GP Flashcards
(604 cards)
Most common cause of painful rectal bleeding on a background of constipation
Anal fissure
What should be done if someone vomits within 3 hours of taking their combined oral contraceptive pill
An additional pill should be taken as soon as possible
Describe the tricycling method of taking the combined oral contraceptive pill
Take the pill everyday for 9 weeks and then take a 4-7 day free interval
What is the most effective form of emergency contraception?
the intrauterine device (IUD)
What is suggested if someones total cholesterol is greater tha 5mmol/L
20mg atrovastatin
What non-invasive emergency contraception can be used for up to 5 days after unprotected sex?
ellaOne (ulipristal acetate)
How do you work out units of alcohol?
(concentration (percent) x volume )/ 1000
What contraceptive is migraine with aura a contraindication for?
The combined oral contraceptive pill
First line treatment for severe depression
SSRI (citalopram)
What happens if the progesterone only pill is missed for more than 3 hours
Take the missed pill and wear condoms for 48 hours
How long after remission should an antidepressant be continued for?
6 months
Treatment of cellulitis
oral flucloxacillin
Why may creatinine be high after treatment with trimethoprim
competitive inhibition of creatinine secretion from the renal tubules
What percent of FEV1 reversibility should be achieved by bronchodilator therapy in asthma?
At least 12%
What form of contraception can be used in women with breast cancer?
non-hormonal methods such as the copper IUD
First line investigation for angina
CT coronary angiogram
Treatment of urge incontinence which is often used in frail elderly patients
Mirabegron
What medications are a risk factor for gout?
low dose aspirin, thiazide like diuretics and immunosuppressive medications
What test is used to confirm iron deficiency anaemia?
ferritin (below 30mcg/l)
What is the best contraptive method at preventing pregnancy?
The contraceptive implant
Most appropriate antibiotic for bacterial tonsilitis?
Oral penicillin V (phenoxymethylpenicillin)
Can an IUD be used in someone with active chlamydia?
no
What antibiotic is recommended to treat UTIs in elderly patients with CKD?
trimethoprim
What can topical corticosteroids cause in patients with darker skin types
depigmentation