GP

Question 1

qrisk score less than 10%

Answer 1

lifestyle changes

Question 2

qrisk score more than 10%

Answer 2

statin. atorvastatin 20mg

Question 3

contraception Hx of breast cancer

Answer 3

copper coil

Question 4

most effective form of emergency contraception

Answer 4

intrauterine device

Question 5

COCP and major operation

Answer 5

stop theCOCP 4 weeks before major surgery, prevents DVT

Question 6

Lung cancer referral pathway

Answer 6

> 40 with two lung symptoms
smoker and one symptoms

haemoptysis

Question 7

oesophageal cancer referral

Answer 7

dysphagia

> 55 + weight loss + dyspepsia/abdo pain/reflux

Question 8

pancreatic cancer

Answer 8

> 40 and jaundice

Question 9

Stomach cancer referral

Answer 9

same as liver and gall bladder

mass

Question 10

Colorectal cancer referral

Answer 10

• iron deficiency anaemia
• abdo mass
• change in bowel habit
• > 40: weight loss +abdo pain
• <50: weight loss + abdominal pain/rectal bleeding
  <50 weight loss/rectal bleeding/abdo pain
  >60 anaemia

Question 11

Breast cancer referral pathway

Answer 11

> 30 unexplained breast lump
50 nipple discharge, skin changes

Question 12

Ovarian cancer referral

Answer 12

early fullness
bloating
pelvic/abdo pain
increased urinary frequency

Question 13

endometrial cancer

Answer 13

psot menopausal bleeding

Question 14

bladder and renal

Answer 14

haematuria

Question 15

laryngeal cancer

Answer 15

hoarseness

Question 16

4AT

Answer 16

delirium screen
1. alertness
2. AMT4 : name, year, location, list the months in reverse order (at least 7 right)
3. attention
4. acute change in last 2 weeks lasting over 24 hours (this scores 4 points)