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CCFP Exam 2024/25 Questions and Answers 100% Pass

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CCFP Exam 2024/25 Questions and Answers 100% Pass Duke major criteria IE Correct Ans-+ BCx for typical IE organisms (S. viridians, S. bovis, HAECK organisms, S. aureus c/o other primary site, enterococcus

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  • October 14, 2024
  • 275
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CCFP
  • CCFP
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TheeGrades
CCFP Exam 2024/25 Questions and Answers 100% Pass

Duke major criteria IE Correct Ans-+ BCx for typical IE organisms (S. viridians, S. bovis,
HAECK organisms, S. aureus c/o other primary site, enterococcus)

- from 2 separate BCx or 2 +'ve Cx from samples drawn > 12 hrs apart, or 3 / majority of 4
separate Cx of blood (1st & last sample drawn 1 hr apart)



ECHO c/ oscillating intracardiac mass on valve or supporting structures, in path of regurgitant
jets, or on implanted material in absence of alternative anatomic explanation

- or abscess

- or new partial dehiscence of prosthetic valve

- new valvular regurgitation



Single + BCx for Coxiella burnetti or anti phase 1 IgG Ab titre >1:800




RF infectious endocarditis (IE) Correct Ans-IVDU

Rheumatic heart disease

Prosthetic heart valve

Hemodialysis

Venous catheter

Immunosuppression



i. Moderate risk:

, CCFP Exam 2024/25 Questions and Answers 100% Pass
1. History of rheumatic heart disease

2. MVP with MR and or thickened leaflet

3. HOCM



ii. High risk:

1. Surgically constructed systemic-pulmonic shunts or conduits

2. Complex congenital cyanotic heart disease

3. Previous bacterial endocarditis




iii. Bacteremia

1. IVDU

2. Surgery - especially dental, GI, GU procedures




Infectious Endocarditis - signs (8) Correct Ans-*Clubbing*

Osler's nodes (painful)

Janeway lesions (non painful)

Roth spots (eyes)

*Conjunctival hemorrhage*

Splinter hemorrhages

*Petechiae*

New murmurs (systolic often)

, CCFP Exam 2024/25 Questions and Answers 100% Pass
Infectious Endocarditis - common organisms (3) Correct Ans-Native valve:

- staph, strep viridans



Prosthetic valve:

- s. epidermidis, s. aureus, enterococcus




Valves involved in IE Correct Ans-Mitral - most common




Tricuspid - IVDU




IE empiric abx Correct Ans-Vancomycin 15 mg/kg q12 h IV

+ gentamycin 1 mg/kg q8h




Continue x4-6/52 from 1st day of negative BCx




Proximal LAD occlusion ECG Correct Ans-New onset RBBB and left anterior fascicular block
(LAFB)




STEMI ECG def'n Correct Ans-ST elevation 1 mm in contiguous leads (except V2, V3 -- need
2mm in men, 1.5 mm in women)



PAILS

, CCFP Exam 2024/25 Questions and Answers 100% Pass

Flumazenil s/e Correct Ans-Resedation (need for re-dosing)

Precipitation of benzodiazepine withdrawal (tachycardia, agitation, seizures)

Seizures (in those with underlying disorder)




Flumazenil C/I Correct Ans-Known seizure disorder

Known/suspected co-ingestion of pro-convulsant drugs

Known/suspected BDZ dependence

QRS prolongation (suggesting TCA o/d)




Cincinnati Prehospital Stroke Scale Correct Ans-Facial droop

Dysarthria (speech)

Arm drift




Cardioembolic stroke RF Correct Ans-Atrial fibrillation

Increasing age

Current smoker

HTN

DM

LVH

HDL <0.96

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