PMCH Flashcards
1
Q
bupropion for smoking cessation
A
sustained release form = BENEFICIAL at ANY AGE
2
Q
most common illness related to occupational exposure
A
asthma
3
Q
where to refer women with domestic abuse
A
domestic violence program
4
Q
occupational hearing loss is worse with—
A
HIGH frequencies
5
Q
TB testing recent converters
A
treated at any age
6
Q
BCG with TB testing
A
does NOT interfere with interpretation
7
Q
two step Tb positive on second, not first
A
STILL = POSITIVE, can be positive on either first or second, treated as positive
8
Q
PPD IN HIV PTS.
A
HIGH FN
HIGH risk of ACTIVE disease
9
Q
preparatory grief
A
- terminal illness
- NOT depression– still have self esteem
- WAX and WANE
10
Q
tx of preparatory grief with short prognosis, and depression
A
methylphenidate
11
Q
tx of preparatory grief with LONG prognosis, and depression
A
SSRI’s
12
Q
6% HbA1c=
A
7mmol/L, 120mg/dL
13
Q
7% HbA1c=
A
8mmol/L, 150mg/dL
14
Q
8% HbA1c=
A
10mmol/L, 180mg/dL
15
Q
hawthorne study was a type of
A
experimental study
16
Q
both experimental and observational studies don’t have
A
experimental manipulation
17
Q
2003 internal compliance programs for pharm companies
A
MUST disclose sponsorship of CME activities
18
Q
perchloroethylene
A
- neuropathy
- LIVER– damage, chemical hepatitis
- renal damage
19
Q
most women with breast cancer —- wrt rf’s
A
NO RISK FACTORS
20
Q
if 1 FDR with breast cancer
A
3-4X increase risk of breast cancer
21
Q
hereditary breast cancer— maternal/ paternal
A
BOTH maternal AND PATERNAL SIDE
22
Q
which month are the most number of RBC’s made?
A
AUGUST
23
Q
pseudoephedrine is added to
A
methampheatmines
24
Q
albuterol is added to
A
crack cocaine
25
self breast examinations
NO DECREASE IN MORTALITY
| INCREASE the number of biopsies performed
26
when to start warfarin with CHADS2V
2+
27
gadolinium associated nephrogenic systemic fibrosis
using gadolinium with someone with poor renal function
28
bx of gadolinium associated nephrogenic systemic fibrosis
spindle cells, CD4, fibrocytes, collagen, fibrosis
29
any tx or predisposition to gadolinium associated nephrogenic systemic fibrosis
NOOOO TX
| W/O gender/age/race preference
30
who is at risk for hyperthermia
- greater than 65, less than 5
- living alone
- schizo's
- cardiopulmonary disease
31
use of fans for hyperthermia
NOOOO benefit if temp greater than 32, or humidity greater than 35%
32
most difficult to prevent which type of disease transmission
AIRBORNE
33
cumulative incidence rates have differences because of
screening
34
elder abuse most likely caused by ...
CAREGIVER-- most often adult children
35
men or women elder abuse
WOMEN-- more reporting and more severe
36
most common form of elder abuse
NEGLECT
37
fu colonoscopy with personal hx of colon cancer
1-3-5
38
fu colonoscopy with personal hx of adenomatous polyps
3-5 years
39
had sex with someone x days before symptoms-- need empiric tx
60 DAYS
40
economic burden -- $ going into
chronic diseases
41
prophylactic aspirin women
55-79yo
42
prophylactic aspirin men
45-79yo
43
5 contraindications to nicotine patches
```
recent MI
severe arrhythmia
severe angina
pregnant or breast feeding
LESS THAN 18YO
```
44
why is the life expectancy increasing?
DECREASE INFANT MORTALITY
45
MCC skin infection in emergency department
MRSA
46
1 month old vit D levels
400 IU
47
19-50yo vit D and calcium
200IU/ 1000mg
48
greater than 50yo male vit D and calcium
400IU/1000mg
49
greater 51-70yo female vit D and calcium
400IU/1200mg
50
greater than 70yo female vit D and calcium
600IU/1200mg
51
vit D and calcium levels to prevent hip fracture in post-menopausal women
800IU/ 1200mg
52
best way to remove tic
blunt forceps
53
LDL level 2mmol/L
6
| DM/CAD/PVD/AAA/carotid artery symptomatic disease/multiple risk factors greater than 20% risk
54
LDL level 3.5mmol/L
2 risk factors
| less than 20% risk of CAD in 10 yrs
55
LDL level 4mmol/L
1 risk factor
| less than 20% risk of CAD in 10 yrs
56
black cohosh
menopausal symptoms
57
best way for direct observational therapy to work
ADD incentives and reminders
58
obese patients-- weight loss
30 minutes a day for 5 days
59
what DOESN'T hospice cover?
co-morbid illness
60
what to do if have a new sexual partner?
