Formative Flashcards
What would you give for pt presenting with tiredness, exudates on tonsils following course of pen V?
FBC & Monospot test for glandular fever
If suspecting a gastric bleed from hx what’s next step of management from GP?
Call surgical emergencies unit, advise sending pt to ED as unwell and likely haemodynamically unstable
No access to IV or cannula in primary care
When should a child start walking?
Usually 12-14m, by 18m they should be walking well and upstairs with support
Best advice to worried parents of sudden infant death syndrome?
Place baby on their back when sleeping
What test is used to assess for hip dysplasia at a 6 week baby check?
Barlow and ortolani
Best contraception for lady with heavy periods and fibroids?
COCP as regular cycles, best protection and safe if non smoker
Not POP due to erratic cycles
Not IUD as maybe ineffective and expelled if fitted into fibroid
If pt requires new prescription for antidepressants but already on high dose, what is plan of action?
Prescribe to avoid discontinuation syndrome as possibly higher risk of suicide
Book them into review due to high dose
How to identify melanoma?
Asymmetry - hold mirror not same reflection
Border - uneven, scalloped or notched
Colour - multiple, brown tan and black and with growth red,white or black
Diameter or Dark - pencil eraser size warning sign or larger
Evolving - any change or elevation, crusting, bleeding, itching
Baby with erythema on nappy area and chest and flexures?
Infantile seborrhoeic dermatitis - within first 2 weeks of life, commonly affecting nappy area, scalp, face, chest, back and flexures
Cradle cap is an early sign
Consider candidiasis as erythematous and flexural but lesions discrete and accompanied with oral thrush with creamy plaques in mouth
What does RICE stand for in the context of a ankle sprain?
Rest
Ice
Compression
Elevate
Childhood limp. What’s important to exclude?
Irritable hip, pain and limping also known as transient or toxic synovitis
Follows viral infection, or minor trauma
XR to exclude bone abnormality, blood tests for infection
What screening questionnaire is used for depression in primary care?
PHQ-9
What is CAMHS?
child and adolescent mental health services
Assesses and treats young people with emotional, behavioural or mental health difficulties
Within how long should a pt with depression aged 18-25 with increased suicide risk be reviewed after prescribed new medication?
1week and ideally in person
Also for increased dosing
Fgh
