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ccfp > PRactice questions > Flashcards

PRactice questions Flashcards

1
Q

List 10 indications for osteoporosis screening

A
  1. Greater or equal to 65 years old

ANY AGE:
Steroid use (>7.5mg x 3 mo)
Aromatase inhibitors
Malabsorption syndrome
Hx of eating disorder
Hx of IBD

Age 50-64 AND:
Loss of 10% weight since age 25
Heavy alcohol use
Diabetes Mellitus
Rheumatoid arthritis
Maternal/paternal hip fracture
Smoking
COPD
Liver Disease

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2
Q

What are the names of the TWO tools for osteoporosis risk?

A

FRAX
CAROC

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3
Q

What are CLINICAL assessments for osteoporosis risk?

A

-rib to pelvic length <2 cm
-occiput to wall >5cm
-height loss of >2 cm
-get up and go test > 20 seconds

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4
Q

how much calcium is recommended per day for osteoporosis prevention?

A

1200 mg DIETARY calcium

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5
Q

is prediabetes an indication for cholesterol screening?

A

no

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6
Q

what are the ages of premature cardiovascular disease in men and women?

A

-men <55
-women <65

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7
Q

Name 5 statin indicated conditions

A

-clinical atherosclerosis (CAD, angina, STEMI, PAD, TIA, stroke
-AAA
-DM and > 40 years or >30 years and 15 yr history of DM
->50 years and CKD
-DM with microvascular disease
-LDL > 5

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8
Q

At what LDL level is a statin indicated?

A

LDL > 5 mmol/L

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9
Q

what are PATIENT factors that influence your decision to provide a blood transfusion?

A

-active bleeding
-vital instability
-symptoms of anemia (chest pain, SOB)
-comorbidities (CAD, renal failure)

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10
Q

what are the two intestinal parasites you should consider screening for in immigrant patients (from Southeast asia/africa)

A

-schistomiasis
-strongyloides

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11
Q

List 5 foods a women should avoid during pregnancy to reduce risk of listeria

A

Sprouts
Undercooked eggs
Unpasteurized dairy products
Raw or undercooked meat
Seafood
Deli meats/meat spreads
Soft cheeses

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12
Q

pregnant patients with WHAT risk factors should take at least 1mg per day of folate?

A

-obestiy
-first/second degree relative with NTD
-folate sensitive issues (hx cleft palate)
-DM
-GI malabsorption
-alcohol abuse

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13
Q

name two HIGH RISK scenarios for neural tube defect?

A

-Hx of NTD in either parent
-Hx of baby with NTD in either parent

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14
Q

what foods are associated with high mercury and should be avoided in pregnancy?

A

-shark
-tuna
-swordfish

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15
Q

what are PATIENT risk factors for elder abuse? Name 6

A

-older age
-female sex
-frailty
-dependency on caregiver
-isolation
-ADLs affected
-Dementia symptoms

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16
Q

what are CAREGIVER risk factors for elder abuse?

A

-burnout
-financially dependent on elder
-male
-poor mental health
-poor coping mechanisms
-addiction

17
Q

Diagnostic criteria of ADHD

A

At least 6 symptoms of inattention, hyperactivity or both
-symptoms must cause functional impairment
-symptoms must have been present before the age of 12 o symptoms must be present in 2 or more settings

18
Q

difference between labrynthitis and vesitbular neurtitis?

A

labrynthitis has hearing loss

19
Q

what is the best dietary recommendation to slow kidney disease progression?

A

low dietary Na

20
Q

Name 5 reasons to refer a CKD patient to nephrology

A

-GFR <= 30
-GFR decrease by >5 within one year
-Hereditary kidney disease such as polycystic kidney disease
-Urine ACR > 30
-Persistent abnormalities of K

21
Q

Name 5 risk factors for CKD

A

-HTN
-DM
-Smoking
-Hyperlipidemia
-Obesity
-Excessive alcohol use
-Chronic NSAID use
-HIV
-Hep C

22
Q

what tool can be used to measure the size of testicles?

A

orchidometer

23
Q

what is the most effective antipsychotic for schizophrenia?

A

clozapine

23
Q

name 3 injectible antipsychotics

A

-risperidone
-aripiprazole
-paliperidone

24
Q

name 5+ side effects of antipsychotics

A

-metabolic side effects (weight gain, dyslipidemia)
-pseudoparkinsonism (bradykinisea, cogwheel rigidity)
-erectile dysfunction
-orthostatic hypotension
-anticholinergic SE (dry mouth, constipation)
-sedation
-hyperprolactinemia

25
Q

how much vitamin D does a breastfeeding infant need?

A

400 IU per day

25
Q

name 4 antipyramidal side effects of antipsychotics

A

-tardive dyskinesia
-acute dystonia
-akathisia
-pseudoparkinsonism

26
Q

how do you treat infant oral candidiasis ?

A

nystatin drops QID x 4 weeks

27
Q

what is the name for the condition where theres inflammation of both the glans penice and the prepuce

A

Balanoposthitis

27
Q

Name 4 contraindications to breastfeeding

A

-galactosemia
-illicit opioid use
-chemotherapeutic agent use
-active HSV lesions near the nipple

28
Q

what is the name for foreskin that cannot retract

A

phimosis

29
Q

what is the name for foreskin that gets stuck retracted and cannot go forward

A

paraphimosis

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