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Extra flash cards - MCCQE1 > PMCH > Flashcards

PMCH Flashcards

1
Q

bupropion for smoking cessation

A

sustained release form = BENEFICIAL at ANY AGE

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2
Q

most common illness related to occupational exposure

A

asthma

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3
Q

where to refer women with domestic abuse

A

domestic violence program

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4
Q

occupational hearing loss is worse with—

A

HIGH frequencies

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5
Q

TB testing recent converters

A

treated at any age

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6
Q

BCG with TB testing

A

does NOT interfere with interpretation

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7
Q

two step Tb positive on second, not first

A

STILL = POSITIVE, can be positive on either first or second, treated as positive

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8
Q

PPD IN HIV PTS.

A

HIGH FN

HIGH risk of ACTIVE disease

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9
Q

preparatory grief

A
  • terminal illness
  • NOT depression– still have self esteem
  • WAX and WANE
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10
Q

tx of preparatory grief with short prognosis, and depression

A

methylphenidate

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11
Q

tx of preparatory grief with LONG prognosis, and depression

A

SSRI’s

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12
Q

6% HbA1c=

A

7mmol/L, 120mg/dL

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13
Q

7% HbA1c=

A

8mmol/L, 150mg/dL

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14
Q

8% HbA1c=

A

10mmol/L, 180mg/dL

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15
Q

hawthorne study was a type of

A

experimental study

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16
Q

both experimental and observational studies don’t have

A

experimental manipulation

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17
Q

2003 internal compliance programs for pharm companies

A

MUST disclose sponsorship of CME activities

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18
Q

perchloroethylene

A
  • neuropathy
  • LIVER– damage, chemical hepatitis
  • renal damage
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19
Q

most women with breast cancer —- wrt rf’s

A

NO RISK FACTORS

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20
Q

if 1 FDR with breast cancer

A

3-4X increase risk of breast cancer

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21
Q

hereditary breast cancer— maternal/ paternal

A

BOTH maternal AND PATERNAL SIDE

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22
Q

which month are the most number of RBC’s made?

A

AUGUST

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23
Q

pseudoephedrine is added to

A

methampheatmines

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24
Q

albuterol is added to

A

crack cocaine

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25
Q

self breast examinations

A

NO DECREASE IN MORTALITY

INCREASE the number of biopsies performed

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26
Q

when to start warfarin with CHADS2V

A

2+

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27
Q

gadolinium associated nephrogenic systemic fibrosis

A

using gadolinium with someone with poor renal function

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28
Q

bx of gadolinium associated nephrogenic systemic fibrosis

A

spindle cells, CD4, fibrocytes, collagen, fibrosis

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29
Q

any tx or predisposition to gadolinium associated nephrogenic systemic fibrosis

A

NOOOO TX

W/O gender/age/race preference

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30
Q

who is at risk for hyperthermia

A
  • greater than 65, less than 5
  • living alone
  • schizo’s
  • cardiopulmonary disease
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31
Q

use of fans for hyperthermia

A

NOOOO benefit if temp greater than 32, or humidity greater than 35%

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32
Q

most difficult to prevent which type of disease transmission

A

AIRBORNE

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33
Q

cumulative incidence rates have differences because of

A

screening

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34
Q

elder abuse most likely caused by …

A

CAREGIVER– most often adult children

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35
Q

men or women elder abuse

A

WOMEN– more reporting and more severe

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36
Q

most common form of elder abuse

A

NEGLECT

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37
Q

fu colonoscopy with personal hx of colon cancer

A

1-3-5

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38
Q

fu colonoscopy with personal hx of adenomatous polyps

A

3-5 years

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39
Q

had sex with someone x days before symptoms– need empiric tx

A

60 DAYS

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40
Q

economic burden – $ going into

A

chronic diseases

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41
Q

prophylactic aspirin women

A

55-79yo

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42
Q

prophylactic aspirin men

A

45-79yo

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43
Q

5 contraindications to nicotine patches

A 
recent MI
severe arrhythmia
severe angina
pregnant or breast feeding
LESS THAN 18YO
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44
Q

why is the life expectancy increasing?

A

DECREASE INFANT MORTALITY

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45
Q

MCC skin infection in emergency department

A

MRSA

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46
Q

1 month old vit D levels

A

400 IU

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47
Q

19-50yo vit D and calcium

A

200IU/ 1000mg

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48
Q

greater than 50yo male vit D and calcium

A

400IU/1000mg

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49
Q

greater 51-70yo female vit D and calcium

A

400IU/1200mg

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50
Q

greater than 70yo female vit D and calcium

A

600IU/1200mg

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51
Q

vit D and calcium levels to prevent hip fracture in post-menopausal women

A

800IU/ 1200mg

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52
Q

best way to remove tic

A

blunt forceps

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53
Q

LDL level 2mmol/L

A

6

DM/CAD/PVD/AAA/carotid artery symptomatic disease/multiple risk factors greater than 20% risk

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54
Q

LDL level 3.5mmol/L

A

2 risk factors

less than 20% risk of CAD in 10 yrs

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55
Q

LDL level 4mmol/L

A

1 risk factor

less than 20% risk of CAD in 10 yrs

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56
Q

black cohosh

A

menopausal symptoms

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57
Q

best way for direct observational therapy to work

A

ADD incentives and reminders

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58
Q

obese patients– weight loss

A

30 minutes a day for 5 days

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59
Q

what DOESN’T hospice cover?

