GP Flashcards
which gout treatment should not be started within 28 days of an acute attack?
side effects of colchicine?
*meat seafood alcohol increase risk of gout, cheese/dairy products decrease risk
allopurinol
GI symptoms including hemorrhage, inhibition of spermatogenesis
in addition to EBV serology, and throat swab, what other test can be done for infectious mono?
complications?
paul bunnel test (heterophile antibody - non specific)
meningitis, splenic rupture, thrombocytopenia, depression
sebhorreic warts/ keratosis aka basal cell papillomas look how?
malignant?
managment?
like raised brown lesions, may resemble a melanoma
not malignant
increase with increasing age
only if symptomatic or diagnostic uncertainty
curettage or liquid nitrogen therapy
psoriasis management?
- emollients to soften skin
- sialicylic acid to soften scales + topical steroids (use short period)
- vitamin D creams eg calciptriol work well on plaque psoriasis
when would you consider excision for a melanocytic naevus?
how do you differentiate it from melanoma
rapid growth, bleeding, irregular and changing features
unlike melanoma, uniform colour all around
contact dermatitis treatment?
short course of steroids
tacrolimus may be given
wash hands with aqueous cream NOT soap
athletes foot treatment
azoles
terbinafine
whitfield ointment
what tests should be done to rule out IBS differentials?
management?
fbc - anemia
esr crp - rule out infection and inflammation
coeliac serology
treat symptoms -> antispasmodic agents, loperomide for diarrhea, constipation. cbt
R Arthritis features in hand?
investigations?
management?
conditions associated with RA?
swan neck deformity
synovial swelling at wrist
swelling of MTP joints
Rhuematoid factor
anti CCP
ANA
management = DMARDS FIRST line (methotrexate, sulfasalzine, hydroxychloroquine)
prednisolone can be used in acute flares or initially when dmards started before they take in to effect
scleritis/other eye stuff
pericarditis/CVD
pulmonary fibrosis
amyloidosis (due to chronic inflammation)
smoking status, depression screening, FRAX score to check comorbidities
management of suspected reactive arthritis?
joint aspiration and culture -> rule out septic arthritis
GUM clinic referral for STD screen
Check HLA-B27 = poor prognostic indicator! for reactive arthritis
do NOT prescribe antibiotics until you know the cause
name conditions/ syndromes with a risk of colorectal cancer
FAP
Putz jeghers syndrome
ulcerative colitis
lynch syndrome
*dukes staging for colorectal cancer
what is the threshold for treating HTN in individuals with no evidence of end organ damage (kidney, eyes)
> /= 160
/= 100
when should buproprion be started for a smoker?
contraindications?
whilst still smoking
current seizures, a history of seizure, a central nervous system tumour, severe hepatic cirrhosis and if there is a history of bipolar disorder, anorexia nervosa or bulimina.
side effects of OCP?
Side effects associated with oestrogen may include:
Fluid retention
Headache
Nausea and vomiting
Venous thrombosis
Increased cervical secretion / cervical erosion
Those associated with progestogen may include:
Breast fullness
Decreased libido
Dry vagina
Reduced menstrual flow
Disturbance in menstrual cycle
Acne
Premenstrual depression
bacterial tonsilitis treatment?
penicillin V
otitis externa vs otitis media treatment
externa = ciprofloxacin ear drops
media = uncomplicated give analgesia, if not give oral amoxicillin
note - media infection can cause perforation of eardrum and leakage of pus
