Other

List all Categories



Cannabis and Psychosis

Which one of the following is not a risk factor for developing psychosis associated with cannabis use?

  • Use of high potency tetrahydrocannabinol (a product with > 10% THC)
  • Frequent use
  • Female sex
  • History of a mental disorder (e.g., bipolar disorder, depression, anxiety)
Volume 41.1 - Question 15

Treatment of Early Syphilis

Persons with early syphilis, including persons with HIV infection, can be effectively treated on a single occasion with benzathine penicillin G administered in a single dose of 2.4 million units.

  • True
  • False
Volume 41.1 - Question 1

Silence in Serious Illness Conversations

When leading serious illness conversations, silence is a crucial element of the dialogue and should be utilized intentionally to convey empathy, affirmation, respect, and safety. Which one of the following statements about silence is false?

  • It can serve as a pause to slow down the pace of a serious illness conversation.
  • It allows patients and caregivers to process clinical information before moving ahead in discussions.
  • It allows patients and caregivers time to elaborate on their thoughts or perform further introspection.
  • It is not associated with improved patient-reported quality-of-life.
Volume 40.5 - Question 34

Propranolol in Anxiety

There is good evidence for the treatment of anxiety using propranolol.

  • True
  • False
Volume 40.3 - Question 20

Surgical Care for People Experiencing Homelessness

Of the few people experiencing homelessness who presented with early stage lung cancer, most (80%) received curative surgery and all completed follow up with no recurrences or deaths.     

  • True
  • False
Volume 39.5 - Question 28

Travel Medicine

For otherwise healthy airplane passengers at increased risk for deep venous thrombosis, which one of the following preventive measures is evidence-based?

  • Premium class seating
  • Graduated compression stockings
  • Aspirin
  • Low-molecular-weight heparin
Volume 35.61 - Question 1

Rotator Cuff Disorders

In patients with rotator cuff disorders, supervised progressive exercise is superior to a single best practice physiotherapy advice session in improving shoulder pain and function after 12 months. 

  • True
  • False
Volume 37.3 - Question 31

PoCUS & Pleural Effusion Detection

Point of care ultrasound assessment is more accurate than comprehensive physical examination in the detection of pleural effusions.

  • True
  • False
Volume 37.3 - Question 18

Waning immunity after 2 doses of Covid-19 Vaccination

In adults having received two doses of the BNT162b2 mRNA vaccine (Pfizer-BioNTech) Covid-19 vaccine, there is a gradual increase in the risk of infection over time seen in those having received their second dose at least 90 days earlier.

  • True
  • False
Volume 37.3 - Question 12

Physiotherapy for Sciatica

Early physical therapy for recent-onset sciatica improves disability scores compared with usual care without physiotherapy. 

  • True
  • False
Volume 36.6 - Question 39

FM/a Test and Fibromyalgia

Which one of the following statements about the use of FM/a test for the diagnosis of fibromyalgia is false?  

  • It is a cytokine assay of in-vitro stimulated peripheral blood mono-nuclear cells   
  • Patients must stop taking any medications that may alter their immune system for 14 days before the test   
  • The false-positive rate of the test is higher in patients with rheumatoid arthritis    
  • Studies have shown that it improves patient outcomes 
Volume 36.6 - Question 38

A Psychological Intervention for Chronic Pain

In patients with chronic pain, a brief psychological intervention delivered by psychologists within a primary care setting improves pain severity compared to treatment as usual. 

  • True
  • False
Volume 36.6 - Question 11

Chronic Back Pain

Which one of the following interventions in adults with chronic low back pain has demonstrated sustained benefit after the intervention has ended?  

  • Corticosteroid injections   
  • Exercise   
  • Acupuncture   
  • Spinal manipulation therapy 
Volume 36.5 - Question 36

mRNA Vaccine Allergy

Which one of the following statements about allergic reaction to mRNA vaccine is false? 

  • Most anaphylactic reactions occur in persons with a previous history of anaphylaxis.     
  • Acute allergic reactions occur in about 2% of recipients.   
  • Acute anaphylactic reactions occur in about 2 in 10,000 recipients.   
  • The mean time to anaphylaxis onset is 17 minutes. 
Volume 36.5 - Question 13

Psilocybin vs. escitalopram for depression

Over a 6-week period, psilocybin results in significantly better self-reported depression scores in patients with long standing moderate to severe depression as compared to escitalopram therapy.    

  • True
  • False
Volume 36.5 - Question 11

PoCUS vs Landmarks for Arthrocentesis

Ultrasound guidance improves overall successful arthrocentesis of medium sized joint effusions (elbow, wrist or ankle).

  • True
  • False
Volume 37.6 - Question 19

Oral Minoxidil for Androgenetic Alopecia

Which one of the following statements about the use of oral minoxidil for androgenetic alopecia is false? 