A

co-morbid illness

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60
Q

what to do if have a new sexual partner?

A

STI screen

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61
Q

biggest risk factor for STI’s

A

sexual activity at a young age

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62
Q

definition latent TB

A

positive PPD
no symptoms
no CXR findings

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63
Q

rabies prophylaxis for symptomatic pet

A

VET– if yes–> PEP

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64
Q

which vitamin was proven NOT TO WORK against CV disease

A

VITAMIN E

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65
Q

latex is cross reactive with

A

avocados

66
Q

AAA screening first time

A

65-75yo in males who have EVER smoked

67
Q

best measure of health quality during pregnancy and delivery

A

perinatal mortality rate

68
Q

influenza vaccine

A

ALL PATIENTS 6mos and older

  • adults with chronic conditions
  • aboriginals
  • elderly in nursing homes
  • older than 65
  • healthy pregnant women
  • kids 6mos- 59mos
69
Q

tx of travellers diarrhea

A

LOPERAMIDE or diphenoxylate

and fluids

70
Q

most common adverse hospital event in those older than 60

A

surgical related events

71
Q

ETEC vaccine

A

DOES NOT EXIST, but would consist of:

CS1, CS6, LT toxoid

72
Q

how to kill botox spores

A

120 degrees for 30minutes

73
Q

how to kill botox toxin

A

80 degrees for 30 minutes

74
Q

scoliosis random ass facts

A
  • 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
Q

physical exams in young adults–40yo

A

every 3-5years

76
Q

feeding tubes in patients with AZD

A

NOOOO specific benefit has been shown

77
Q

effects of VZV vaccine

A
  • decreases outbreaks
  • decreases severity
  • decreases duration
  • MAINTAINS EFFICACY >70yo
78
Q

only 2 infections= CONTRAINDICATIONS to breast feeding

A

HIV

HTLV-1

79
Q

info on nicotine replacement tx

A
  • 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
Q

all sexually activity women less than or equal to 25

A

CHLAMYDIA CHECK

81
Q

number one risk factor for pancreatic cancer

A

SMOKING

82
Q

hep A vaccine– random indication

A

amphetamine addict

83
Q

melanoma screening

A

NOOOOPE– does NOT decrease mortality

84
Q

who is most at risk for melanoma

A

men > 50yo

85
Q

is it ok to give influenza, PCV, steroids all at same time

A

yessssss

86
Q

what drug to avoid in elderly

A

1ST GEN ANTI-HIS– diphenhydramine

87
Q

cause of death part 1

A

IMMEDIATE cause of death, and underneath including the leading up events

88
Q

cause of death part 2

A

contributory PAST MEDICAL HX

89
Q

most common STI in elderly

A

GENITAL HERPES

90
Q

where can genital herpes present in elderly

A

SACRUM

91
Q

whats a random fact about genital herpes

A

MOST PEOPLE DON’T NOTICE

92
Q

AEDs beneficial in….

A

full and functional neurorecovery

93
Q

what can be used to express the chances of a diagnostic procedure giving a positive/negative test– with likelihood of disease

A

LIKELIHOOD RATIO

94
Q

what has the highest content of omega 3 fatty acids

A

FLAX SEEDS

95
Q

mc population HIV in kids before 1994

A

male haemophiliacs

96
Q

bit by someone with HIV

A

DO HIV TEST

97
Q

cardiac rehab program for elderly

A

safe and effective

98
Q

amount of exercise elderly need

A

30 minutes a week,

beneficial even with just 6 minutes

99
Q

what pressure of oxygen would you need to arrange an O2 tank for the plane

A

if O2

100
Q

aboriginals at increased risk for

A

TB
RA
suicide
DMT2

101
Q

does MSG cause cancer?

A

NOOOOO

102
Q

elderly and changes

A

increase % body fat

transdermal absorption–varies the LEAST

103
Q

intra-nasal influenza vaccine

A

2-59yo

104
Q

contraindications to intra-nasal influenza vaccine

A 
immunosuppressed
chronic immune condition
pregnant
asthmatic
chronic aspirin use
105
Q

who requires 2 doses of influenza vaccine

A

kids 6 months- 9 yo

106
Q

kappa

A

observed agreement- chance agreement/ 1-chance agreement

107
Q

what two diabetic drugs decrease CV mortality

A
  1. metformin

2. glucosidase inhibitors *** with impaired glucose control

108
Q

why use pertussis tx

A

decrease secondary attack rate,

since even with vaccine have epidemic and sporadic forms

109
Q

HCV most common causes

A
  1. blood transfusions before 1994
  2. NSI
  3. mucosal exposure
  4. vertical
110
Q

