are three complications associated with anti-hypertensive polypharmacy?

A

Falls
Hypotension
Renal abnormalities

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2
Q

What are three downsides of a yearly physical?

A

Over diagnosis
Increased public cost
Increased patient anxiety
Unnecessary medical interventions

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3
Q

Describe the two shingles shot?

A

Zostavax - 1

Shingrix - 2

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4
Q

What is the complication of herpes zoster

A

Post-herpetic neuralgia

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5
Q

What are three acute adverse events associated with short-term corticosteroid use?

A

AVN of hip
GI bleed
Sepsis

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6
Q

How to reduce spread of infection in organized sports?

A

Footwear in showers
Clean material
Don’t share hygiene products

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7
Q

Three non-pharmacologic interventions to decrease exacerbations in children with asthma.

A
Inhaler technique
Avoidance of triggers
Vacuuming with hepa
No smoking in the house
Dusting
Exercise
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8
Q

List 4 non-inhaler treatments for asthma.

A

Leukotrine receptor antagonist
Steroids
IV beta agonist
PDE-5 inhibitors

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9
Q

List 5 complications of carotid endarterectomy.

A
Death
Stroke
Infection
Bleeding
MI
Pain
Anesthetic reaction
Damage to nearby structures
Transfusion
Rejection of stent
Re-stenosis
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10
Q

What are 3 options for reducing PPI use?

A

Reduce dose
Reduce frequency
Switch to H2 receptor antagonist
On demand dosing

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11
Q

List 3 scenarios where you could not de-prescribe PPIs.

A

Barrett’s esophagus
Chronic NSAIDs
Active ulcer/GI bleed

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12
Q

List 5 possible side effects of PPIs

A
Hypomagnesemia
Pneumonia
C. diff
Osteoporosis
Diarrhea
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13
Q

Three OTC products that can increase bleeding risk on title anti-thrombotic factors.

A

NSAIDs
Vitamin E
Ginseng
Ginko

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14
Q

8 risk factors for MRSA

A
Shared living
Low SES
IVDU
Chronic antibiotic use
Contact sports
Incarceration
Military
Age younger than 2
Age older than 65
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15
Q

3 medication classes to treat MRSA

A
Tetracycline (doxycycline)
Sulfonamides (TMP/SMX)
Lincosamides (clindamycin)
Linezolid
Lipoglycopeptides (Vancomycin)
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16
Q

List 6 management steps for TB.

A
Airborne precautions
Isolation
CXR
Sputum TB * 3
Risk factor assessment
Contact tracing
Consult public test
Interfuron gamma release assay
HIV serology
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17
Q

What are 5 risk factors for progression to active TB?

A
Steroids
Chemotherapy
Biologics
HIV
Diabetes
Alcohol use
Malnutrition
Smoker
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18
Q

What are three classifications of testes and their descent?

A
Normal
Retractile testis
Palpable undescended testis
Non-palpable
Acquired testis
Ectopic testis
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19
Q

What imaging do you order if you suspect undescended testicle?

A

None

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20
Q

When do you refer an undescended testicle by?

A

6 months. So they can be operated on before 1 year

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21
Q

List 5 lifestyle interventions for hydradenititis suppuritiva.

A
Avoid disruption of lesions
Smoking cessation
Weight loss
Low fat diet
Shower after exercise/Clean
Loose clothing
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22
Q

6 treatments for hydradentitis suppuritiva

A
Topical clindamycin
Oral tetracycline
OCP
Finasteride
Steroid injection
Surgical excision
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23
Q

Three complications of blood product resuscitation?

A
Hemodilution
Hypothermia
Anaphylaxis
Hemolytic reaction
TRALI
Transfusion reaction circulatory overload
Electrolyte abnormalities
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24
Q

List 5 life threatening causes of chest pain.

A
PE
Aortic Dissection
Tension pneumothorax
Pericardial tamponade
MI
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25
Q

What are 4 tests in assessment for ASD.

A

Hearing test
Visual test
M-CHAT
Developmental paediatrician

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26
Q

List 5 causes of ascites

A
Heart failure
Nephrotic syndrome
Peritoneal tumour
Cirrhosis
TB
27
Q

5 Complications of cirrhosis

A
Portal venous hypertension
Testiclar shrinkage
Gynecomastia
Varices
SBP
HCC
Hepatic encephalopathy
28
Q

What are 5 causes of cirrhosis

A
Hemochromatosis
Hep C
Hep B
Hep D
Alcohol
Primary sclerosing cholangitis
NASH
Wilson disease
Alpha-1 antitrypsin
29
Q

7 vaccines for HIV +ve immigrant

A
Hep A
Hep B
Flu
COVID
Pertussis
Tetanus
Meningococcal
HIB
HPV
30
Q

Headache in HIV. What organisms?

