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;