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Year 5 😊✌🏼 > GP > Flashcards

GP Flashcards

1
Q

Referral Criteria for Urology 2ww

A
  • Haematuria
    add details

60 yo

45 yo

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2
Q

Causes for palpitations

A

Cardiac
- AF
- SVT
- mitral valve prolapse
-aortic regurgitation

Endocrine
- hyperthyroidism
- DM

Haem
- anaemia

O&G
- pregnancy
- menopause

Psych
- anxiety
- stress

Iatrogenic
- salbutamol

Drugs
- alcohol
- cocaine
- nicotine
- caffeine

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3
Q

Medical management of anxiety

A

1) SSRI (sertraline, paroxetine)
2) SNRI (duloxetine, venlafaxine)
3) TCAs (do ECG before to check QT interval)

Propanolol can be used for the physical symptoms of anxiety in stage anxiety/exam anxiety. only in short term anxiety.

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4
Q

Risk of splenic rupture in EBV

A
  • 1%
  • if it happens 50% is spontaneous because of the size of the liver
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5
Q

buzzword strawberry cervix

A

trichomonas

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6
Q

What makes you high risk for STIs according to NICE>

A
  • > 25
  • new sexual partner or more than 1 partner in the past 12 months
  • previous STI

double check this

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7
Q

Clue cells

A

Clue cells are epithelial cells covered by adherent gram-negative rods, observed in vaginal smears from women with bacterial vaginosis.

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8
Q

What could you see on microscopy of vaginal discharge in BV?

A

clue cells

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9
Q

?PID in GP

A

same day assessment for treatment in a GUM clinic

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10
Q

Pregnant with ?PID management

A

urgent admission to hospital

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11
Q

Management of BV

A

metronidazole 400 BD for 5-7d

or single dose of 2g if adherence will be an issue

can also offer topical treatment instead

oral clindamycin can be offered if allergic to metronidazole

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12
Q

What to inform about when prescribing metronidazole

A
  • can get a bright red rash when drinking alcohol
  • also headaches, dizziness, fevers etc.
  • advise not to drink any alcohol
  • no additional contraceptive measures required (unless there is vomiting/diarrhoea)
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13
Q

does partner need to be treated if a patient has BV?

A
  • male no
  • female yes
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14
Q

low b12 and low folate - replace which one first?

A

replace b12 first, then folate

something about acute degeneration of the cord.

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15
Q

How to check If someone can give consent?

A

Can they..
1. underststand
2. retain
3. weigh up
4. communicate

their decision?

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16
Q

What kind of LPAs are there?

A
  • health
  • finance
  • both
17
Q

At what level of ketones do we worry?

A

> 3 mmol/L

18
Q

TVUSS findings in menopause

A

small atrophic ovaries

no follicles

19
Q

When do you give patches rather than tablets? (HRT)

A

migraines
FH of clotting disorders

20
Q

Fancy name for ecstasy

A

methylenedioxymethamphetamine

21
Q

what infection can cause low sodium?

A

legionella pneumonia

can cause SIAADH

check urine legionella surface antigen

22
Q

Which cancer can cause SIADH?

A

small cell lung cancer

23
Q

NIICE guidaance on hyponatraaemia

A
24
Q

What

A
25
Q

In a hx of atopy, are you more likely to aadd a LABA for LTRA?

A

LTRA

26
Q

example of LTRA

A

montelukast

27
Q

example of LABA

A

salmeterol

28
Q

When should a child be able to sit unsupported?

A

6 months

29
Q

What is gross developmental delay

A

developmental delay amongst multiple domains

30
Q

What is levonelle

A

high dose oral progesterone

emergency contraception

31
Q

ellaOne, levonelle and copper IUD duration

A
32
Q

ellaOne drug type

A

partial progesterone antagonist

33
Q

1st line treatment for specific phobias

A

CBT

34
Q

What SSRI in a PMH of MI?

A

Sertraline

35
Q

Which SSRI in patient with other conditions and medications?

A

SSRI

36
Q

What is venlafaxine?

A

SNRI

37
Q

Which hip is more commonly affected by DDH?

A

left

38
Q

What position does the pavlik harness hold hips in?

A

flexed and abducted

Year 5 😊✌🏼 (53 decks)

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