ccfp prac test 3 Flashcards
what are two POC tests for GAS for sore throat?
-rapid antigen test
-nucleic acid detection test
what are three benefits to treating a group A strep infection?
-reduce risk of peritonsillar abcess
-reduce risk of rheumatic fever
-less sore throat at day 3
-reduces duration of illness
what are the criteria of subclinical hypothyroidism?
TSH between 4-10 mIU/L
Normal T3
Normal T4
No symptoms
should you treat subclinical hypothyroidim?
NO
Unless symptomatic or pregnant
is acupuncture effective for low back pain?
yes, for non-radicular low back pain, (chronic more responsive than acute)
what percentage of patients with autism spectrum disorder suffer with sleep disturbances?
60-80%
Name four common sleep disturbances in patients with autism
-early morning awakenings
-poor sleep efficiency
-prolonged sleep onset-latency
-somnambulism
what are the recommended sleep interventions for patients with autism and sleeping disorders?
-behaviour modification therapy
-melatonin
signs of wernickes encephalopathy
-opthalmoplegia
-mental stages changes
-ataxia
treatment of wernickes encaphalopathy?
thiamine
what are the three syndromes associated with thiamine deficiency?
-wernickes encephalopathy
-korsakoffs
-beri beri
is taking gabapentin and opioids together safe?
-concurrent use of gabapentin wiht opioids increases risk of opioid over x2
-benzo use concurrent also increases risk x 2
who should receive the pneumococcal 23 valent polysacharide vaccine?
all adults 65 +
how does estrogen effect valproate
it increases the breakdown rate of valproate
what is the recommended dose of folic acid during pregnancy if NOT high risk?
minimum of 0.4 mg
what are the fetal effects of antiepileptic meds in pregnancy?
- neural tube defects
- lower IQ scores
- heart malformations
- cleft lip and palate
- low birth weight
- urogenital defects
how much folic acid is recommended in those high risk for neural tube defects in pregnancy?
up to 5 mg per day
how long should someone ideally be seizure free before pregnancy?
9 mo
what stool test can help you identify IBD?
fecal calprotectin
what meds have been found to be effective at treating IBS?
SSRIs (constipation predominant)
TCAs (diarrhea predominant)