TRC SAMPs Flashcards
(76 cards)
1
Q
A)
A
2
Q
C)
A
2
Q
B)
A
3
Q
D)
A
Right breast ultrasound
Urgent referral to breast clinic or breast surgeon or general surgeon
4
Q
A
A
5
Q
B
A
6
Q
C
A
Levodopa challenge or levodopa trial
7
Q
A
A
30-60min pre-prandial
8
Q
B
A
protein
9
Q
C
A
Orthostatic hypotension
Nausea
Hallucinations
Confusion
10
Q
D
A
11
Q
A
A
12
Q
B
A
8ml/min per decade
13
Q
C
A
Kidney Failure Risk Equation
14
Q
D
A
<120/80
15
Q
A
A
Febrile neutropenia
16
Q
B
A
17
Q
C
A
18
Q
D
A
Spinal corp compression
Superior vena cava obstruction
Pericardial effusion
Tumour lysis syndrome
Hypercalcemia
(Syndrome of inappropriate anti-diuretic hormone)
19
Q
A
A
20
Q
B
A
posterior midline
21
Q
C
A
treatment for anal fissures:
topical calcium channels blockers
topical vitamin E
topical nitrates
22
Q
D
A
2nd line treatment anal fissure:
botulotoxin injections
surgery
23
Q
A
A
streptococcal pharyngitis
viral pharyngitis
infectious mononucleosis
meningitis
peritonsillar abscess or quinsy or cellulitis
24
B
Monospot
25
C
severe complications
airway obstruction
autoimmune complications
26
D
blood, saliva, semen
27
A
Alt, ast (not LFTs)
serum crest
vitb12
folate
vitD
CK
28
B
MoCA (montreal cognitive assessment), MMSE (mini-mental state exam)
29
C
malnutrition/malnourishment
30
A
dysfunctional uterine bleeding
31
B
I would have personally put von Willebrand factor, BHCG and TSH for **CAUSES** but what do I know.
32
C
combined oral contraceptive pill
progesterone only pill
levonorgestrel intrauterine device
tranexamic acid and/or NSAIDs
33
D
Levonorgestrel intrauterine device
34
A
infratentorial brain tumours
35
B
ataxia
papilledema
vision changes
weakness
pain
behavioural symptoms
36
C
4 weeks of persistent symptoms
37
D
Brain MRI
38
A
Alcohol use
Hypertension
Sleep apnea
39
B
<130/80
40
C
sotalol
propafenone
amiodarone
dronedarone
41
D
none
42
A
CT chest with contrast
43
B
50%
44
C
weight loss
bone pain
neurologic symptoms
cough
dyspnea
45
D
small cell lung cancer
46
47
per cfp, GLP-1 or SGLT2i can be started as first line even without metformin, mostly in conditions of cardiovascular risk (GLP-1 preferred in hypertension and SGLT2i in CKD/CHF). You can also start them with metformin, dual therapy should be considered from the get go if HbA1C is >=7.5
48
49
C) halitosis, salivary gland hypertrophy
D) height, weight, temperature, postural vital signs, EKG, regular blood work
50
51
A) pyogenic granuloma
52
53
a) pre-existing cognitive impairment, delirium, sepsis, acute respiratory distress syndrom (ARDS), shock
54
Explanation for C: any drug that reduces saliva :
* anticholinergic drugs reduces saliva production by inhibiting parasympathetic activitiy: antihistamines, anticholinergics, TCAs, antipsychotics
* CNS depression contributing to reduced salivary flow : benzodiazepines
* Vasoconstriction, less blood flow to salivary glands causing stasis: beta-blockers
D) massage, antibiotics, sialogogues, heat, hydration
55
56
a) hand dominance or handedness, occupation, last tetanus booster, timing of event, location of event, mechanism of injury
57
58
c) anastomosis leakage, infx, myocardial infarction
58
59
60
61
a) None
b) ezetimibe, PKSC9 inhibitors, fibrates
62
63
a) insufficient response despite adequate trial of at least 2 antidepressants
b) increase dose of sertraline, continue tx for 12 weeks, add another antidepressant, change antidepressant
64
C) neck mass, dysphagia, dysphonia, weight loss, odynophagia, dyspnea
65
66
b) add daily ICS (budesonide or fluticasone) **OR** change SABA PRN for ICS-LABA (budesonide-formoterol) PRN
c) daily ICS with SABA PRN or ICS-LABA (budesonide-formoterol) as needed
d) ICS-LABA (budesonide-formoterol/symbicort) as needed
67
68
a) respiratory syncytial virus, asthma, foreign object aspiration, pneumonia, croup, laryngomalacia
69
70
D)
- topical therapy or clindamycin or resorcinol
- oral antibiotics or tetracyclines or clindamycines
- Anti-androgenic therapy or metformin or contraceptive pill or finasteride or spironolactone
70
a) systemic toxicity to local anesthetic
b) seizures, cardiac arrhythmias, cardiac arrest, respiratory arrest, hypotension
71
c) pregnancy, elderly, cognitive impairment
d) consume 15g carb orally
72
D) gabapentinoids, tricyclic depressants, selective norepinephrine receptors inhibitors (SNRIs), sodium channel blockers, anticonvulsivants
73
in D they are referring to the diuretic started by the other doctor that cause side effects like urinary incontinence and hypokalemia to which they could have receive oxybutinin (urinary anticholinergic for overactive bladder) and oral potassium replacement.