STI screen
61
biggest risk factor for STI's
sexual activity at a young age
62
definition latent TB
positive PPD
no symptoms
no CXR findings
63
rabies prophylaxis for symptomatic pet
VET-- if yes--> PEP
64
which vitamin was proven NOT TO WORK against CV disease
VITAMIN E
65
latex is cross reactive with
avocados
66
AAA screening first time
65-75yo in males who have EVER smoked
67
best measure of health quality during pregnancy and delivery
perinatal mortality rate
68
influenza vaccine
ALL PATIENTS 6mos and older
- adults with chronic conditions
- aboriginals
- elderly in nursing homes
- older than 65
- healthy pregnant women
- kids 6mos- 59mos
69
tx of travellers diarrhea
LOPERAMIDE or diphenoxylate
| and fluids
70
most common adverse hospital event in those older than 60
surgical related events
71
ETEC vaccine
DOES NOT EXIST, but would consist of:
| CS1, CS6, LT toxoid
72
how to kill botox spores
120 degrees for 30minutes
73
how to kill botox toxin
80 degrees for 30 minutes
74
scoliosis random ass facts
- those requiring more aggressive tx, are UNLIKELY to be detected with community screenings
- forward bend test has variable detection ability
- poor follow up once detected
- only a small portion of those treated from scoliosis actually get health benefits from tx
75
physical exams in young adults--40yo
every 3-5years
76
feeding tubes in patients with AZD
NOOOO specific benefit has been shown
77
effects of VZV vaccine
- decreases outbreaks
- decreases severity
- decreases duration
- MAINTAINS EFFICACY >70yo
78
only 2 infections= CONTRAINDICATIONS to breast feeding
HIV
| HTLV-1
79
info on nicotine replacement tx
- 2X more likely to quit
- NO difference between suddenly stopping and tapering off
- 8 weeks= effective
- NO 1 NRT is more beneficial than the other
- increase likely to quit if add several types of NRT
80
all sexually activity women less than or equal to 25
CHLAMYDIA CHECK
81
number one risk factor for pancreatic cancer
SMOKING
82
hep A vaccine-- random indication
amphetamine addict
83
melanoma screening
NOOOOPE-- does NOT decrease mortality
84
who is most at risk for melanoma
men > 50yo
85
is it ok to give influenza, PCV, steroids all at same time
yessssss
86
what drug to avoid in elderly
1ST GEN ANTI-HIS-- diphenhydramine
87
cause of death part 1
IMMEDIATE cause of death, and underneath including the leading up events
88
cause of death part 2
contributory PAST MEDICAL HX
89
most common STI in elderly
GENITAL HERPES
90
where can genital herpes present in elderly
SACRUM
91
whats a random fact about genital herpes
MOST PEOPLE DON'T NOTICE
92
AEDs beneficial in....
full and functional neurorecovery
93
what can be used to express the chances of a diagnostic procedure giving a positive/negative test-- with likelihood of disease
LIKELIHOOD RATIO
94
what has the highest content of omega 3 fatty acids
FLAX SEEDS
95
mc population HIV in kids before 1994
male haemophiliacs
96
bit by someone with HIV
DO HIV TEST
97
cardiac rehab program for elderly
safe and effective
98
amount of exercise elderly need
30 minutes a week,
| beneficial even with just 6 minutes
99
what pressure of oxygen would you need to arrange an O2 tank for the plane
if O2
100
aboriginals at increased risk for
TB
RA
suicide
DMT2
101
does MSG cause cancer?
