GP Flashcards
Sildenafil and T2DM contraindication
Isosorbide mononitrate
Which heart drug often causes rash and itching
Aspirin often causes urticaria
Scoring system for tonsillitis
FeverPAIN
History of fever
Pus
Attends rapidly (3 days)
Inflamed lymph nodes
No cough
2-3 points consider delayed prescription
4+ points consider Abx
Tonsillitis Mx
Pen-v if bacterial (phenoxymethylpenecillin)
Viral if none
How do you discern between venous nad arterial ulcers
Location
Venous= medial malleolus
Arterial= lateral malleolus
Both are painful
Neuropathic are painless
ALSO
Arterial are deep and punched out with well-defined edges
Venous are bigger and shallower
Whooping cough which Abx
Azithromycin or clarithromycin if onset <21 days
How to distinguish between labyrinthitis and vestibular neuronitis
Hearing is unaffected in vestibular neuronitis
Often affected in labyrinthitis
How to discern between drug induced and idiopathhic Parkinson’s
Drug induced is bilateral
Idiopathic is normally unilateral
Which skin infection starts with a herald patch
Pityriasis rosea
Raynauds first line tx
Lifestyle (hands warm stop smoking) and nifedipine
Which diuretic can cause gynaecomastia
Spironolactone
Shingles Mx
Give oral acyclovir if presenting <72 hours
If not analgesia and ?fusidic acid
C-peptide levels which type of diabetes
If C-peptide levels are low it is t1
- indicates absence of insuli
4 things that can cause falsely high HBA1C
Splenectomy
IDA
B12 deficiency
Alcoholism
Sickle-cell and other haemoglobinopathies can cause low HBA1C levels
Which Abx cause long QT interval
Macrolides e.g. clarithromycin
