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CCFP Exam 2021 > Vital FM 2 > Flashcards

Vital FM 2 Flashcards

1
Q

Fever in the returning traveler is what until otherwise proven?

A

Malaria

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2
Q

What subtype of malaria can kill in 24-48 hours?

A

Falciparum malaria

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3
Q

List 5 anti-malarials

A 
Malerone - expensive
Doxycycline - photosensitivity
Mefloquine - Vivid dreams
Primaquine - G6PD
Chloroquine - high resistance
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4
Q

What medications do you prescribe for altitude sickness?

A 
Acetazolamide
Dexamethasone
Nifedapine
Sildenafil
Salmeterol
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5
Q

Aspirin for primary prevention?

A

No.

Mixed evidence for stopping it.

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6
Q

Who should you screen for Hep C?

List 4

A

Endemic nation
Incarceration
IVDU
Blood products

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7
Q

Who do you screen for AAA?

A

One time U/S 65-80 for men.

No screening for women.

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8
Q

What test do you use to diagnose latent TB?

A

IGRA

Interfuron gamma release assay

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9
Q

What are 4 drugs to treat TB?

A

Rifampicin
Isoniazid
Pyrazinamide
Ethambutol

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10
Q

What test do you offer for patients who have walked on the sand in Africa or south east asia with GI symptoms?

A

Strongyloides serology

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11
Q

Who do you order a strongyloides serology for?

A

Anybody who walked barefoot in Africa or South East Asia with GI symptoms?

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12
Q

What should you screen immigrant women and children for?

A

Iron deficiency anemia.

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13
Q

What complication are you worried about with anti-psychotics?

A

Neuroleptic malignant syndrome

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14
Q

What are 5 symptoms of neuroleptic malignant syndrome

A

Fever
Autonomic dysregulation (BP, HR, Sweating)
Rigidity
Mental status changes

Send them to the crazy FARM

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15
Q

What are 5 non-pharm steps in treating neuroleptic malignant syndrome?

A 
Stop neuroleptic
IV Normal saline
Cooling blankets
Ice packs
DVT prophylaxis
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16
Q

What are two drugs to treat neuroleptic malignant syndrome?

A

Dantrolene

Bromocriptine

17
Q

What are 5 types of atypical pneumonia?

A 
PJP
TB
Mycobacterium avian
Influenza
Toxoplasmosis
18
Q

What are 4 things that affect antibiotic choice?

A

Allergy
Interactions
COPD Co-treatment
Aspiration coverage

19
Q

What is the most common cause of pneumonia?

A

S. pneumo

20
Q

When you diagnose hypertension, what other labs should you order?

A 
Lipids
K
Na
Hgb a1C
Urinary albumin
ECG/Beta-hcg
21
Q

Secondary causes of hypertension

A 
Atherosclerotic
Bruits
Catecholamines (pheo)
Drug
Endocrine
Sleep apnea

ABCDEs

22
Q

What are 5 non-pharm treatments for hypertension?

A 
Sodium
Weight
Alcohol
Exercise
Diet
Relaxation
23
Q

What time should patients take their antihypertensives?

A

Before bed

24
Q

What age do you start measuring pediatric BP?

A

3

25
Q

What arm do you measure pediatric BP?

A

Right

26
Q

What do you do when you diagnoses a kid with essential hypertension?

A

Labs (as per adults) so lipids kidney function diabetes.

ECHO

27
Q

Causes of fever that are not infectious. List 5

A 
Pulmonary embolus
Stevens-Johnson
Cancer
Thyroid storm
Febrile Neutropenia
28
Q

What are the symptoms of Kawasaki Syndrome?

A 
Conjunctivitis
Rash
Adenopathy
Strawberry Tongue
Hands/Feet - Rash/peeling

“CRASH”

29
Q

What is the major complication of Kawasaki disease?

A

Coronary Artery Aneurysm

CRASH call CAA

30
Q

What do you treat Kawasaki disease with?

A

ASA and IVIG

KawASAkI

31
Q

When do you order fasting lipids?

A

Triglycerides > 4.5

32
Q

What is the first line treatment for hypertrygliceridemia?

A

Omega-3’s.

33
Q

What are three things you ask for in dizziness?

A

Timing
Triggers
A thorough Exam

TiTrATE

34
Q

What are three physical exam findings for vertigo?

A

Orthostatic BP
GAIT
HINTS
Dix-hallpike

35
Q

What do you treat an upper GI bleed with?

A

IV PPI
Erythromycin
Octreotide

36
Q

What are 5 precipitating disorders for suicide?

A 
Drugs/alcohol
Access to means
Life events
New terminal/chronic disease
Media
37
Q

What are 5 predisposing factors for suicide?

A 
Neuropsychiatric disorders
Family history
Previous attempt
Adverse childhood experiences
Socioeconomic status
38
Q

What are 5 medications for acute mania?

A 
Aripiprazole
Risperidone
Lithium
Quetiapine
Divalproex
39
Q

What are 4 medications for maintenance of bipolarity?

A

Lamotragine
Lithium
Quetiapine
Divalproex

CCFP Exam 2021 (11 decks)

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