CCFP practice test 1

Question 1

Name common side effects of lithium

Answer 1

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

Question 2

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

Answer 2

creatinine, lytes, ca, TSH, serum levels

Question 3

what is the therapeutic level of lithium?

Answer 3

0.6-1.2 mmol/L

Question 4

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

Answer 4

preservative free lidocaine (allergy is usually to a preservative)

Question 5

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

Answer 5

yes, they have different structures

Question 6

when should asymptomatic bacteriuria be treated in children?

Answer 6

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

Question 7

what is the triad seen in serotonin syndrome?

Answer 7

autonomic, neuromuscular and mental status changes

Question 8

what is Legg-Calve-Perthes disease?

Answer 8

avascular necrosis of the femoral head

Question 9

what is Slipped Capital Femoral Epiphysis?

Answer 9

movement of femoral head due to damage of the growth plate

Question 10

describe the technique to measure bp for orthostatic hypotension?

Answer 10

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

Question 11

what are the cutoffs for orthostatic hypotension?

Answer 11

drop > 20 in systolic
drop > 10 in diastolic

Question 12

at what age is sleep training appropraite?

Answer 12

6 months

Question 13

explain sleep training

Answer 13

• 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

Question 14

how is dengue fever transmitted

Answer 14

mosquitos

Question 15

what are the symptoms of dengue fever?

Answer 15

high fever, nausea, aches, rash

Question 16

what are the symptoms of typhoid?

Answer 16

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

Question 17

how is typhoid spread?

Answer 17

fecal oral route

Question 18

what is the treatment for schistosomiasis?

Answer 18

praziquental

Question 19

How does acute schistosomiasis syndrome present?

Answer 19

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

Question 20

four classic symptoms of type I diabetes

Answer 20

polyuria, polydipsia, polyphagia, and weight loss

Question 21

name eight risk factors for acute aortic dissection

Answer 21

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

Question 22

peak age range for acute aortic dissection

Answer 22

60-70 (30-40 in marfans)

Question 23

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

Answer 23

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

Question 24

dose of IM vit K for babies?

Answer 24

0.5-1mg

Question 25

what are the surgical treatment options for compression fractures?

Answer 25

vertebroplasty kyphoplasty

Question 26

which patients on bisphosphonates are candidates for a drug holiday?

Answer 26

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

Question 27

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

Answer 27

mallet finger central slip jersey finger

Question 28

name the four steps of trauma informed care

Answer 28

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

Question 29

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

Answer 29

low FODMAP

Question 30

what foods are avoided in low FODMAP diet?

Answer 30

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

Question 31

how do you remove a cast safely?

Answer 31

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

Question 32

management options for restless leg syndrome

Answer 32

-dopamine agonists -iron supplementation -pregabalin/gabapentin

Question 33

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

Answer 33

-severe eczema -egg allergy

Question 34

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

Answer 34

-menopause -diabetes

Question 35

criteria for MAID?

Answer 35

-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

Question 36

Name 8 possible SE of antipsychotic medication in older adults

Answer 36

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

Question 37

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

Answer 37

-fasting glucose -fasting lipid panel

Question 38

what is giggle micturition?

Answer 38

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

Question 39

how do you reduce a radial head subluxation?

Answer 39

hyperpronation maneuver

Question 40

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

Answer 40

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

Question 41

what is distinctive about ME-chronic fatigue syndrome?

Answer 41

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

Question 42

what is the organism that causes whooping cough?

Answer 42

bortedella pertussis

Question 43

what are the three stages of whooping cough?

Answer 43

-catarrhal -paroxysmal -convalescent

Question 44

how long is whooping cough contagious?

Answer 44

from the catarrhal stage to 3 weeks after cough onset

Question 45

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

Answer 45

5 days

Question 46

what is seen in the throat of someone with diphtheria?

Answer 46

pseudomembrane (grey plaque)