Chronic Disease

Question 1

Sx of Addisons

Answer 1

Hyperpigmentation, vitiligo
Hypotension
Salt craving, impotence, low libido
Amenhorrhea
Fatigue, wt loss

Question 2

Ix + results for Addisons

Answer 2

ACTH Stimulation test
Lymphocytosis, neutropenia
Normocytic anemia
Hyponatraemia
Hyperkalemia
Hypoglycemia
Reduced AM serum cortisol

Question 3

Rx for Addisons

Answer 3

Glucocorticosteroids
Testosterone
Spironolactone

Question 4

Four principles of family medicine

Answer 4

Family doctor is skilled clinician, community based discipline, family doctor is a resource to a defined practice population, pt-physician relationship is at the centre

Question 5

HIV medication complications

Answer 5

dyslipidemia, hyperglycemia, BMD loss, renal dz

Question 6

Chronic complications of HIV

Answer 6

CKD, cardiovascular, cervical cancer, DM, OP

Question 7

How often are paps in HIV pts?

Answer 7

Annual

Question 8

Which antivirals for HIV in pregnancy + neonates?

Answer 8

Combivir

Question 9

What things to consider in chronic dz?

Answer 9

Suicide, biopsychosocial, function

Question 10

What is an increased QT?

Answer 10

> 450 in men, >460 in women

Question 11

RF for torsades

Answer 11

congenital long QT syndrome, hypokalemia, older age, females, prolonged QT at baseline

Question 12

Meds that prolong QT

Answer 12

domperidone, citalopram, macrolides, quinolones

Question 13

Secondary causes of raynauds

Answer 13

SLE, systemic sclerosis, RA, Sjogrens syndrome

Question 14

Sx on exam that would make you think of secondary raynauds

Answer 14

nail fold capillary changes