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Phase 3a > GP > Flashcards

GP Flashcards

1
Q

treatment ladder for COPD if steroid responsive

A

SABA or SAMA
SABA + LABA + ICS
SABA + LABA + ICS + LAMA

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2
Q

treatment ladder for COPD is steroid unresponsive

A

SABA or SAMA
SABA + LAMA + LABA

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3
Q

when is someone said to be steroid responsive in COPD treatment

A

asthmatic features
atopic illness
variation in FEV1

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4
Q

treatment for h.pylori

A

lansoprazole
metronidazole
clarithromycin

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5
Q

what can small cell lung cancers secrete

A

ADH or ACTH

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6
Q

what can squamous cell lung cancers secrete

A

parathyroid hormone

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7
Q

HTN if under 55 or with diabetes

A

ACEi/ARB
ACEi/ARB + CCB/diuretic
ACEi/ARB + CCB + diuretic

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8
Q

HTN if over 55 or black/afro-caribbean

A

CCB
CCB + ACEi/ARB/diuretic
CCB + ACEi/ARB + diuretic

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9
Q

what needs to be checked after 2 weeks on an ACEi

A

u and e’s

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10
Q

why can an ACEi cause a cough

A

bradykinin accumulation

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11
Q

signs on CXR in heart failure

A

ABCDE
alveolar oedema (bat wing opacities)
Kerley B lines
cardiomegaly
dilated upper lobe vessels
pleural effusion

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12
Q

1st line for ezcema

A

emmolients

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13
Q

2nd line for eczema

A

topical corticosteroids

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14
Q

second line gout treatment after allopurinol

A

febuxostat

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15
Q

blood results seen in alcoholic liver disease

A

raised AST and ALT
AST:ALT 2:1 ratio

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16
Q

common bacteria causing COPD exacerbations

A

moraxella cararrhalis

17
Q

calculating the risk of someone having a stroke or MI in next 10 years

18
Q

gold standard diagnostic investigation for stable angina

A

CT coronary angiography

19
Q

assessing risk of major bleeding when on a DOAC

20
Q

what can you prescribe for smoking cessation

A

NRT - recommend offering patch and then gum, nasal spray etc
varenicline
bupropion

21
Q

side effects of NRT

A

nausea
vomiting
headaches flu like symptoms

22
Q

what is Varenicline

A

nicotine receptor partial agonist

23
Q

common side effects of verinicline

A

nausea
headaches, insomnia, abnormal dreams

24
Q

when should verenicline be used in caution

A

breast feeding contraindictaed
caution in history of depression/self harm

25
Q

what is bupropion

A

norepinephrine and dopamine reuptake inhibitor and nicotinic antagonist

26
Q

contraindications for bupropion

A

epilepsy
pregnancy
breast feeding
eating disorder

27
Q

what is indapamide

A

thiazide like diuretic

28
Q

how many days treatment do men get for a UTI

29
Q

what do you give for rate control for atrial fibrillation

A

beta blocker
rate limiting CCB - diltiazem or verapamil

30
Q

what type of prevention is screening programmes

Phase 3a (7 decks)

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