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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
What are 4 tests in assessment for ASD.
Hearing test Visual test M-CHAT Developmental paediatrician
26
List 5 causes of ascites
``` Heart failure Nephrotic syndrome Peritoneal tumour Cirrhosis TB ```
27
5 Complications of cirrhosis
``` Portal venous hypertension Testiclar shrinkage Gynecomastia Varices SBP HCC Hepatic encephalopathy ```
28
What are 5 causes of cirrhosis
``` Hemochromatosis Hep C Hep B Hep D Alcohol Primary sclerosing cholangitis NASH Wilson disease Alpha-1 antitrypsin ```
29
7 vaccines for HIV +ve immigrant
``` Hep A Hep B Flu COVID Pertussis Tetanus Meningococcal HIB HPV ```
30
Headache in HIV. What organisms?
Treponema Pallidum
31
Cough in HIV. What organisms?
Mycobacterium avian complex | PJP
32
Do you reduce DOACs for renal disease?
Yes if eGFR less than 60 | If dialysis switch to warfarin
33
What medication must you use in valvular a. fib?
Warfarin.
34
What are 4 non-genital areas to look for STIs?
``` Throat Eyes Skin Abdomen MSK ```
35
Treatment for syphillis
Azithromycin 1 g PO Ceftriaxone 250 mg IM or Doxy 100 mg BID * 7 days
36
What are complications of urogenital gonorrhoea and chlamydia?
``` Epididimytis Infertility Fournier's gangrene Prostatitis Orchitis ```
37
5 contraindications to OCP
``` Migraine with aura Breast cancer Smoker > 35 DVT Liver disease Uncontrolled HTN PE Active malignancy ```
38
What population do you screen for AAA?
Men 65-80 once
39
What is the range of opiates for chronic non-cancer pain?
50-90 MDE
40
What objects can cause toxic shock syndrome?
Diva cup Female condom Sexual aids
41
Physical exam findings suggestive of thyroid malignancy
``` Lymphadenopathy Fixated Irregular borders Dysphonia Dysphagia Dyspnea ```
42
History suggestive of thyroid malignancy
Head and neck radiation MEN 2 Total body radiation for bone
43
Four non-pharmacological treatments for pruritus?
``` Moisturizer after bathing Avoid scented soaps Identify allergens Cleaning bedding Limit bathing Cut fingernails ```
44
5 psychological causes of itch.
``` Delusional parsitosis Formication OCD Psychosis Anxiety ```
45
What is the target sign associated with on U/S?
Intessuception.
46
What are 3 surgical emergencies in kiddo with abdominal pain?
Volvulus Intussueception Pyloric stenosis
47
What are 5 conditions that a patient may have had that would make they high risk and ineligible for colon cancer screening?
``` Colon cancer Prior polyps Lynch Syndrome Familial adenomatous popyposis IBD ```
48
Other than colonoscopy what other investigation can be used for colorectal screening?
Flex sig q10years
49
What two conditions would put the patient at high risk for peanut allergy?
Egg allergy | Eczema
50
What are three conditions associated with non-suicidal self-injury?
Depression Borderline Sexual abuse
51
What medications can be used in treatment of C. difficile
Vancomycin Fidaxomycin Metronidazole Rifampin
52
What are 5 complications with C. diff?
``` AKI Toxic megacolon Hypokalemia Sepsis Dehydration ```
53
What is an infectious agent concerning with diarrhea in HIV positive.
Mycobacterium Avian Complex
54
What are three red flags associated with diarrhea?
Pain Febrile Bloody
55
Is loperamide safe in pregnancy?
Yes.
56
Metronidazole in pregnancy and breastfeeding?
Safe in pregnancy. No good in breastfeeding
57
5 non-pharmacologic treatments for fibromyalgia
``` CBT Patient education Accupuncture Massage Group support Treat co-morbid disease ```
58
List 5 live attenuated vaccines?
``` MMR Shingles (Zostavax) Varicella Polio Rotavirus ```
59
What are 5 advanced treatments for RF?
``` Methotrexate Sulfasalazine Azathioprine Cyclosporin Adalimumab ```
60
What are 5 physical exam findings associated with dyslipidemia?
``` Arcus cinillicus Xanthelasmas Xanthomas Weight Waist circumference Hepatosplenomegaly ```
61
List three classes of medications that can cause hyperlipidemia.
``` Anti-psychotics HRT OCP Thiazide diuretics Beta-blockers ```
62
List 6 dietary recommendations for dyslipidemia.
``` Alcohol reduction Caloric reduction Mediterranean diet Increase fresh fruit and vegetable Omega 3 supplementation Soluble fibre supplementation ```
63
What do you do to the Framingham if there are first degree relatives with CV disease?
You double it.
64
5 therapies other than ARVs for HSV
``` Topical abreva Acetaminophen NSAIDs Topical lidocaine Topical hydrocortisone ```

CCFP Exam 2021 (11 decks)

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