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CCFP Review 2024/2025 Questions and Answers 100% Correct

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CCFP Review 2024/2025 Questions and Answers 100% CorrectCCFP Review 2024/2025 Questions and Answers 100% CorrectCCFP Review 2024/2025 Questions and Answers 100% CorrectCCFP Review 2024/2025 Questions and Answers 100% Correct5 classes of anti nausea medications - ANSWER-1- Serotonin antagonist (Zofr...

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  • October 6, 2024
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  • 2024/2025
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CCFP Review 2024/2025

Questions and Answers 100%

Correct


5 classes of anti nausea medications - ANSWER-1- Serotonin antagonist

(Zofran)

2- Dopamine antagonist (Metaclopramide, Haldol)

3- Antihistamines (Gravol)

4- Steroids (Dexamethasone)

5-Phenothiazines (Olanzapine)

6- Vitamins (Diclectin, Vit B6)




First line in pregnancy: Diclectin, Gravol (except during last trimester),

ginger. Other classes also used but less often.




Pediatric ECG signs - ANSWER--sinus arrhythmias are common

-T wave inversions V1- V3

,-R axis deviation

-Dominant R wave in V1




Things to watch for: If the T wave inversion skips a line. Remember that all

the interval thresholds for concern are smaller than in adults.




Risk factors for otitis externa - ANSWER-Increased humidity, warmer

temperature, swimming, local trauma, hearing aid use,

immunocompromised, certain dermatological conditions




Signs of malignant otitis externa - ANSWER-Severe pain, temp > 39 degrees,

necrosis of canal skin, auricular chondritis, cervical adenitis, parotitis, facial

paralysis, vertigo, profound hearing loss




Pediatric Elbow ossification centers and ages - ANSWER-CRITOE

-Capitellum

-Radial head

-Internal epicondyle

-Troclea

-Olecranon

,-Extrenal epicondyle




Ages: 1.3.5.7.9.11




Pediatric Elbow x-ray lines to monitor - ANSWER--Figure 8 showing a good

lateral

-radius points to capitellum in all views, otherwise think of radial head

fx/dislocation

-anterior humeral line intersects middle third of capitellum, otherwise think

of occult supracondylar fx

-anterior/posterior sail sign




3 organisms that cause otitis media - ANSWER--Strep pneumoniae

-Morexella

-H. influenza




Risk factors for otitis media - ANSWER-Daycare, allergies, smoke exposure,

bottle-fed, pacifier use, horizontal Eustachian tubes, First Nations, family hx,

enlarged tonsils + adenoids, anatomic anomaly (cleft palate etc.)

, criteria for tympanostomy tubes (ENT referral) - ANSWER--OME for > 3

months with bilateral hearing loss

>3 episodes in 6 months

>4 episodes in 1 year

Retracted TM

Cleft palate/craniofacial abnormalities




Treatment of symptomatic hypercalcemia - ANSWER--IV hydration

-IV pamindronate

-IM calcitonin




Two most common causes of hypercalcemia - ANSWER-1. malignancy

2. hyperparathyroidism




Treatment of rosacea - ANSWER--Goal: minimize signs/symptoms

-Topical rx= antimicrobials (metroniadazole gel), Azelaic acid, Ivermectin,

immunosuppressants, and acne products

-Oral rx: Metronidazole, Azithromycin, Isotretinoin




CHADS65 - ANSWER-Age > 65 -> automatic yes for Oral anticoagulation

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