General Practice Flashcards

1
Q

What is the treatment for stress incontinence?

A
  1. Pelvic floor muscle retraining
  2. Surgical procedures eg tape
  3. Duoloxetine in women if they decline surgery
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2
Q

What is the treatment for urge incontinence?

A
  1. Bladder retraining
  2. Antimuscarinics (oxybutynin, tolteridone or darifenacin)
  3. Mirabegron if oxybutynin cannot be used (eg frail older women)
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3
Q

Give examples of medications used to help with smoking cessation?

A

Nicotine replacement therapy
Varenicline
Bupropion

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4
Q

What is varenicline?

A

A nicotine receptor partial agonist/

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5
Q

What is bupropion?

A

A norepinephrine and dopamine reuptake inhibitor

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6
Q

What are the common side effects of varenicline?

A
Nausea
Headache
Insomnia
Abnormal Dreams 
- Use in caution in patients with a history of self harm/depression
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7
Q

What medication is given to all patients over 75 who have had a fragility fracture?

A

Alendronate (without waiting for DEXA)

if the patient is younger than 75 she needs a dexa scan first to calculate a frax score

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