GP Flashcards

1
Q

Heart failure symptoms

A

F - Fatigue
A - Activity limitation
C - Cough (nocturnal)
E - oedema (swelling)
S - Shortness of breath/orthopnoea

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2
Q

4 Key medications in palliative care

A

Analgesia

Shortness of breath relief - opioid (diamorphine)

Nausea - hyoscine butylbromide

Agitation - benzodiazepine - mirtazapine
Respiratory secretions - hyoscine butylbromide

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3
Q

Cushing’s syndrome gold standard test

A

Low dose dexamethasone suppression test

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4
Q

What medicine is for hypertension over age 55 without diabetes

A

Amlodipine (CCB

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5
Q

What medicine for under 55/diabetes

A

ACE - ramipril

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6
Q

Features of end stage heart failure

A

Frequent hospital admission
Breathless and rest
Low kidney function
Lack of independence with ADL’s

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7
Q

Rheumatoid arthritis treatment

A

Methotrexate DMARD

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8
Q

Progressive conductive hearing loss
Young
Normal tympanic membrane
Negative rinnes, Weber’s lateralised

A

Otosclerosis

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9
Q

Most common cause of travellers diarrhoea

A

Enterotoxigenic e coli

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10
Q

Vertigo
Worse at night when turning over/on head movement
No hearing loss/tinnitus

A

Benign paroxysmal positional vertigo

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11
Q

Benign paroxysmal positional vertigo diagnostic manoeuvre

A

DiX Hallpike manoeuvre

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12
Q

Benign paroxysmal positional vertigo treatment manoeuvre

A

Epley Manoeuvre

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13
Q

3 types of delerium

A

Hypoactive, hyperactive, mixed

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14
Q

What medication is prescribed with levidopa

A

Decarboxylase inhibitor

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15
Q

Alzheimer’s risk factors

A

Increased age, family history, downs syndrome, social isolation

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16
Q

What class of drug as sedative for those with parkinsons

A

Bezodiazipine

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17
Q

Long term effects of levidopa

A

On-off effect
Hallucinations
Dyskinesia

18
Q

COPD ladder

A

SABA
LABA
(If steroid responsive ICS, if non responsive LAMA)
Then all 4 and refer

19
Q

A 65-year-old lady presents to a general practitioner after being diagnosed with Type II diabetes mellitus. On reviewing her notes, you notice a recent blood test shows her EGFR is 20. She has no cardiac history. what is first line management for her?

A

glipizide (sulfonurea)

20
Q

which antibiotic for human bites

A

co-amoxiclav

21
Q

What does a frax score predict

A

10 year probably of hip fracture

22
Q

What is included in a frax score

A

Age
Sex
Weight
Hight
Previous fracture
Parental hip fracture
Current smoking
Glucocorticoid
Rheumatoid arthritis
Osteoporosis
Alcohol over 3 units
Femoral neck bone mineral density

23
Q

First line management of pcos

A

Weight loss

24
Q

What medication can cause hyponatremia

A

Thiazide diretic (indapamide)
SSRI
Carbamazepine
Omeprazole

25
Q

Which medication can cause atypical fractures

A

Bisphosphonates - alendronic acid

26
Q

Erectile dysfunction risk factors

A

Increased age
Diabetes
Hypertension
Smoking
Obesity
Anxiety

27
Q

Erectile dysfunction investigation

A

Hba1c
Testosterone
Tfts
Psychological assessment
Penile Doppler ultrasound

28
Q

Erectile dysfunction treatment

A

Sildenafil

Phosphodiesterase 5 inhibitor

29
Q

Sildenafil complication

A

Priapism/prolonged erection

30
Q

Reason for urology referral in erectile dysfunction

A

Abnormal testicular examination
Penile structural abnormality
Lifelong history of ED

31
Q

What type of prevention are antihypertensive medications

A

Primary - prevent end organ damage before it occurs

32
Q

Maxwell’s dinensions

A

Accessibility
Acceptability
Appropriate

Efficiency
Effectiveness
Equity

33
Q

Gout crystals appearance

A

Negatively bifringent, needle shaped
Made of monosodium urate

34
Q

Gout risk factors

A

Obesity, alcoholism, thiazide like diretic use

35
Q

Acute gout management

A

NSAID/colchicine

36
Q

Prophylaxis for gout

A

Allopurinol
Indicated in multiple attacks, diuretic use or renal impairment

37
Q

5 Extra articular manifestation of rheumatoid arthritis

A

Episcleritis
Myocarditis
Vasculitis
Carpel tunnel
Anaemia of chronic disease

38
Q

Radiological features of rheumatoid arthritis

A

SPADE

Soft tissue swelling
Periarticular osteoporosis
Absent osteophytes
Deformity
Erosions

39
Q

Non-pharmaceutical management of rheumatoid arthritis

A

Range of motion exersices
Weight loss
Calcium/vitamin D supplements
Splints/walking aids

40
Q

Carpel tunnel treatment

A

Nsaids
Steroid injections
Wrist splinting

41
Q

Causes of septic arthritis

A

Staphylococcus aureus
Neisseria gonorrhoea
Streptococcus pyrogens