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Year 3 OSCE > Danger Elimination Questions > Flashcards

Danger Elimination Questions Flashcards

1
Q

Mouth ulcers

A
  • Duration of longer than 3 weeks
  • ADRs
  • Failed Treatment
    • Ulcers bigger than 1cm
    • More than 5-10 ulcers present
    • Painless ulcers
    • Unexplained Weight Loss
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2
Q

Oral thrush

A
  • Failed medication
  • Diabetics
    • Painless lesions
    • Recurrent infection
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3
Q

Dyspepsia (heartburn)

A
  • Persistent symptoms (>5 days)
  • ADRs
  • Treatment has failed
    • >45 years with symptoms for the first time
    • Blood in the vomit or stools
    • Pain worsens on effort
    • Pain is severe
    • Pain radiating to arms
    • Difficulty swallowing
    • Regurgitation
    • Children
    • Unintentional Weight Loss
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4
Q

Nausea and Vomiting

A
  • Duration of more than 48 hours in adults
  • Refer if child is under 2 years old
    • Blood in the vomit or stools
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5
Q

Motion sickness

A
  • Glaucoma

* Failed treatment

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6
Q

Constipation

A
  • Change in bowel habit of 2 weeks or longer
  • Failure of OTC medication
  • ADRs
    • Blood in the stools
    • Presence of abdominal pain, vomiting
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7
Q

Diarrhoea

A
  • Lasting ≥1 day in children <1yr
  • Lasting ≥2 days in children <3yrs and the elderly
  • Lasting ≥3 days in older children and adults
  • History of change in bowel habit
  • Suspected drug induced reaction
    • Recent travel abroad
    • Presence of blood or mucus in stools
    • Pregnancy
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8
Q

Irritable Bowel Syndrome

A
  • Unexplained weight loss
  • Child under 16 presenting symptoms
  • Blood in stools
  • Patient with no previous history of IBS and no precipitating factors
  • Failed treatment
  • Nausea and/or vomiting
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9
Q

Threadworms

A
  • Medication failure
    • Signs of bacterial Infection
    • Recent travel abroad
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10
Q

Haemorrhoids

A
  • Duration longer than 3 weeks
  • ADRs
    • Presence of blood in the stools
    • Persistent change in bowel habit
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11
Q

Colds and flu

A
  • Persistent high temperature

* Difficulty Breathing/Wheezing

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12
Q

Sore throat

A
  • Long duration (2-3 weeks)
  • ADRs (agranulocytosis)
    • Unable to swallow
    • White exudate on tonsils
    • Recurrent infection
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13
Q

Coughs

A
  • Long duration (2-3 weeks)
    • Difficulty breathing/shortness of breath
    • Coloured sputum (yellow/green/rusty or blood stained)
    • Persistent nocturnal cough in children
    • Croup/whooping cough
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14
Q

Seasonal rhinitis (hayfever)

A
  • Failed medication
    • Wheezing/ shortness of breath
    • Tightness of chest
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15
Q

Perennial Rhinitis

A
  • Failed medication
    • Wheezing/ shortness of breath
    • Tightness of chest
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16
Q

Tension Headache

A
  • Severe and >4 hrs duration
  • ADRs
  • Children <12 yrs
    • Associated with head injury/trauma
    • Location and type of pain (severe occipital and raised intracranial pressure)
    • Nausea and vomiting
    • Neck stiffness
    • Frequently recurring
17
Q

Migraine

A
  • Severe and >4 hrs duration
  • ADRs
  • Children <12 yrs
    • Associated with head injury/trauma
    • Location and type of pain (severe occipital and raised intracranial pressure
    • Neck stiffness
    • Frequently recurring
18
Q

Sprains & strains

A
  • ADRs causing falls/bruising
  • Medication failure
    • Suspected fracture
19
Q

Backache

A
  • Medication failure
    • Severe back pain
    • Pins and needles radiating to leg
    • Middle/upper back pain
20
Q

Repetitive strain injuries

A
  • Medication failure

• Suspected fracture

21
Q

Vaginal thrush

A
  • OTC medication failure
  • Diabetics
  • Under 16ys
  • Over 60 yrs
    • First occurrence
    • More than two attacks in the last 6 months
    • Pregnancy or suspected pregnancy
    • Blood stained or strong smelling discharge
22
Q

Cystitis

A
  • Failed medication
  • Diabetics
    • All men and children
    • Fever, nausea/vomiting
    • Loin pain/tenderness
    • Haematuria
    • Pregnancy
    • Recurrent cycling
23
Q

Dysmenorrhoea

A
  • Abnormal discharge or bleeding
    • Severe intermenstrual pain
    • Medication failure
    • Presence of fever
24
Q

Insomnia

A
  • Suspected depression
  • Insomnia lasting more than 3 weeks
  • Children under 16
  • Medication failure

Year 3 OSCE (4 decks)

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