Got something in your eye?
Wait...what?
**Cough**Cough**
It's like hypertension but worse
Breast is Best
or is Fed Best?
or is Fed Best?
100
What are 3 treatment options for viral conjunctivitis?
Artificial tears
Cold compresses
Antihistamine eye drops
Avoid contact lenses
Virus specific treatment - ex. start antivirals for HSV
100
What is first-line pharmacotherapy for adults with ADHD and what are 3 common side effects?
Stimulant medications:
Adderall
Methylphenidate
Focalin/Dexmethylphenidate
Vyvanse/Lisdexamfetamine
Side effects:
Insomnia, headaches, tachycardia, elevated BP, decreased appetite, weight loss, dry mouth, anxiety
100
Define "chronic cough."
Cough lasting longer than 8 weeks in adults and longer than 4 weeks in children
100
Name the 2 most common causes of pulmonary hypertension.
Left-sided heart failure
COPD
100
What is the most common timeframe after delivery for mastitis to occur? What is the best way to prevent it?
Within the first 3 months
It can be prevented best by physiologic breast feeding (not pumping and feeding pumped milk)
10% of breastfeeding women will get lactational mastitis
200
What is the initial treatment for allergic conjunctivitis?
Avoidance of allergen
Avoid eye rubbing
Antihistamine drops or artificial tears
200
Name one way to reduce stimulant abuse in patients with ADHD.
PDMP monitoring
Controlled substance agreement forms
Prescribe nonstimulant medications
200
What are the main causes of chronic cough in children? Name 4.
Protracted bacterial bronchitis
Asthma
Bronchiectasis
Upper airway cough syndrome (aka postnasal drip)
GERD
200
Daily Double!
Women with pulmonary hypertension should be counselled to avoid this to prevent worsening of their disease.
200
What are the first-line treatments for mastitis?
1-2 day trial of NSAIDs, ice, infant feeding at breast, minimizing pumping
300
What exam or history findings can help distinguish bacterial vs. viral vs. allergic conjunctivitis?
300
What are some nonpharmacologic options for the nearly 15% of US adults with ADHD?
CBT
Mindfulness
Dialectical behavior therapy?
Hypnotherapy?
300
What are the main causes of chronic cough in adults? Name 4.
Upper airway cough syndrome
Asthma
Eosinophilic bronchitis
GERD
Laryngopharyngeal reflux
300
Which is the first imaging modality to use if pulmonary hypertension is suspected?
Echo followed by right heart cath for diagnosis
300
What happens if symptoms persist after conservative treatment?
Start antibiotics which cover Staph/Strep (amoxicillin, Keflex, dicloxacillin)
Consider US to rule out abscess
Consider milk culture to guide antibiotics (immunocompromised, baby in NICU, MRSA risks, aren't improving after 48 hrs of antibiotics)
400
Name 3 viral causes of conjuctivitis.
Adenovirus
HSV
Varicella-zoster
Epstein-Barr
400
What are medication options for those with depression/anxiety or can not take stimulants?
Atomoxetine
Viloxazine
Bupropion
400
Name 3 red flag symptoms for chronic cough in adults.
400
What preventative/health maintenance things should family physicians prioritize for patients with pulmonary hypertension?
Immunizations
Depression/anxiety screening
Goals of care discussions (5 year survival of 67%)
400
Name 3 things that increase the risk of mastitis.
Overstimulation of milk production
Tissue trauma from aggressive breast massage
Poor infant latch
First time breastfeeding
Tight clothing
Nipple shield use
No longer recommended to excessively pump or overfeed to empty breasts, massage breasts, or apply heat
500
When should you refer to ophthalmology for a case of conjunctivitis in an adult? Name at least 3 reasons.
Decreased vision
Anisocoria
Photophobia
Recent eye surgery
Vesicular rash on eyelids/nose
h/o rheumatologic disease
Immunocompromised state
500
Name 4 conditions which should be considered in the differential for ADHD.
Anxiety
Depression
PTSD
Mania/bipolar disorder
Substance use disorder
500
What treatments should be considered for chronic refractory cough?
PT or Speech/language therapy
Gabapentin
Amitriptyline
500
What conditions in a patient's personal or family medical history are associated with high risk of pulmonary hypertension?
FH pulmonary hypertension in 1st degree relative
Patient with HIV or high-risk sexual behavior
Methamphetamine or cocaine use
Pulmonary embolism
500
Name 3 types of mastitis.
Subacute: no systemic symptoms
Inflammatory: systemic symptoms present
Bacterial: systemic symptoms >24 hours