Family Medicine

Question 1

How many day times in a week must a person need an inhaled reliever, aside from a pre-exercise dose, to suggest adequate asthma control?

Answer 1

< 4

Question 2

What are the risk factor for the development of Osteoporosis?

Answer 2

1. Age > 65
2. Alcoholism
3. Parental hip fracture
4. Fragility fracture after 40 y/o
5. Use of high-risk medication
6. Prolonged use of corticosteroids
7. Vertebral fracture
8. Low body weight
9. RA

Question 3

Canadian Guidelines suggest routine mammogram screening for what age?

Answer 3

50-69

Question 4

48 year old male with no significant medical history comes to your office for a check-up. Hypertension is defined as an office blood pressure consistently higher than what?

Answer 4

140/90

Question 5

Who should be screened for hypertension?

Answer 5

All Canadian adults should have their blood pressure assessed at all appropriate clinical visits.

Question 6

According to the guidelines at what age should you check her cholesterol?

Answer 6

50

Question 7

How do we diagnose diabetes?

Answer 7

FPG ≥7.0 mmol/L

or

A1C ≥6.5% (in adults)

or

2hPG in a 75-g OGTT ≥11.1 mmol/L

or

Random PG ≥11.1 mmol/L

Question 8

When do we screen for diabetes?

Answer 8

FPG and/or A1C should be performed every 3 years in individuals > 40 years of age or at high risk using a risk calculator

Question 9

In patients with type 2 diabetes, what are the general targets?

Answer 9

1. Fasting Sugar < 7
2. 2 hour sugar < 10
3. A1C < 7%

WITHIN 3-6 MONTHS OF DIAGNOSIS

Question 10

Triglycerides level of 2.1 is a sign of what?

Answer 10

Metabolic syndrome

Question 11

What are the screening guidelines for lung cancer?

Answer 11

• Adults aged 55-74 years
• With at least a 30 pack-year smoking history
• Who currently smoke or quit less than 15 years ago
• With low dose computed tomography (LDCT)

Question 12

Do we use prostate-specific antigen (PSA) to screen for prostate cancer?

Answer 12

NO

Question 13

What is the recommendation for colon cancer screening?

Answer 13

• 60 to 74
• Every two years

With

1. With FOBT (either gFOBT or FIT)
2. Flexible sigmoidoscopy every 10 years.

Question 14

Quand est le vaccin contre la Diphtérie-coqueluche-tétanos-hépatite B-polio-Hib (DCaT-HB-VPI-Hib ; Infanrix-Hexa)?

Answer 14

• DTaP-IPV-Hib-HBV at 2 and 4 months
• DTaP-IPV-Hib at 12 months
• DTaP-IPV between 4 - 6 years
• DTaP in secondary 3
• d2T5 thereafter (“tetanus shot”) q10y

Question 15

Quand est le vaccin contre 13 types de Pneumocoque (Prevnar 13)?

Answer 15

• 2 mois
• 4 mois
• 12 mois

Question 16

Quand est le vaccin contre le Rotavirus?

Answer 16

• 2 mois
• 4 mois

Question 17

Quand est le vaccin contre la Rougeole-rubéole-oreillons-varicelle (Measles-mumps-rubella-varicella - MMR-V; Priorix-Tetra)?

Answer 17

• 12 mois
• 18 mois

Question 18

Quand est le vaccin contre l’Hépatite A-hépatite B?

Answer 18

• 12 mois
• 4e année du primaire

Question 19

Quand est le vaccin contre le VPH?

Answer 19

4e année du primaire

Question 20

What are the live vaccines you cannot give if someone is immunodeficient or pregnant?

Answer 20

• Rotavirus (Rotarix): oral
• MMR-V (Priorix-Tetra)
• BCG

Question 21

What vaccine is indicated when exposure to infected person, splenectomy, complement deficiency, living or working in endemic zone or in laboratory?

Answer 21

1. Meningococcal Vaccine
2. Pneumococcal Vaccine

Question 22

What is the approach to talk about smoking cessation?

Answer 22

5 A’s

• Ask
• Assess
• Advise
• Assist
• Arrange

Question 23

Someone is ready to quit smoking, what do you do?

Answer 23

STAR

• Set up a date
• Tell family and friends
• Anticipate challenged
• Remove tobaco products

Question 24

What are the elements of the FRAMINGHAM RISK SCORE (FRS)?

Answer 24

• Age
• HDL
• Total cholesterol
• Systolic BP
• Smoker
• Diabetes

Question 25

When do you treat DLP?

Answer 25

FRAMINGHAM RISK SCORE (FRS)

• High: >20%
• Intermediate 10-19%
• Other risk factors