EFFA

Question 1

If there is no risk factor for stroke, and you find AF which is long term, do you do anything?

Answer 1

Consider CHADSVASC score -

Answer 2

DOAC - apixaban

Question 3

Rate control (if 100 over)

Answer 3

Diltiazem

Question 4

What if someone has a metallic heart valve, how do you anticoag with heart failure?

Answer 4

Warfarin - only if contraindication for DAOC

Question 5

What do you do if someone has stable angina

Answer 5

Rapid access clinic
for assessment of stable angina
GTN

avoid risk of

Question 6

Diabetic and black - what do you prescribe for hypertension

Answer 6

ARB

Question 7

If not black and diabetic with hypertension

Answer 7

ACEi

Question 8

What is the QRISK cut off for starting atorvastatin

Answer 8

Q risk score

Question 9

Painless haematuria

Answer 9

Bladder cancer

Question 10

repeated candidiasis - what is the diagnosis you have to screen for

Answer 10

diabetes

Question 11

How do you diagnose BV

Answer 11

BV ph over 4.5

Question 12

What do you give for a hard cord in the vein

Question 13

Thrombophlebitis - management

Answer 13

as it is in really superficial vein, your clot risk is low
NSAIDs just for ?

Answer 14

Webers - which side is quieter or louder
Rhinne’s -

Answer 15

Air conduction is normally louder than

any obstruction amplifies vibrations

Answer 16

if air is better than bone, no conductive problem
if bone conduction is louder than air conduction, something is obstructing the external ear canal

Answer 17

indirect inguinal hernia - through canal
direct - through all layers

Question 18

If eating makes gastric pain symptoms better, what is the differential?

Answer 18

Duodenal ulcer - when you eat it produces alkaline substances which neutralise the acid

whereas eating causes more HCl so worsens gastric ulcer pain

Question 19

What else can cause pain after eating?

Answer 19

Chronic pancreatitis

Question 20

antimitochondrial antibidy

Answer 20

PBC

Question 21

anti nuclear

Answer 21

Lupus

Question 22

Things which drop with coeliac disease

Answer 22

Folate
Iron
Vit D

Answer 23

Anaemic with normal MCV but raised mean cell width distribution - mixed anaemia

Question 24

What do you replace firs out of folate and b12

Answer 24

B12 to avoid Subacute combined degeneration of the cord

Question 25

duloxetine

Answer 25

stress incontinence when surgery is contraindicated (urethral tape)

Question 26

Urge incontinence

Answer 26

oxybutynin