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Caitlin's CCFP- Questions and Answers 100% Solved
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Caitlin's CCFP- Questions and Answers 100% Solved
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Caitlin's CCFP- Questions and Answers 100% SolvedIndications for Statin therapy Correct Ans-DM and age >40
DM >15 years and age >/= 30
Known CV disease
Framingham risk >20%
Framingham risk >10% and LDL >3.5
ACEi/ARB doses that have demonstrated vascular protection Correct Ans-Perindopril 8 mg
once daily
Ramipril 10 mg once daily
Telmisartan 80 mg once daily
Migraine Diagnostic Criteria Correct Ans-A. At least five attacks1 fulfilling criteria B-D
B. Headache attacks lasting 4-72 hr (untreated or unsuccessfully treated)
C. Headache has at least two of the following four characteristics:
unilateral location
pulsating quality
moderate or severe pain intensity
aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs)
D. During headache at least one of the following:
nausea and/or vomiting
photophobia and phonophobia
, Caitlin's CCFP- Questions and Answers 100% Solved
E. Not better accounted for by another ICHD-3 diagnosis.
Differences in Migraines in Children and Adolescence Correct Ans-Often more bilateral
Occipital headaches are rare in children and should be cause for diagnostic caution
Red Flags on history associated with higher risk headaches in Children` Correct Ans-1.
Headache awakens child from sleep
2. Sudden, severe headache (thunderclap)
3. Associated neuro symptoms
4. Worsened by recumbent position or cough, micturition/defecation or straining
5. Absence of aura
6. Chronic, progressive headache pattern
7. Occipital headache
8. Recurrent localized
Red flags on clinical exam of paediatric headache Correct Ans-Abnormal neuro exam
Papilledema or retinal haemorrhages
Growth abnormalities
Nuchal rigidity
Fever
Signs of trauma
Cranial bruits
, Caitlin's CCFP- Questions and Answers 100% Solved
Skin lesions (related to neurocutaneous syndromes)
Age less than 3 years
Risk factors such as sickle cell, immunodeficiency or history of malignancy
Absence of family history of migraine
Complications of long term PPI use Correct Ans-C. Diff infection, Osteoporosis,
malabsorption of magnesium, B12 and Iron, kidney injury (acute and chronic), increased risk
of pneumonia and increased risk of dementia
Red flags for GERD Correct Ans-Dysphagia, Odynophagia, Bleeding/anemia, Weight loss,
persistent vomitting, ?Cardiac
Mgmt of GERD Correct Ans-Smoking cessation, avoid trigger foods, weight loss, HTRAs
Who gets endoscopy with GERD? Correct Ans-1. Patients with alarm features
2. Who fail to respond to PPI therapy
3. With chronic GERD and at least three other risk factors for barrett's: male >/= 50,
Caucasion, central obesity, Smokers, history of BE
Women who require more intensive screening for breast cancer but do not meet criteria for
medical genetics Correct Ans-1. Women with one or two first degree relatives with
invasive breast Ca (but not meeting criteria for med gen)
2. Women with a breast biopsy showing atypical hyperplasia or lobular carcinoma in situ
, Caitlin's CCFP- Questions and Answers 100% Solved
3. Women with hx of chest wall radiation at age 30 or younger
Medications used to treat C. Diff Correct Ans-Metronidazole
Vancomycin
Fidaxomicin
Rifampin
Risk factors for colon cancer that make them ineligible for regular screening Correct Ans-
Prior colorectal cancer
Prior polyps
Inflammatory bowel disease
Signs and symptoms of colorectal cancer
History of colorectal cancer in 1st degree relatives
Familial Adenomatous Polyposis
Lynch Syndrome
What is upper limit of daily morphine equivalents recommended for patients Correct Ans-
50-90mg/day
Treatment options for hydradenitis suprativa Correct Ans--Topical resorcinol
- Topical clindamycin
- Oral antibiotics (Tetracycline)
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