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CCFP > Shit I Got Wrong From The Stupid D2L Quizzes > Flashcards

Shit I Got Wrong From The Stupid D2L Quizzes Flashcards

1
Q

Lab tests to order (in order of most important) for BHP symptoms

A

Urinalysis
Urine culture
PSA

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2
Q

Lifestyle management for BPH symptoms

A

Avoid caffeine
Avoid alcohol
Avoid excess fluids
Fluid restrict before bedtime

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3
Q

Absolute indications for TURP

A

Patient wants it
Refractory retention after conservative management
Concurrent UTI
concurrent bladder stone
Renal insufficiency
Recurrent gross hematuria

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4
Q

How long can you store breast milk

A

Fridge 7 days
Freezing 3-4 months

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5
Q

Can you breast feed with the following conditions:

HepB
HIV
Chemotherapy

A

Yes
No
No

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6
Q

Can you use sertraline when breastfeeding?

A

Yes even though it is excreted in milk bc infant serum level is low. No evidence of harm in long term

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7
Q

Nonpharm ways to increase breast milk production

A

Pumping/breast stimulation
Hydrating
Adequate calories
Fenugreek and milk thistle

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8
Q

Infant benefits to breast feeding (lower incidence of the following):

A

NEC
SIDS
DMT2
Childhood obesity
Meningitis
UTI
Asthma
Eczema
Allergies
Infant mortality
Lymphoma

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9
Q

Maternal benefit to breast feeding

A

Lower rate breast cancer
Lower rate ovarian cancer
Lower rate DMT2
Quicker return to pre pregnancy weight
Quicker resolution of postpartum bleed

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10
Q

Digoxin toxicity clinical features

A

Nausea
Vomiting
Abdominal pain
Anorexia
Weakness
Visual disturbance
Bradycardia
Arrhythmia

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11
Q

What to order for digoxin toxicity

A

Serum calcium
Serum magnesium
Serum potassium
Creatinine
POCT glucose
ECG

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12
Q

Digoxin toxicity mimics:

A

BB
CCB
Alpha agonist

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13
Q

Labs for diarrhea

A

Hb and WBC
ferritin
TTG/IgA
CRP
TSH
Albumin
Na
K

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14
Q

Agents for IBS D

A

Fibre supplement
Antispasmodic (peppermint oil, hyoscine)
TCA
Probiotic
Antidiarrheal (loperamide)
Rifaximin

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15
Q

Causes of high MVC anemia

A

B12
Folate
Liver
EtOH
Hypothyroid
Myelodysplasia
Medication side effect

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16
Q

Percent of kids that experience febrile seizure

A

2-4%

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17
Q

Advise for febrile seizure recurrence

A

Lie child on side
Loosen clothing
Watch time, 911 if >15 min
Don’t hold child down
Don’t put stuff in mouth
Watch for focal neuro signs

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18
Q

Febrile seizure education

A

Will not cause brain damage
Simple febrile doesn’t change epilepsy risk
High chance for another seizure
No antiepileptics
Use acetaminophen for comfort, will not prevent recurrence
No further work up needed

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19
Q

Exercise recommendation:

A

150min aerobic weekly

2-3x 30min resistance

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20
Q

What BMI to start talking about meds

A

> 30
27 if complications

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21
Q

Maternal risk factor for SIDS

A

Young mom <20
Smoking during pregnancy
Driving use during pregnancy
Alcohol use during pregnancy
Poor prenatal care

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22
Q

Other risk factors in SIDS

A

Preterm
Low birth weight
Prone sleeping
Bed sharing
Soft sleep surface
Sibling with SIDS
Male infant
2-4mo age
Second hand smoke

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23
Q

Indication for vacuum/forcep

A

Maternal exhaustion
Lack of maternal cooperation
Need to avoid effort (ie CAD)
Ineffective pushing
Lack of progress
Unexplained bleed
Abnormal FHR or scalp pH

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24
Q

Conditions to apply vacuum

A

Assistance
Analgesia
Bladder empty
Cervix dilated
Determine head position
Equipment functional
Membrane rupture
Engaged head and +2 station
Maternal consent