HIV most common causes

A
  1. sharing needles
  2. sex
  3. vertical

LEAST LIKELY= BLOOD TRANSFUSIONS

111
Q

PSA indications

A

for men with >10year life expectancy

  • prostate on DRE
  • secondary mets searching
112
Q

what is more sensitivity for prostate cancer PSA or DRE

A

PSA

113
Q

decreasing falls in elderly

A

safe living environment

AEROBIC EXERCSE

114
Q

what steroid to treat spinal mets

A

DEXAMETHASONE

115
Q

what things can cause a false positive urine toxicology

A 
POPPY SEED MUFFINS
Fluorquinolones
Rifampin
Oxaprozin
NSAID's
Dextromethorphan
Selegiline
Venlafaxine
Vicks
116
Q

audible sound Hz

A

20-20,000Hz

117
Q

understanding speech Hz

A

400-5000Hz

118
Q

what % of autopsies of men have microscopic carcinoma of prostate

A

70%

119
Q

3 big risk factors for prostate cancer

A

family history
black
greater than 50yo

120
Q

how many more times are black men likely to get prostate cancer

A

1.5X

121
Q

ovarian screening—

A

NOT warranted, but…

  • annual pap smears
  • pelvic exams
122
Q

if Dr. is a heroin addict– who should we report it to?

A

PROVINCIAL MEDICAL BOARD

they can go back to being a doctor– but if anaesthesiologist– can’t become it again– can do something else

123
Q

what artery to take in child less than 1 yo

A

brachial artery

124
Q

ginko biloba

A

stroke

tinnitus

125
Q

yohimibine

A

hypertension

126
Q

kava

A

GI

rash

127
Q

rules for colonic polyps

A

30-40-50

50-60-70

128
Q

someone with terminal illness, has congestion, gurgling, retaining secretions

A

scopolamine
glycopyrrolate
atropine

129
Q

when to use opiates in patients with terminal illness

A

PAIN
FATIGUE
SOB

130
Q

what two parasites are chloride resistant

A

cryptosporidium

giardia

131
Q

IFN gamma

A

cannot tell difference between latent and active;

12hrs to incubate and test antigens

132
Q

what parameters in framingham score– 5

A
  1. age
  2. smoking status
  3. sbp
  4. TOTAL CH
  5. HDL
133
Q

smokers taking LARGE AMOUNTS OF WHAT… can increase risk of lung cancer

A

beta carotene

134
Q

epidemiology triad

A

host/ agent/ environment

135
Q

OCP decreases which two types of cancer

A

ovarian

endometrial

136
Q

hyperplastic polyps

A

NORMAL COLONOSCOPY

137
Q

any poison mishaps– send to…

A

PCC: poison control centre

138
Q

public health physician looks after

A
  • STI’S
  • infection diseases
  • dental programs in kids
  • health promotion
139
Q

legal negligence is the same as…

A

malpractice– error occurs when doing something OUTSIDE the standard accepted practice

140
Q

positive PPD what next

A

CXR

141
Q

positive CXR what next

A

sputum culture

142
Q

most common deficiency worldwife

A

IRON

143
Q

relapses in stages of change

A

NORMAL aspect of change, can be recurrent

144
Q

most of the health care budget goes into…

A

HOSPITALS

145
Q

medical records

A
  • only released by written consent from patient
  • property- physically= DR, info= patient
  • CANNOT WITHHOLD FROM: third party, unpaid bills, doctor is concerned
146
Q

most common adverse drug event

A

ordering

147
Q

biofeedback for

A

migraines

148
Q

oxygen for

A

cluster headaches

149
Q

ma huang for

A

rhinitis– ephedrine like

150
Q

epley monitor for

A

positional vertigo

151
Q

CT SCANS CAUSE CANCER– risk factors include

A

abdo/chest> brain
neonates
women– increases risk for lung cancer, breast cancer

152
Q

TdAP okay in pregnant women

A

YESSS

153
Q

who can take away licence from patient

A

MINISTRY OF TRANSPORT

154
Q

most common cause of emergency admission in elderly

A

FALLS

155
Q

what phase of drug trials has the highest rate of drug failure

A

PHASE 2

156
Q

H5N1 avian influenza small number of ppl infected because

A

human-human transmission

157
Q

precautions when outbreak of hep A

A
  • give hep A Ig to close contacts
  • MUST REPORT TO MOH
  • contact tracing
  • locate primary source

NOOOOOOOOOO benefit with hand washing/disinfecting

158
Q

hep C screening is NOTTTTTTT indicated for

A

HCM
Prague women
public safety workers

159
Q

what causes occupational asthma

A

PVC
isocyanate
anhydride
NOT NOT NOT NOT NOT NOT NOT radiation

160
Q

osteoporosis screening

A

NOO proven efficacy

men and women at 65yo; younger if history…

Extra flash cards - MCCQE1 (12 decks)

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