NOOOOO
102
elderly and changes
increase % body fat
| transdermal absorption--varies the LEAST
103
intra-nasal influenza vaccine
2-59yo
104
contraindications to intra-nasal influenza vaccine
```
immunosuppressed
chronic immune condition
pregnant
asthmatic
chronic aspirin use
```
105
who requires 2 doses of influenza vaccine
kids 6 months- 9 yo
106
kappa
observed agreement- chance agreement/ 1-chance agreement
107
what two diabetic drugs decrease CV mortality
1. metformin
| 2. glucosidase inhibitors *** with impaired glucose control
108
why use pertussis tx
decrease secondary attack rate,
| since even with vaccine have epidemic and sporadic forms
109
HCV most common causes
1. blood transfusions before 1994
2. NSI
3. mucosal exposure
4. vertical
110
HIV most common causes
1. sharing needles
2. sex
3. vertical
LEAST LIKELY= BLOOD TRANSFUSIONS
111
PSA indications
for men with >10year life expectancy
- prostate on DRE
- secondary mets searching
112
what is more sensitivity for prostate cancer PSA or DRE
PSA
113
decreasing falls in elderly
safe living environment
| AEROBIC EXERCSE
114
what steroid to treat spinal mets
DEXAMETHASONE
115
what things can cause a false positive urine toxicology
```
POPPY SEED MUFFINS
Fluorquinolones
Rifampin
Oxaprozin
NSAID's
Dextromethorphan
Selegiline
Venlafaxine
Vicks
```
116
audible sound Hz
20-20,000Hz
117
understanding speech Hz
400-5000Hz
118
what % of autopsies of men have microscopic carcinoma of prostate
70%
119
3 big risk factors for prostate cancer
family history
black
greater than 50yo
120
how many more times are black men likely to get prostate cancer
1.5X
121
ovarian screening---
NOT warranted, but...
- annual pap smears
- pelvic exams
122
if Dr. is a heroin addict-- who should we report it to?
PROVINCIAL MEDICAL BOARD
| they can go back to being a doctor-- but if anaesthesiologist-- can't become it again-- can do something else
123
what artery to take in child less than 1 yo
brachial artery
124
ginko biloba
stroke
| tinnitus
125
yohimibine
hypertension
126
kava
GI
| rash
127
rules for colonic polyps
30-40-50
| 50-60-70
128
someone with terminal illness, has congestion, gurgling, retaining secretions
scopolamine
glycopyrrolate
atropine
129
when to use opiates in patients with terminal illness
PAIN
FATIGUE
SOB
130
what two parasites are chloride resistant
cryptosporidium
| giardia
131
IFN gamma
cannot tell difference between latent and active;
| 12hrs to incubate and test antigens
132
what parameters in framingham score-- 5
1. age
2. smoking status
3. sbp
4. TOTAL CH
5. HDL
133
smokers taking LARGE AMOUNTS OF WHAT... can increase risk of lung cancer
beta carotene
134
epidemiology triad
host/ agent/ environment
135
OCP decreases which two types of cancer
ovarian
| endometrial
136
hyperplastic polyps
NORMAL COLONOSCOPY
137
any poison mishaps-- send to...
PCC: poison control centre
138
public health physician looks after
- STI'S
- infection diseases
- dental programs in kids
- health promotion
139
legal negligence is the same as...
malpractice-- error occurs when doing something OUTSIDE the standard accepted practice
140
positive PPD what next
CXR
141
positive CXR what next
sputum culture
142
most common deficiency worldwife
IRON
143
relapses in stages of change
NORMAL aspect of change, can be recurrent
144
most of the health care budget goes into...
HOSPITALS
145
medical records
- only released by written consent from patient
- property- physically= DR, info= patient
- CANNOT WITHHOLD FROM: third party, unpaid bills, doctor is concerned
146
most common adverse drug event
ordering
147
biofeedback for
migraines
148
oxygen for
cluster headaches
149
ma huang for
rhinitis-- ephedrine like
150
epley monitor for
positional vertigo
151
CT SCANS CAUSE CANCER-- risk factors include
abdo/chest> brain
neonates
women-- increases risk for lung cancer, breast cancer
152
TdAP okay in pregnant women
YESSS
153
who can take away licence from patient
MINISTRY OF TRANSPORT
154
most common cause of emergency admission in elderly
FALLS
155
what phase of drug trials has the highest rate of drug failure
PHASE 2
156
H5N1 avian influenza small number of ppl infected because
human-human transmission
157
precautions when outbreak of hep A
- give hep A Ig to close contacts
- MUST REPORT TO MOH
- contact tracing
- locate primary source
NOOOOOOOOOO benefit with hand washing/disinfecting
158
hep C screening is NOTTTTTTT indicated for
HCM
Prague women
public safety workers
159
what causes occupational asthma
PVC
isocyanate
anhydride
NOT NOT NOT NOT NOT NOT NOT radiation
160
osteoporosis screening
NOO proven efficacy
| men and women at 65yo; younger if history...
