Recommendations about MCQs in Primary Care / Family Medicine
N Topic Recommendations - pay attention to the following issues:
1. Chest pain Symptoms and signs of angina pectoris, pulmonary embolism, Dressler’s syndrome, aortic stenosis; ECG patterns of pulmonary embolism; Role of chest x-ray in assessment of chest pain; 2. Coronary Artery Risk factors of abdominal aneurysm, MI; Disease Symptoms of angina pectoris (classic, atypical angina, anginal equivalent); Target level of LDL in patients with established CHD; Interpretation of cardiac troponins elevation; Development of tolerance when using nitrates; Endpoint for the use of β-blockers (heart rate); 3. Heart Failure Role of β-Type natriuretic peptide in assessment of CHF; Role of Echocardiogram in assessment of CHF; New York Heart Association classification of heart failure; Drug treatment of CHF with systolic disfunction; Role of ACEI and ARB in treatment of CHF; Role of Beta Blocker in treatment of CHF; Use of digoxin in CHF; 4. Hypertension (use Routine tests for the assessment of hypertension; JNC7 Role of lifestyle modifications in systolic blood pressure reduction recommendations, as (which interventions are most effective); it is in the textbook) Selection of initial drug for hypertension when there are no compelling indications; Treatment of hypertension when the patient has compelling indications (e.g. diabetes, CHF, CHD, kidney disease etc.) Side effects of ACEIs, Clonidine; Indications for using two-drug combination of medications for effective management of high blood pressure; Selecting drugs for treating hypertension in African-American patients; Symptoms and signs of a coarctation of the aorta; Useful tests for assessment of the patient with renovascular hypertension; 5. Diabetes Pathophysiology of Type I diabetes mellitus; Factors associated with diabetic ketoacidosis; Diagnostic criteria for the diabetes mellitus; Diabetic foot ulcers – infection management; Recommendations about insulin injections; Role of GFR in assessment of kidney damage; 6. Thyroid problems Symptoms of Hypothyroidism, Hyperthyroidism and thyroid nodules; Role of TSH and FT4 in assessment of Hyper- and Hypothyroidism; Laboratory criteria for subclinical hypothyroidism; Laboratory monitoring for Thyroid replacement therapy; 7. Obesity BMI for assessment of obesity; 8. Abdominal pain Symptoms of pancreatitis; Symptoms of appendicitis; Symptoms of Cholecystitis; Symptoms and signs of Gallstones. 9. Dyspepsia and GERD Barrett’s esophagus; Symptoms of peptic ulcer; Assessment of dyspepsia, considering risk factors; Indications for endoscopy in dyspepsia; 10. Dysuria and UTI Antibiotic for UTI in young women; Indications for hospitalization during UTI; Reasons for non-gonococcal urethritis; Symptoms of Acute bacterial cystitis; Indications for urine culture; Antibiotic prevention of UTI in women; Indications for cystoscopy; Treatment of asymptomatic bacteriuria; 11. Low back pain Management of non-specific back pain; Symptoms and management of lumbar disc disease; Symptoms of Spinal stenosis; Symptoms and lab findings of Multiple myeloma; Back pain due to Inflammatory arthropathy; Lab diagnosis of Ankylosing spondylitis; Short- and long-term treatment of non-specific back pain; Use of tricyclic antidepressant in the management of back pain; 12. Headache Symptoms of migraine headaches; Use of Beta-blockers in prevention of migraine headache; Use of Verapamil in prevention of migraine headache; Use of Tricyclic antidepressants for the treatment of migraine headache; Use of triptans in migrane; Considering age in assessment of headache; 13. Asthma Prevention of exercise-induced asthma attacks; Role of spirometry; 14. COPD Infections in COPD Role of spirometry; 15. Common cold Symptoms of Pertussis; 16. Sore throat Symptoms of strep throat; Role of rapid streptococcal screening tests (enzyme immunoassays); Assessment of streptococcal pharyngitis; Diagnosis of peritonsillar abscess; Treatment of mild to moderate croup; 17. Acute Rhinosinusitis, Role of Intranasal steroids in the management of chronic allergic Rhinitis rhinitis; Damage of specific sinuses in young children; 18. Acute Bronchitis Common causes of chronic cough; 19. Influenza Symptoms of Influenza; Role of antivirals in treatment of Influenza; Contraindications to influenza vaccination; 20. Community-acquired Most common causes of a community-acquired pneumonia; Pneumonia Pneumococcal vaccination;