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CCFP Review 2025- Questions and Answers 100% Pass
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CCFP Review 2025- Questions and Answers 100% Pass
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CCFP Review 2025- Questions and Answers 100% Passcriteria for tympanostomy tubes (ENT referral) Correct Ans--OME for > 3 months with
bilateral hearing loss
>3 episodes in 6 months
>4 episodes in 1 year
Retracted TM
Cleft palate/craniofacial abnormalities
Treatment of symptomatic hypercalcemia Correct Ans--IV hydration
-IV pamindronate
-IM calcitonin
Two most common causes of hypercalcemia Correct Ans-1. malignancy
2. hyperparathyroidism
Two potentially life threatening complications of hypercalcemia Correct Ans--volume
depletion
-cardiac arrhythmia
sickle cell treatment and lifestyle suggestions Correct Ans--Hydroxyurea (increases levels
of fetal Hb)
-folic acid supplementation
, CCFP Review 2025- Questions and Answers 100% Pass
-Pneumovax
-avoiding cold/dehydration
Clinical features of epididimytis Correct Ans-Adolescent onset
Gradual onset (often over days)/insidious
Moderate to severe pain
Pain over epididymis
Increased frequency of urination
Dysuria
Fever
Usually unilateral
Urethral discharge
Pain relief with elevation of testicle
Differential for primary nocturnal enuresis Correct Ans--developmental delay
-Constipation
-genetic predisposition
-sleep disorder
-low level of night time ADH
Factors associated with delay in toilet training Correct Ans-voluntary withholding of stool
, CCFP Review 2025- Questions and Answers 100% Pass
frequent constipation
starting toilet training too early or too late (FYI: ideal start at 27 months of age)
presence of child-parent conflicts/psychosocial conflict
first-born children
male child
family history of eneuresis
polymyalgia rheumatica criteria Correct Ans--Age > 50
-Duration > 2 weeks
-Abrupt onset
-Morning stiffness > 45 minutes
-Bilateral shoulder +/- pelvic girdle pain
-Increased ESR/CRP
-you can wait for lab work to come back before starting prednisone
Giant cell arteritis clinical features Correct Ans--Age > 50
-New headache, often temporal
-Increased ESR
-Abnormal temporal artery sensation and biopsy
-Complications: sudden, painless vision loss or diplopia due to narrowing of ophthalmic or
posterior ciliary artery
-tongue and jaw claudication
, CCFP Review 2025- Questions and Answers 100% Pass
-aortic arch syndrome
-increased risk of thoracic artery aneurysm and aortic dissection.
-Start 1 mg/kg prednisone IMMEDIATELY (don't wait for confirmation biopsy)
Treatment for actinic keratosis Correct Ans--Imiquimod 5% 2 times per week, for 16 weeks
Hypothyroid symptoms Correct Ans-Hypoventilation
Intolerance to cold
Slow HR
tongue swelling
Infertility
Menorrhagia
memory impairment
Mood change: (depression)
Constipation
dry, thickened skin (previously, this answer said cold, clammy skin, which is more likely for
hyperthyroid rather than hypo)
course hair
brittle nail
Paresthesia
periorbital edema
goitre
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