CCFP Exam with Complete Solutions
Hyperthyroidism symptoms Correct Ans-heat intolerance, weight loss, sweating, anxiety,
irritability, hyperactive reflexes, palpitations, EXOPTHALMOS (lid lag when gaze moves from
downward to upward)
Fatigue causes Correct Ans-- exertional fatigue
- depression
- anxiety
- sleep disorder (OSA)
- chronic fatigue syndrome
- life stress
- fibromyalgia
- anemia
- CKD
- diabetes
- acute liver failure
- thyroid disease
- jet lag
- sedentary lifestyle
Fatigue w/u Correct Ans-- PhQ9
- red flags (fever, n sweats, weight loss, neuro sx, I'll appearing)
, CCFP Exam with Complete Solutions
- CBC, TSH, ESR, glucose, renal panel, liver panel, u/a
- consider: chest X-ray, beta HCg, HIV, hepatitis, Lyme serology, TB skin test, mono spot, ANA,
CK, celiac testing
Anion Gap Causes Correct Ans-- methanol, metformin
- uraemia
- dka
- paraldehyde, propylene glycol
- iron, ibuprofen, isoniazid
- lactic acidosis
- ethylene glycol
- salicylates
- CO, CN
- alcoholic ketoacidosis, starvation acidosis
- toluene
Cholinergic Treatment Correct Ans-Atropine
Pralidoxime
Airway and ventilators support
sympathomimetic OD Correct Ans-Cooling
Benzos
, CCFP Exam with Complete Solutions
Avoid BB with cocaine
Tx cocaine induced MI as per ACS protocol
Anticholinergics OD Correct Ans-Benzos
Cooling
Physostigmine
Indications for dialysis Correct Ans-AEIOU
acid base disorders
electrolytes
intoxications with drugsw
overload of volume
uremia
Anion gap equation Correct Ans-AG = Na - (Cl + HCO3)
Risk factors for atrial fibrillation Correct Ans-- cardiac: CHF - cardiomyopathy,
myo/pericarditis, ischemia/MI, hypertensive crisis, cardiac sx
- pulmonary: PE, COPD flare, PNA
- metabolic: high catecholamine state - stress, infection, post-op, pheo, thyrotoxicosis
- drugs: etoh (holiday heart), cocaine, amohetamines, theophylline
- neurogenic: SAH, ischemic stroke
, CCFP Exam with Complete Solutions
Chronic causes:
- increased age
- obesity
- OSA
- vagally-mediated (aerobic training)
- HTN
- ischemia
- valvular dx
- hyperthyroidism
Types of red eye Correct Ans-1. Allergic
2. Viral
3. Bacterial
4. Chlamydia
Red flags for headaches Correct Ans-S - systemic sx - fever, vomiting, neck stiffness,
pregnancy, anticoagulated, immunocomp
N - neuro sx - altered mental status, focal neuro signs, papilledema, seizures
O - onset new after 40 yrs or sudden
O - other - trauma, awakens from sleep, early morning, worsened by valsalva
P - prior h/a different
Hyperthyroidism symptoms Correct Ans-heat intolerance, weight loss, sweating, anxiety,
irritability, hyperactive reflexes, palpitations, EXOPTHALMOS (lid lag when gaze moves from
downward to upward)
Fatigue causes Correct Ans-- exertional fatigue
- depression
- anxiety
- sleep disorder (OSA)
- chronic fatigue syndrome
- life stress
- fibromyalgia
- anemia
- CKD
- diabetes
- acute liver failure
- thyroid disease
- jet lag
- sedentary lifestyle
Fatigue w/u Correct Ans-- PhQ9
- red flags (fever, n sweats, weight loss, neuro sx, I'll appearing)
, CCFP Exam with Complete Solutions
- CBC, TSH, ESR, glucose, renal panel, liver panel, u/a
- consider: chest X-ray, beta HCg, HIV, hepatitis, Lyme serology, TB skin test, mono spot, ANA,
CK, celiac testing
Anion Gap Causes Correct Ans-- methanol, metformin
- uraemia
- dka
- paraldehyde, propylene glycol
- iron, ibuprofen, isoniazid
- lactic acidosis
- ethylene glycol
- salicylates
- CO, CN
- alcoholic ketoacidosis, starvation acidosis
- toluene
Cholinergic Treatment Correct Ans-Atropine
Pralidoxime
Airway and ventilators support
sympathomimetic OD Correct Ans-Cooling
Benzos
, CCFP Exam with Complete Solutions
Avoid BB with cocaine
Tx cocaine induced MI as per ACS protocol
Anticholinergics OD Correct Ans-Benzos
Cooling
Physostigmine
Indications for dialysis Correct Ans-AEIOU
acid base disorders
electrolytes
intoxications with drugsw
overload of volume
uremia
Anion gap equation Correct Ans-AG = Na - (Cl + HCO3)
Risk factors for atrial fibrillation Correct Ans-- cardiac: CHF - cardiomyopathy,
myo/pericarditis, ischemia/MI, hypertensive crisis, cardiac sx
- pulmonary: PE, COPD flare, PNA
- metabolic: high catecholamine state - stress, infection, post-op, pheo, thyrotoxicosis
- drugs: etoh (holiday heart), cocaine, amohetamines, theophylline
- neurogenic: SAH, ischemic stroke
, CCFP Exam with Complete Solutions
Chronic causes:
- increased age
- obesity
- OSA
- vagally-mediated (aerobic training)
- HTN
- ischemia
- valvular dx
- hyperthyroidism
Types of red eye Correct Ans-1. Allergic
2. Viral
3. Bacterial
4. Chlamydia
Red flags for headaches Correct Ans-S - systemic sx - fever, vomiting, neck stiffness,
pregnancy, anticoagulated, immunocomp
N - neuro sx - altered mental status, focal neuro signs, papilledema, seizures
O - onset new after 40 yrs or sudden
O - other - trauma, awakens from sleep, early morning, worsened by valsalva
P - prior h/a different
