Comm Serve - PHC

Question 1

HPT Rx stepwise approach - < 55 yrs:

Answer 1

1. A
2. A + C or A + D
3. A + C + D
4. Resistant HPT - aldactone & specialist

Question 2

HPT Rx stepwise approach - > 55 yrs or black:

Answer 2

1. C/D (often HCTZ)
2. A + C or A + D
3. A + C + D
4. Resistant HPT - aldactone & specialist

Question 3

Pt. on multiple Anti-HPT Rx and still poorly contolled - what other drugs to consider?

Answer 3

1. Spironolactone 25 mg Dly PO
2. Hydralazine 20 - 100 mg BD PO
3. Cardura 4 mg Dly PO
4. Cardura 8 mg Dly PO

Question 4

What eye drops to give pt. with red, itchy eyes?

Allergic conjunctivitis - itchy, watery eyes, exposure to pollen, grass, ass. allergic rhinitis or hay fever

Answer 4

1. Olopatadine eye drops 1 drop into each eye BD x 7/7

Question 5

What eye drops to give for viral conjunctivitis?

URTI, sandy, gritty feeling, morning crust, watery D/C

Answer 5

1. Oxymetazoline 0.025% eye drops 1 drop 6 hourly x 7/7

Question 6

What eye drops to give for bacterial conjunctivitis?

Thick, mucopurulent D/C, eyelids stuck shut, swollen eyelids

Answer 6

1. Chloramphenicol 1% ointment 6 hrly x 7/7

Question 7

Lower back pain sequence of Mx:

Answer 7

1. XR
2. R/V - No serious pathology
3. Analgesia
4. Physio

Question 8

Lab fts of Fe deficiency:

Answer 8

1. MCV - Low/normal
2. RDW - High
3. Fe - Low
4. TIBC - High
5. Ferritin - Low
6. Transferrin saturation - Low
7. Transferrin - High

Question 9

Lab fts of Anaemia of Chronic Disease:

Answer 9

1. MCV - Low/ normal
2. RDW - Normal
3. Fe - Low
4. TIBC - Normal/ Low
5. Ferritin - Normal/ High
6. Transferrin saturation - Normal
7. Transferrin - Normal