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25
Risk of synto
Uterine rupture Tachysystole Water intoxication Fetal intolerance
26
Benefit of synto for induction
Decreased infection risk Decreased operative delivery Decreased PPH shorter labor Less fetal deaths
27
OSA symptoms
Snoring Witnessed apnea Choking awake AM headache Daytime sleepiness Poor concentration/memory Low libido/ED irritability
28
Classes of HIV meds
Protease inhibitors Fusion inhibitors Nucleoside reverse transcriptase inhibitors Non-nucleoside reverse transcription inhibitors
29
MMR vaccine schedule
12 and 18 mo 4-6 yrs
30
Ppx for measles if unvaccinated
MMR vaccine Serum Ig
31
Causes of ST elevation
MI HyperK HyperCa HypoCa Takotsubo CM Pericarditis LVH
32
Features of eczema
Recurrent relapsing Extensor in kids and flexor in adults Thickened patches Pururitis Atopic triad on history Environmental triggers Early age onset
33
Risk factor for SAH
HTN Smoking Alcohol Fhx Known aneurysm Cocaine use Estrogen deficiency
34
Low APGAR risk
Preterm Shoulder dystocia Meconium Precipitous birth Opioids during labor
35
Causes of NV in pregnancy
Normal pregnancy Nola pregnancy Multiple pregnancy Heartburn HP infection Dyspepsia DM Hyperthyroidism Gastroenteritis
36
Acute treatment for hyperCa
IVF IM calcitonin IV bisphosphonate
37
Investigations for hyperCa
SPEP Phos Albumin Creatinine PTH Vit D
38
What triggers ahh sickling?
Low O2 Dehydration Fever/infecfion Acidosis Cold Pregnancy Alcohol
39
How to prevent sickle cell crisis
Routine vaccination Additional pneumonic Ppx penicillin Avoid sickling condition Good hygiene Folate supplement
40
Clinical features of epididymitis
Adolescent Gradual onset days Moderate severe pain Over epididymis Frequency Dysuria Fever Unilateral pain Urethral discharge
41
Causes of primary enuresis
Developmental delay/neuro immaturity Constipation Genetic Sleep disorder Low ADH
42
Nonpharm Management of enuresis
Scheduled void Avoid fluids at bedtime Schedule waking time Buzzer pad Avoid shaming Involve child in cleaning Ensure BM ok
43
Causes of delayed toilet training
Voluntary holding stool Frequent constipation Started too early or late Psychosocial conflict First born Male Fhx
44
Epi men dose for croup
L racemic 0.5cc in 3ml NS
45
Education on PMR
Treat 1-4 years Relapse if stopped too soon Some people need low dose steroids chronically Some have exacerbations independent of steroid use Sx fade quickly on steroid No cure
46
Lithium toxicity symptoms
ALOC Tremor Nystagmus Seizure Hyperreflexia
47
Complications of chronic Li toxicity
Hypothyroidism Chronic renal failure Diabetes insipidous Ataxia Tremor
48
Smoking cessation therapy
NRT Nicotine partial agonist (varenicline) Opioid antagonist (naltrexone) NDRI (wellbutrin) TCA A2A receptor agonist
49
Can you use champix/naltrexone in pregnancy
No
50
When to order CT head in someone with cognitive impairment
Abrupt onset Age <60 Rapid decline Focal neuro signs Previous malignancy Recent head trauma Bleeding disorder
51
Second line for strep throat in someone with penicillin allergy
Clindamycin Clarithromycin
52
HPV wart treatment
Podifilox Imoquimod Cryo Laser Surgery
53
Why not screen pap in women <25?
Most cervical abn revert to normal
54
Proper BP technique
Rested 5 min Seated Back supported Feet flat and uncrossed Cuff sized Not talking Arm at heart level Both arms taken at first visit
55
Specific lipid levels that increase DM risk
HDL< 1 in men and 1.3 in women TG fasting >1.7
56
Risk factors that increase diagnosis of prostate cancer
Increasing age Black race FHx Brca 1/2
57
Antipsychotic side effects
Weight DLD Glucose EPS Anticholinergic NMS Galactorrhea Sedation Seizures
58
Risk factors that increase HSV outbreak
UV URTI Fevers Immune suppression Stress Surgery
59
Complications of HSV outbreak
Transmission Social isolation Bacterial infection Keratitis Gingival recession Encephalitis
60
Gold standard test for HSV?
Viral culture
61
Risks for OA glaucoma
DM Old age Family history Increased IOP African descent
62
Investigations for GCA
Biopsy MRI
63
Risks factors for c diff
Old Hospitalization Severe illness Enteral feeds GI surgery Obesity PPI Chemo
64
Complications from pseudomembrane colitis
Toxic mega colon Bowel perf Dehydration
65
DDx chronic leg pain while walking
Vascular valediction Venous insufficiency Lumbar stenosis Peripheral neuropathy Myositis Fibromyalgia PMR RA Myofascial pain syndrome Statins Magnesium
66
Symptoms of intermittent vascular claudication
Muscle cramp on exertion Pain better when resting Better with depending position Fatigue Pain in lower extremities Weakness Aching muscles
67
What imaging to order in arterial insufficiency
Abdominal US for AAA
68
Criteria to Dx AIDS
Positive HIV CD4<200 Opportunistic infections Malignancy
69
Risk factors for HIV
Unprotected sex Multiple partners Receptive anal intercourse Prior STI Current STI IVDU blood transfusion Vertical transmission
70
Physical exam findings in scaphoid fracture
Snuffbox tenderness Limited wrist flexion extension Pain with telescoping thumb Pain with forearm supination Pain with radial and ulnar deviation Pain with forced dorsiflexion Swelling over snuffbox

CCFP (25 decks)

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