A

Treponema Pallidum

31
Q

Cough in HIV. What organisms?

A

Mycobacterium avian complex

PJP

32
Q

Do you reduce DOACs for renal disease?

A

Yes if eGFR less than 60

If dialysis switch to warfarin

33
Q

What medication must you use in valvular a. fib?

A

Warfarin.

34
Q

What are 4 non-genital areas to look for STIs?

A
Throat
Eyes
Skin
Abdomen
MSK
35
Q

Treatment for syphillis

A

Azithromycin 1 g PO
Ceftriaxone 250 mg IM

or

Doxy 100 mg BID * 7 days

36
Q

What are complications of urogenital gonorrhoea and chlamydia?

A
Epididimytis
Infertility
Fournier's gangrene
Prostatitis
Orchitis
37
Q

5 contraindications to OCP

A
Migraine with aura
Breast cancer
Smoker > 35
DVT
Liver disease
Uncontrolled HTN
PE
Active malignancy
38
Q

What population do you screen for AAA?

A

Men 65-80 once

39
Q

What is the range of opiates for chronic non-cancer pain?

A

50-90 MDE

40
Q

What objects can cause toxic shock syndrome?

A

Diva cup
Female condom
Sexual aids

41
Q

Physical exam findings suggestive of thyroid malignancy

A
Lymphadenopathy
Fixated
Irregular borders
Dysphonia
Dysphagia
Dyspnea
42
Q

History suggestive of thyroid malignancy

A

Head and neck radiation
MEN 2
Total body radiation for bone

43
Q

Four non-pharmacological treatments for pruritus?

A
Moisturizer after bathing
Avoid scented soaps
Identify allergens
Cleaning bedding
Limit bathing
Cut fingernails
44
Q

5 psychological causes of itch.

A
Delusional parsitosis
Formication
OCD
Psychosis
Anxiety
45
Q

What is the target sign associated with on U/S?

A

Intessuception.

46
Q

What are 3 surgical emergencies in kiddo with abdominal pain?

A

Volvulus
Intussueception
Pyloric stenosis

47
Q

What are 5 conditions that a patient may have had that would make they high risk and ineligible for colon cancer screening?

A
Colon cancer
Prior polyps
Lynch Syndrome
Familial adenomatous popyposis
IBD
48
Q

Other than colonoscopy what other investigation can be used for colorectal screening?

A

Flex sig q10years

49
Q

What two conditions would put the patient at high risk for peanut allergy?

A

Egg allergy

Eczema

50
Q

What are three conditions associated with non-suicidal self-injury?

A

Depression
Borderline
Sexual abuse

51
Q

What medications can be used in treatment of C. difficile

A

Vancomycin
Fidaxomycin
Metronidazole
Rifampin

52
Q

What are 5 complications with C. diff?

A
AKI
Toxic megacolon
Hypokalemia
Sepsis
Dehydration
53
Q

What is an infectious agent concerning with diarrhea in HIV positive.

A

Mycobacterium Avian Complex

54
Q

What are three red flags associated with diarrhea?

A

Pain
Febrile
Bloody

55
Q

Is loperamide safe in pregnancy?

A

Yes.

56
Q

Metronidazole in pregnancy and breastfeeding?

A

Safe in pregnancy. No good in breastfeeding

57
Q

5 non-pharmacologic treatments for fibromyalgia

A
CBT
Patient education
Accupuncture
Massage
Group support
Treat co-morbid disease
58
Q

List 5 live attenuated vaccines?

A
MMR
Shingles (Zostavax)
Varicella
Polio
Rotavirus
59
Q

What are 5 advanced treatments for RF?

A
Methotrexate
Sulfasalazine
Azathioprine
Cyclosporin
Adalimumab
60
Q

What are 5 physical exam findings associated with dyslipidemia?

A
Arcus cinillicus
Xanthelasmas
Xanthomas
Weight
Waist circumference
Hepatosplenomegaly
61
Q

List three classes of medications that can cause hyperlipidemia.

A
Anti-psychotics
HRT
OCP
Thiazide diuretics
Beta-blockers
62
Q

List 6 dietary recommendations for dyslipidemia.

A
Alcohol reduction
Caloric reduction
Mediterranean diet
Increase fresh fruit and vegetable
Omega 3 supplementation
Soluble fibre supplementation
63
Q

What do you do to the Framingham if there are first degree relatives with CV disease?

A

You double it.

64
Q

5 therapies other than ARVs for HSV

A
Topical abreva
Acetaminophen
NSAIDs
Topical lidocaine
Topical hydrocortisone