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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
Q

Risk of synto

A

Uterine rupture
Tachysystole
Water intoxication
Fetal intolerance

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26
Q

Benefit of synto for induction

A

Decreased infection risk
Decreased operative delivery
Decreased PPH
shorter labor
Less fetal deaths

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27
Q

OSA symptoms

A

Snoring
Witnessed apnea
Choking awake
AM headache
Daytime sleepiness
Poor concentration/memory
Low libido/ED
irritability

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28
Q

Classes of HIV meds

A

Protease inhibitors
Fusion inhibitors
Nucleoside reverse transcriptase inhibitors
Non-nucleoside reverse transcription inhibitors

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29
Q

MMR vaccine schedule

A

12 and 18 mo
4-6 yrs

30
Q

Ppx for measles if unvaccinated

A

MMR vaccine
Serum Ig

31
Q

Causes of ST elevation

A

MI
HyperK
HyperCa
HypoCa
Takotsubo CM
Pericarditis
LVH

32
Q

Features of eczema

A

Recurrent relapsing
Extensor in kids and flexor in adults
Thickened patches
Pururitis
Atopic triad on history
Environmental triggers
Early age onset

33
Q

Risk factor for SAH

A

HTN
Smoking
Alcohol
Fhx
Known aneurysm
Cocaine use
Estrogen deficiency

34
Q

Low APGAR risk

A

Preterm
Shoulder dystocia
Meconium
Precipitous birth
Opioids during labor

35
Q

Causes of NV in pregnancy

A

Normal pregnancy
Nola pregnancy
Multiple pregnancy
Heartburn
HP infection
Dyspepsia
DM
Hyperthyroidism
Gastroenteritis

36
Q

Acute treatment for hyperCa

A

IVF
IM calcitonin
IV bisphosphonate

37
Q

Investigations for hyperCa

A

SPEP
Phos
Albumin
Creatinine
PTH
Vit D

38
Q

What triggers ahh sickling?

A

Low O2
Dehydration
Fever/infecfion
Acidosis
Cold
Pregnancy
Alcohol

39
Q

How to prevent sickle cell crisis

A

Routine vaccination
Additional pneumonic
Ppx penicillin
Avoid sickling condition
Good hygiene
Folate supplement

40
Q

Clinical features of epididymitis

A

Adolescent
Gradual onset days
Moderate severe pain
Over epididymis
Frequency
Dysuria
Fever
Unilateral pain
Urethral discharge

41
Q

Causes of primary enuresis

A

Developmental delay/neuro immaturity
Constipation
Genetic
Sleep disorder
Low ADH

42
Q

Nonpharm Management of enuresis

A

Scheduled void
Avoid fluids at bedtime
Schedule waking time
Buzzer pad
Avoid shaming
Involve child in cleaning
Ensure BM ok

43
Q

Causes of delayed toilet training

A

Voluntary holding stool
Frequent constipation
Started too early or late
Psychosocial conflict
First born
Male
Fhx

44
Q

Epi men dose for croup

A

L racemic 0.5cc in 3ml NS

45
Q

Education on PMR

A

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
Q

Lithium toxicity symptoms

A

ALOC
Tremor
Nystagmus
Seizure
Hyperreflexia

47
Q

Complications of chronic Li toxicity

A

Hypothyroidism
Chronic renal failure
Diabetes insipidous
Ataxia
Tremor

48
Q

Smoking cessation therapy

A

NRT
Nicotine partial agonist (varenicline)
Opioid antagonist (naltrexone)
NDRI (wellbutrin)
TCA
A2A receptor agonist

49
Q

Can you use champix/naltrexone in pregnancy

A

No

50
Q

When to order CT head in someone with cognitive impairment

A

Abrupt onset
Age <60
Rapid decline
Focal neuro signs
Previous malignancy
Recent head trauma
Bleeding disorder

51
Q

Second line for strep throat in someone with penicillin allergy

A

Clindamycin
Clarithromycin

52
Q

HPV wart treatment

A

Podifilox
Imoquimod
Cryo
Laser
Surgery

53
Q

Why not screen pap in women <25?

A

Most cervical abn revert to normal

54
Q

Proper BP technique

A

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
Q

Specific lipid levels that increase DM risk

A

HDL< 1 in men and 1.3 in women
TG fasting >1.7

56
Q

Risk factors that increase diagnosis of prostate cancer

A

Increasing age
Black race
FHx
Brca 1/2

57
Q

Antipsychotic side effects

A

Weight
DLD
Glucose
EPS
Anticholinergic
NMS
Galactorrhea
Sedation
Seizures

58
Q

Risk factors that increase HSV outbreak

A

UV
URTI
Fevers
Immune suppression
Stress
Surgery

59
Q

Complications of HSV outbreak

A

Transmission
Social isolation
Bacterial infection
Keratitis
Gingival recession
Encephalitis

60
Q

Gold standard test for HSV?

A

Viral culture

61
Q

Risks for OA glaucoma

A

DM
Old age
Family history
Increased IOP
African descent

62
Q

Investigations for GCA

A

Biopsy
MRI

63
Q

Risks factors for c diff

A

Old
Hospitalization
Severe illness
Enteral feeds
GI surgery
Obesity
PPI
Chemo

64
Q

Complications from pseudomembrane colitis

A

Toxic mega colon
Bowel perf
Dehydration

65
Q

DDx chronic leg pain while walking

A

Vascular valediction
Venous insufficiency
Lumbar stenosis
Peripheral neuropathy
Myositis
Fibromyalgia
PMR
RA
Myofascial pain syndrome
Statins
Magnesium

66
Q

Symptoms of intermittent vascular claudication

A

Muscle cramp on exertion
Pain better when resting
Better with depending position
Fatigue
Pain in lower extremities
Weakness
Aching muscles

67
Q

What imaging to order in arterial insufficiency

A

Abdominal US for AAA

68
Q

Criteria to Dx AIDS

A

Positive HIV
CD4<200
Opportunistic infections
Malignancy

69
Q

Risk factors for HIV

A

Unprotected sex
Multiple partners
Receptive anal intercourse
Prior STI
Current STI
IVDU
blood transfusion
Vertical transmission

70
Q

Physical exam findings in scaphoid fracture

A

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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