CCFP |600 questions with verified answers
?Tibial stress # - potential imaging & views to order (3)
& complications (3) Ans✓✓✓ Cone down x-ray for horizontal lucency.
Triple phase bone scan.
MRI.
Complications: non-union, neurovascular injury, compartment
syndrome
% PMR who develop GCA Ans✓✓✓ 15%
10 Ts of referred pain - Otalgia Ans✓✓✓ TMJ
Teeth
Tongue
Tonsils
Thyroid
Trachea
Throat
Tube (Eustachian)
Tics
Tendons
,1st line anti-depressant (4 adult, 1 peds)/anti-anxiety (works for all
anxiety d/o - 3) Rx Ans✓✓✓ 1st line anxiety:
SSRI:
Sertraline 50-200 mg daily (also 1st line PPD)
Paroxetine 20-60 mg daily
SNRI:
Venalfaxine 75-375 mg
- SSRI at low dose, SNRI at high dose
OCD -- Fluvoxamine
1st line depression:
SSRI:
Citalopram 20-40 mg daily
Escitalopram 10-20 mg daily
Sertraline (as above)
SNRI also option
NDRI:
Buproprion 150-300 mg daily (smoking cessation also)
Peds: Fluoxetine 20-80 mg daily (SSRI)
4 Cardinal Sn of Infectious Tenosinovitis Ans✓✓✓ Uniform swelling
,Pain on passive extension
Flexed posture
Percussion tenderness
4 Manifestations of Multiple Myeloma Ans✓✓✓ CRAB
Calcium (elevated)
Renal failure
Anemia
Bone lesions (lytic)
5 Rs of Motivation Interviewing Ans✓✓✓ *Relevance* to pt
*Risks* of behaviour
*Rewards* of quitting
*Roadblocks* to quitting
*Repetition* at each visit
5As of behavioural interventions Ans✓✓✓ Ask - determine
understanding, awareness
Assess - readiness to change
Advise
Assist - facilitate resources, rx prn
, Arrange - f/u progress, adjust plan prn
(smoking, obesity, diet, EtOH, etc)
6 Ps of acute arterial insufficiency Ans✓✓✓ Pain
Pallor
Pulselessness
Poikilothermia
Parasthesia
Paralysis
AAA monitoring Ans✓✓✓ Unlikely to rupture if <5cm
3-4 cm - US/CT q2-3yr
4-5.5 cm - US/CT q 6-12/12
AAA screening Ans✓✓✓ All men aged 65-80
1x abdo US
AAA Tx Ans✓✓✓ RF reduction
- smoking cessation
?Tibial stress # - potential imaging & views to order (3)
& complications (3) Ans✓✓✓ Cone down x-ray for horizontal lucency.
Triple phase bone scan.
MRI.
Complications: non-union, neurovascular injury, compartment
syndrome
% PMR who develop GCA Ans✓✓✓ 15%
10 Ts of referred pain - Otalgia Ans✓✓✓ TMJ
Teeth
Tongue
Tonsils
Thyroid
Trachea
Throat
Tube (Eustachian)
Tics
Tendons
,1st line anti-depressant (4 adult, 1 peds)/anti-anxiety (works for all
anxiety d/o - 3) Rx Ans✓✓✓ 1st line anxiety:
SSRI:
Sertraline 50-200 mg daily (also 1st line PPD)
Paroxetine 20-60 mg daily
SNRI:
Venalfaxine 75-375 mg
- SSRI at low dose, SNRI at high dose
OCD -- Fluvoxamine
1st line depression:
SSRI:
Citalopram 20-40 mg daily
Escitalopram 10-20 mg daily
Sertraline (as above)
SNRI also option
NDRI:
Buproprion 150-300 mg daily (smoking cessation also)
Peds: Fluoxetine 20-80 mg daily (SSRI)
4 Cardinal Sn of Infectious Tenosinovitis Ans✓✓✓ Uniform swelling
,Pain on passive extension
Flexed posture
Percussion tenderness
4 Manifestations of Multiple Myeloma Ans✓✓✓ CRAB
Calcium (elevated)
Renal failure
Anemia
Bone lesions (lytic)
5 Rs of Motivation Interviewing Ans✓✓✓ *Relevance* to pt
*Risks* of behaviour
*Rewards* of quitting
*Roadblocks* to quitting
*Repetition* at each visit
5As of behavioural interventions Ans✓✓✓ Ask - determine
understanding, awareness
Assess - readiness to change
Advise
Assist - facilitate resources, rx prn
, Arrange - f/u progress, adjust plan prn
(smoking, obesity, diet, EtOH, etc)
6 Ps of acute arterial insufficiency Ans✓✓✓ Pain
Pallor
Pulselessness
Poikilothermia
Parasthesia
Paralysis
AAA monitoring Ans✓✓✓ Unlikely to rupture if <5cm
3-4 cm - US/CT q2-3yr
4-5.5 cm - US/CT q 6-12/12
AAA screening Ans✓✓✓ All men aged 65-80
1x abdo US
AAA Tx Ans✓✓✓ RF reduction
- smoking cessation
