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ccfp > CCFP practice test 1 > Flashcards

CCFP practice test 1 Flashcards

1
Q

Name common side effects of lithium

A

N/V/D
polyuria
polydipsia
hypothyroidism
weight gain
ataxia
tremor
confusion
myoclonic jerks
arythmia
hyperparathyroidism

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2
Q

What should be checked on blood work 5 days post-starting lithium, and every q3-6 mo?

A

creatinine, lytes, ca, TSH, serum levels

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3
Q

what is the therapeutic level of lithium?

A

0.6-1.2 mmol/L

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4
Q

A person who tells you they are allergic to lidocaine may tolerate…

A

preservative free lidocaine (allergy is usually to a preservative)

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5
Q

can you use procaine or tetrocaine in someone with a lidocaine allergy?

A

yes, they have different structures

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6
Q

when should asymptomatic bacteriuria be treated in children?

A

-in children with renal transplants
-in children undergoing urologic procedures

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7
Q

what is the triad seen in serotonin syndrome?

A

autonomic, neuromuscular and mental status changes

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8
Q

what is Legg-Calve-Perthes disease?

A

avascular necrosis of the femoral head

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9
Q

what is Slipped Capital Femoral Epiphysis?

A

movement of femoral head due to damage of the growth plate

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10
Q

describe the technique to measure bp for orthostatic hypotension?

A

-pt lays supine for 5 min then take bp
-pt stands, take bp at 1 min and 3 min

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11
Q

what are the cutoffs for orthostatic hypotension?

A

drop > 20 in systolic
drop > 10 in diastolic

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12
Q

at what age is sleep training appropraite?

A

6 months

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13
Q

explain sleep training

A
  • Put baby to bed while drowsy
  • If baby cries leave him/her for 2-5 minutes.
  • Respond to baby with reassurance if
    required and then leave for another 2-5
    minutes.
  • Extend intervals
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14
Q

how is dengue fever transmitted

A

mosquitos

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15
Q

what are the symptoms of dengue fever?

A

high fever, nausea, aches, rash

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16
Q

what are the symptoms of typhoid?

A

Fever that starts low and increases throughout the day, possibly reaching as high as 104 degrees Fahrenheit (40 degrees Celsius).
Chills.
Headache.
Weakness and fatigue.
Muscle aches.
Stomach pain.
Diarrhea or constipation.
Rash

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17
Q

how is typhoid spread?

A

fecal oral route

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18
Q

what is the treatment for schistosomiasis?

A

praziquental

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19
Q

How does acute schistosomiasis syndrome present?

A

Acute schistosomiasis syndrome: fever,
diarrhea, abdominal pain, headache,
myalgia, and cough. (3 and 8 weeks postinfection)

20
Q

four classic symptoms of type I diabetes

A

polyuria, polydipsia, polyphagia, and weight loss

21
Q

name eight risk factors for acute aortic dissection

A

hypertension
cocaine use
GCA
lupus
polycystic kidney disease
connective tissue disorders
bicuspid valve
trauma

22
Q

peak age range for acute aortic dissection

A

60-70 (30-40 in marfans)

23
Q

in which conditions MAY cannabinoids be considered as third line or beyond options?

A

-spasticity from MS
-spasticity from spinal cord injury
-chemotherapy induced N/V
-refractory neuropathic pain
-refractory palliative/end of life pain

24
Q

dose of IM vit K for babies?

A

0.5-1mg

25
Q

what are the surgical treatment options for compression fractures?

A

vertebroplasty
kyphoplasty

26
Q

which patients on bisphosphonates are candidates for a drug holiday?

A

those who have been on it for 3-5 years and are low risk (no hx of fragility fractures)

27
Q

name three types of closed tendon injuries that require surgery or splinting?

A

mallet finger
central slip
jersey finger

28
Q

name the four steps of trauma informed care

A

Step 1. Bear witness to patient’s trauma experience
Step 2. create a safe space and recognize need for physical/emotional safety
Step 3. Include patients in healing process
Step 4. Believe in the patient’s strength and resilience

29
Q

which diet may help alleviate symptoms in patients with IBS associated diarrhea?

A

low FODMAP

30
Q

what foods are avoided in low FODMAP diet?

A

-Oligosaccharides: Wheat, rye, legumes, garlic, onions.
- Disaccharides: Milk, yogurt and soft
cheese.
- Monosaccharides: Mangos, honey.
- Polyols: blackberries, lychee, low caloriesweeteners.

31
Q

how do you remove a cast safely?

A

-use up and down motions
-avoid bony prominences
-draw lines where you will cut
-cut the cast on both sides

32
Q

management options for restless leg syndrome

A

-dopamine agonists
-iron supplementation
-pregabalin/gabapentin

33
Q

what factors make a child more likely to have peanut allergy?

A

-severe eczema
-egg allergy

34
Q

which conditions tend to present earlier in patients with intellectual disability?

A

-menopause
-diabetes

35
Q

criteria for MAID?

A

-at least 18 years of age
-capable of making decision
-grievous and irremediable medical
condition
-advanced stage of irreversible decline and natural death is reasonably foreseeable
-decision not made as a result of external pressure

36
Q

Name 8 possible SE of antipsychotic medication in older adults

A

-increased risk of falls
-increased risk of death
-cerebrovascular events
-gait abnormalities
-extrapyramidal SE
-somnolence
-edema
-weight gain
-UTI

37
Q

what baseline blood tests do you order when starting someone on an antipsychotic second gen?

A

-fasting glucose
-fasting lipid panel

38
Q

what is giggle micturition?

A

A rare form of daytime wetting: involuntary,
unstoppable, complete bladder emptying
during/immediately after laughing/giggling.}

39
Q

how do you reduce a radial head subluxation?

A

hyperpronation maneuver

40
Q

what symptoms are common to Myalgic encephalomyelitis–chronic fatigue syndrome, fibromyalgia, and environmental sensitivities–multiple chemical sensitivity?

A

-sleep disturbance
-neurological symptoms
-cognitive symptoms
-fatigue
-pain at varying degrees

41
Q

what is distinctive about ME-chronic fatigue syndrome?

A

-fatigue is chronic, profound and not relieved by rest
-post-exertional malaise

42
Q

what is the organism that causes whooping cough?

A

bortedella pertussis

43
Q

what are the three stages of whooping cough?

A

-catarrhal
-paroxysmal
-convalescent

44
Q

how long is whooping cough contagious?

A

from the catarrhal stage to 3 weeks after cough onset

45
Q

if a patient with whooping cough is given azithromycin, how long are they contagious for?

A

5 days

46
Q

what is seen in the throat of someone with diphtheria?

A

pseudomembrane (grey plaque)

46
Q
A

ccfp (24 decks)

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