  • It increases hair growth.   
  • It Increases hair thickness.   
  • It increases blood pressure.   
  • It can cause pedal edema. 
Volume 36.4 - Question 43

Nephrology Dapagliflozin and Chronic Kidney Disease

Among patients with chronic kidney disease, regardless of the presence or absence of diabetes, the risk of a composite of a sustained decline in the estimated GFR of at least 50%, end-stage kidney disease, or death from renal or cardiovascular causes is significantly lower with dapagliflozin than with placebo. 

  • True
  • False
Volume 36.4 - Question 35

Claudication and Hydration

In patients with disabling claudication and rest pain caused by peripheral vascular disease without a history of congestive heart failure or renal insufficiency, deliberate consumption of a minimum of 2.5 L of fluids per day is associated with increased treadmill endurance. 

  • True
  • False
Volume 36.4 - Question 31

Therapeutic Suggestions During General Anaesthesia

Therapeutic suggestions played through earphones during general anaesthesia may provide a technique to reduce postoperative pain and opioid use. 

  • True
  • False
Volume 36.4 - Question 20

Nonalcoholic Fatty Liver Disease

A 35-year-old patient is at your office today because he is experiencing fatigue and right upper abdominal fullness recently. He rarely drinks alcohol and he is wondering if he has nonalcoholic fatty liver disease (NAFLD). 
Volume 36.3 - Question 42

Spinal Cord Stimulation

Spinal cord stimulation has been found to be an effective treatment for chronic neuropathic pain. 

  • True
  • False
Volume 36.3 - Question 40

Short-term Systemic Corticosteroids

Which one of the following conditions has evidence to support the use of systemic corticosteroids in its management?    

  • Acute pharyngitis    
  • Acute gout   
  • Lumbar radiculopathy    
  • Herpes zoster 
Volume 36.3 - Question 36

Acute Liver Failure

N-acetylcysteine improves overall survival in the treatment of non-acetaminophen-related acute liver injury. 

  • True
  • False
Volume 36.3 - Question 33

HPV Screening

Offering non-speculum clinician-taken HPV (human papillomavirus) sampling and self-sampling substantially increases uptake in lapsed attendee women aged 50-64.

  • True
  • False
Volume 37.6 - Question 14

Bedbugs

Which one of the following statements about bedbugs is false? 

  • Bedbug bites are painless.   
  • Attractant-based bedbug traps may be useful for detecting low-level infestations.   
  • Placing textile materials in most domestic-level freezers generally kills all bedbugs.   
  • Bedbugs are largely resistant to conventional insecticides. 
Volume 36.2 - Question 3

Obesity in Adults

Which one of the following statements about obesity in adults is false? 

  • The prevalence of obesity in Canada has increased threefold since 1985. 
  • The weight loss achieved with health behavioural changes is usually 10% of body weight.   
  • Liraglutide 3.0 mg is an option for adjunctive pharmacotherapy for weight loss.   
  • Bariatric surgery many be considered for people with BMI > 35kg/m2 with at least one obesity-related complication. 
Volume 36.2 - Question 2

IgA Vasculitis

Which one of the following statements about IgA Vasculitis is false? 

  • Most cases occur in children younger than ten years old.  
  • Gastro-intestinal bleeding can occur in approximately one third of patients.
  • Renal disease occurs in about half of patients.  
  • The associated arthritis causes joint damage.
Volume 36.1 - Question 36

Trigger Finger

Which one of the following statements about trigger finger is false?

  • It most frequently affects the ring finger.
  • Corticosteroid and lidocaine is associated with a higher rate of symptom resolution or significant relief compared with lidocaine alone.
  • Most patients relapse after steroid injection.
  • Compared with steroid injection, open surgical release is associated with improved symptom resolution at 6-12 months.
Volume 38.2 - Question 20

Management of Hyponatremia

Which one of the following statements about the management of hyponatremia is false?

  • Increasing daily protein intake to 1 g/kg improves hyponatremia in patients with Syndrome of inappropriate antidiuresis (SIAD).
  • Normalization of the serum sodium level at day 30 occurs in a majority of patients with SIAD treated with tolvaptan.
  • Desmopressin can be used to avoid overly rapid correction.
  • In acute water intoxication there is a high risk of osmotic demyelination.
Volume 38.2 - Question 16

Early-Career vs. Older-Career Physicians

Early-career physicians in Canada offer less comprehensive services than older-career physicians.

  • True
  • False
Volume 38.6 - Question 41

Back to Previous Page

Unlock this answer and more.


Access to answers, detailed explanations and CPD credits is exclusively for Self Learning subscribers



Become a Subscriber

Existing user? Log In Here