Family Med

Question 1

Screening tests/ times and age range?

Answer 1

Pap/Mammograms - every 3 years (starting at age 50 for mammograms unless family hx) (pap starts at 21 years with sexual activity)
*Talk to patients about HPV vaccine
Pap 21-70 (if 3 -ve paps)
Mammogram: 50-74 q2-3 years

Colonoscopy - once every 10 years starting at 50 years of age, or every 2 yrs for the FIT. Not recommended past 75

Question 2

Should all diabetics be given prophylactic aspirin?

Answer 2

No. Only if also have other risks of CVD (HTN, family hx) - discuss with patient.

Question 3

Initial Tx for asthma

Answer 3

Low dose ICS intermittent - move to daily if needed more then add ventolin/ LABA

Question 4

Signs and Sx of cluster headaches

Answer 4

Sharp, piercing and unilateral, with localized parasympathetic sx, and triggered by temperature, watching TV, nitro, allergies, stress, sexual activity, etc. Usually in a pattern of pain-free periods of at least 2 weeks

Question 5

Civilian or forces pilot discloses to you that he is using amphetamines to stay awake while piloting - what do you do

Answer 5

You must report - they are not allowed in Canadian civilian or military ops (they are in the US Air Force)

Question 6

Most important risk factor in TIA

Answer 6

HTN (as it is the most common)

A.Fib is also important but less common

Question 7

Starting a patient on a drug that will immunocompromise them consider test for

Answer 7

TB

Question 8

Non-dependence causing sleep aid

Answer 8

Eszopiclone

Question 9

Tx for foot fungus

Answer 9

Terbinafine - but not if on SSRI, Itraconazole - not if on statin, Efinaconzole - topical, best option if no oral. Use topical when mild-moderate