2018 Practice exam Flashcards
What are three complications associated with anti-hypertensive polypharmacy?
Falls
Hypotension
Renal abnormalities
What are three downsides of a yearly physical?
Over diagnosis
Increased public cost
Increased patient anxiety
Unnecessary medical interventions
Describe the two shingles shot?
Zostavax - 1
Shingrix - 2
What is the complication of herpes zoster
Post-herpetic neuralgia
What are three acute adverse events associated with short-term corticosteroid use?
AVN of hip
GI bleed
Sepsis
How to reduce spread of infection in organized sports?
Footwear in showers
Clean material
Don’t share hygiene products
Three non-pharmacologic interventions to decrease exacerbations in children with asthma.
Inhaler technique Avoidance of triggers Vacuuming with hepa No smoking in the house Dusting Exercise
List 4 non-inhaler treatments for asthma.
Leukotrine receptor antagonist
Steroids
IV beta agonist
PDE-5 inhibitors
List 5 complications of carotid endarterectomy.
Death Stroke Infection Bleeding MI Pain Anesthetic reaction Damage to nearby structures Transfusion Rejection of stent Re-stenosis
What are 3 options for reducing PPI use?
Reduce dose
Reduce frequency
Switch to H2 receptor antagonist
On demand dosing
List 3 scenarios where you could not de-prescribe PPIs.
Barrett’s esophagus
Chronic NSAIDs
Active ulcer/GI bleed
List 5 possible side effects of PPIs
Hypomagnesemia Pneumonia C. diff Osteoporosis Diarrhea
Three OTC products that can increase bleeding risk on title anti-thrombotic factors.
NSAIDs
Vitamin E
Ginseng
Ginko
8 risk factors for MRSA
Shared living Low SES IVDU Chronic antibiotic use Contact sports Incarceration Military Age younger than 2 Age older than 65
3 medication classes to treat MRSA
Tetracycline (doxycycline) Sulfonamides (TMP/SMX) Lincosamides (clindamycin) Linezolid Lipoglycopeptides (Vancomycin)
List 6 management steps for TB.
Airborne precautions Isolation CXR Sputum TB * 3 Risk factor assessment Contact tracing Consult public test Interfuron gamma release assay HIV serology
What are 5 risk factors for progression to active TB?
Steroids Chemotherapy Biologics HIV Diabetes Alcohol use Malnutrition Smoker
What are three classifications of testes and their descent?
Normal Retractile testis Palpable undescended testis Non-palpable Acquired testis Ectopic testis
What imaging do you order if you suspect undescended testicle?
None
When do you refer an undescended testicle by?
6 months. So they can be operated on before 1 year
List 5 lifestyle interventions for hydradenititis suppuritiva.
Avoid disruption of lesions Smoking cessation Weight loss Low fat diet Shower after exercise/Clean Loose clothing
6 treatments for hydradentitis suppuritiva
Topical clindamycin Oral tetracycline OCP Finasteride Steroid injection Surgical excision
Three complications of blood product resuscitation?
Hemodilution Hypothermia Anaphylaxis Hemolytic reaction TRALI Transfusion reaction circulatory overload Electrolyte abnormalities
List 5 life threatening causes of chest pain.
PE Aortic Dissection Tension pneumothorax Pericardial tamponade MI
What are 4 tests in assessment for ASD.
Hearing test
Visual test
M-CHAT
Developmental paediatrician