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CAP antibiotic that causes VF correct answers Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in
patients with a prior cardiac history.
Anti-DM medications for weight loss correct answers GLP1 receptor agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis correct answers PSA
Clinical manifestation of amyotrophic lateral sclerosis correct answers Asymmetric leg
weakness
Opioid to avoid in palliative patient with severe hepatic dysfunction correct answers
Methadone
- It is metabolized and cleared by the liver, and should therefore not be used in patients with
severe hepatic impairment. It is, however, a reasonable option for patients with severe renal
impairment.
Lung cancer screening with low dose CT Chest annually correct answers Adults 55-80yo
with 30 pack year history and currently smoking or quit within last 15 years
NOAC with reversal agent correct answers Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity correct answers Disulfiram
Antidepressant to be avoided in the elderly correct answers Paroxetine (associated with more
anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which American Academy of Pediatrics recommends administration of
an autism-specific screening tool correct answers 18-24 months old
Most common neurological complication of Paget's disease of the bone correct answers
Most common cardiac complication of Lyme disease correct answers Heart blocks
Examination finding of those with bacterial vaginosis correct answers Vaginal pH >4.5
(normal vaginal pH should be acidic)
Most common cause of medication-related adverse events across health care settings in the
United States correct answers Antibiotics
Screening for asymptomatic carotid artery stenosis correct answers Not recommended
,In anaphylaxis, which drug is most likely helpful in preventing the need for intubation?
correct answers
Barrett's oesophagus with no dysplasia correct answers
Positive family history of colorectal cancer correct answers Individuals who have a first-
degree relative with colorectal cancer or advanced adenoma diagnosed before 60 years of age
or two first-degree relatives diagnosed at any age should be advised to start screening
colonoscopy at 40 years of age or 10 years younger than the earliest diagnosis in their family,
whichever comes first.
Most common cause of hearing loss in newborns correct answers Genetic inheritance
Lab findings in Von Willebrand disease correct answers
U.S. federal labor law requires companies with >50 employees to provide which benefits for
employees who are nursing mothers correct answers
Influenza vaccination in those with potential egg allergy correct answers All currently
available influenza vaccines, with the exceptions of recombinant and cell-culture-based
inactivated influenza vaccines, are prepared using embryonated egg culture and can
potentially provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs, vaccination can
proceed without precaution or observation. Those who have experienced only hives can also
receive any influenza vaccine appropriate for their age and health status.
People who have experienced symptoms such as hypotension, wheezing, nausea, or vomiting,
or reactions requiring emergency attention or epinephrine after eating eggs or egg-containing
foods can also receive any influenza vaccine appropriate for their age and health status and
also do not need to be observed. However, the vaccine should be administered by a provider
who can recognize and manage severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? correct answers Helps to assess
the risk of falling
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics correct answers Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect.
Both tricyclic antidepressants and antipsychotics, commonly used in patients also taking
SSRIs, can cause QT prolongation, making their combined use problematic.
Antibiotic for traveller's diarrhoea correct answers Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia correct answers TCAs > SSRIs (helps
with some pain reduction)
,In a healthy full-term infant who is exclusively breastfed, iron supplementation should begin
at what age in order to prevent iron deficiency anaemia? correct answers 4 months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day) should
begin at 1 month of age and should continue until 12 months of age, unless the infant had
multiple blood transfusions.
In primary nephrotic syndrome, other than proteinuria and low albumin, what else is
commonly observed? correct answers Coagulopathy
Chronic medication that can cause B12 deficiency correct answers Metformin
Strongest risk factor for primary hypertension in children and adolescents correct answers
Elevated BMI
While Staphylococcus aureus and Streptococcus species are the most common causes of skin
and soft-tissue infection, which organism should also be considered? correct answers
Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection correct
answers Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? correct answers
Which investigation is routine in all newborns with Down syndrome? correct answers
Echocardiography
Treatment duration for provoked vs unprovoked PE correct answers 3 months and
indefinitely respectively
In patients with symptoms indicative of pneumonia or heart failure, what investigations can
be done to determine treatment of either condition or both? correct answers BNP and
procalcitonin levels
How to increase HDL (good cholesterol)? correct answers Add niacin
Dietary recommendation in diverticulosis correct answers High fibre or take fibre
supplements
Side effects of prolonged PPI use correct answers C diff infection, hypoMg, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone? correct
answers Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at the proximal growth
plate of the humerus correct answers Proximal humeral epiphysitis.
, Can be seen on plain radiographs as widening, demineralization, or sclerosis at the growth
plate.
Taking beta carotene and Vit E to prevent cancer and heart disease correct answers
Fluoride supplementation should be started at what age when primary water supply is
deficient in fluoride correct answers 6 months
Medications that can reduce serum Vitamin D levels correct answers Rifampicin, Phenytoin
Isolated posterior cruciate ligament tear correct answers Direct blow to the anterior tibia
whilst knee is in flexion
What should patients be periodically monitored for whilst on Amiodarone? correct answers
TSH
Drug of choice in depressed persons with cardiovascular disease correct answers SSRIs
Antibiotics causing prolonged QT correct answers Macrolides
Benign nocturnal limb pains of childhood (previously known as "growing pains") correct
answers Usually occur in the evening or night time, may sometimes wake patient from sleep,
short-lived (about 30min), not associated with redness/swelling/tenderness/limping.
No further work-up necessary.
Treatment of OSA in children correct answers Adenotonsillectomy
What is most likely seen with diastolic dysfunction? correct answers A preserved ejection
fraction
Positive hip FADIR and FABER testing correct answers Hip labral tear
Childhood vaccination carrying risk of febrile seizure in up to 2 weeks post-administration
correct answers MMR
Elbow Moving Valgus Stress Test correct answers Ulnar collateral ligament injury
In United Stated, at what age is it recommended for cow's milk be introduced? correct
answers 12 months
Treatment for lateral dislocation of the patella correct answers Medically directed pressure on
the patella while extending the leg
Treatment of SSRI overdose correct answers
Finkelstein's test correct answers For detecting De Quervain's Tenosynovitis, where thumb is
in the fist and you ulnarly deviate looking for pain in the radial wrist.