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FM Exam > Exam Questions > Flashcards

Exam Questions Flashcards

1
Q

What medications commonly available as second line agents in the emergency department could you use next to terminate seizure activity

A

Keppra
Valproic acid
Phenobarbital
Phenytoin

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2
Q

First investigation in pt arriving with seizure in ER

A

Capillary glucose

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3
Q

In pt in treatment for Tuberculosis, what Medication should we add?

A

Pyridoxine - B6.

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4
Q

Manifestation of B6 deficiency

A

Stomatitis, glissitis, irritability, confusion, weight loss, depression. Can also in children give encephalopathy w seizures

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5
Q

A pt continues to seize despite 2nd line medication. For intubation - what medication do you choose

A

Propofol
Ketamine

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6
Q

An 8 yo with 4 day bc of abdominal pain now in the RLQ - name 5 differentials

A

Appendicitis
Testicular torsion
Inguinal hernia
Meckels diverticulum
Mesenteric adenitis
Urinary tract infection

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7
Q

For a child with suspected appendicitis or other intra abdominal infection which medics to give and how other then ATB

A

Acetaminophen PR
Ondansetron or gravol IV
Ketorolac IV
Fentanyl / morphine IV

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8
Q

For a child with suspected appendicitis or other intra abdominal infection which medics to give and how other then ATB

A

Acetaminophen PR
Ondansetron or gravol IV
Ketorolac IV
Fentanyl / morphine IV

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9
Q

In a 36 yo pregnant woman G1, 11 weeks pregnant - with dyspnea, no fever, cough or PV bleeding. Other than PE name 3 other differentials

A

Pneumonia
Asthma
Covid

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10
Q

What familial thrombophilia conditions would increase the risk of thromboembolism. List 3

A

Factor V Leiden
Protein C deficiency
Protein S deficiency
Antithrombin

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11
Q

How to treat venous thromboembolism in 1st trimester?
Include drug and dose

A

Enoxaparin 1mg/kg/BID

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12
Q

What gout medication drug har been associated with reduction in cardiovascular events in pt with CAD?

A

Colchicine

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13
Q

Primary side effect of Colchicine

A

GI upset
Diarrhea

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14
Q

Common symptoms of pulmonary embolism

A

Dyspnea
Pleuritic chest pain
Hemoptysis
Tachycardia
Fatigue
Diaphoresis

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15
Q

What wells score should make you send pt directly to imaging?

A

4,5

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16
Q

What is the recommendation regarding threshold for D-diner levels when assessing patients for PE?

A

Age adjusted threshold (pt age multiplied by 10 in ug/L).
Pt younger than 50yo use the conventional threshold of 500 ug/l

17
Q

For a pt age 56, what D-dimer is deemed a negative test

A

<560 ug/l

18
Q

Pharmacology and non-pharmacology treatment for cessation of cigarette smoking:

A

Bupropion
Varenicline
Naltrexone
Nicotine replacement
Hypnosis

19
Q

Most efficient drug for cigarettes cessation:

A

Varenicline

20
Q

Best double treatment for cigarette cessation

A

Varenicline and nicotine patches

21
Q

Treatment for cigarette cessation should at least last?

A

6-12 weeks

22
Q

Treatment of hypoglycemia

A

15g of carbs
If severe/unconscious: 1mg glucagon IM

23
Q

A1C Can be affected by?

A

Will be increased if: iron deficiency. B12 deficiency, alcoholism, chronic opioid use /chronic renal failure

Decreased if: use of iron/B12/asa/vit C/ vit E/ hemoglobinopathy/ chronic liver disease/antiretroviral /chronic renal failure / rheumatoid arthritis

24
Q

A pt comes in with concerns of memory loss. What specific things should you assess for on your physical?

A

Gait speed
Neuropsychiatric symptoms
Hearing
Vision
Frailty

25
Q

A pt comes in with concerns of memory loss. What specific things should you assess for on your physical?

A

Gait speed
Neuropsychiatric symptoms
Hearing
Vision
Frailty

26
Q

List reasons to do neuroimaging in pt who scores bellow average on cognitive function:

A

Onset in past 2 years
Unexpected decline in or known w dementia
Recent head trauma
History of cancer
Unexplained neurological symptoms

FM Exam (7 decks)

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