GP Flashcards
Heart failure symptoms
F - Fatigue
A - Activity limitation
C - Cough (nocturnal)
E - oedema (swelling)
S - Shortness of breath/orthopnoea
4 Key medications in palliative care
Analgesia
Shortness of breath relief - opioid (diamorphine)
Nausea - hyoscine butylbromide
Agitation - benzodiazepine - mirtazapine
Respiratory secretions - hyoscine butylbromide
Cushing’s syndrome gold standard test
Low dose dexamethasone suppression test
What medicine is for hypertension over age 55 without diabetes
Amlodipine (CCB
What medicine for under 55/diabetes
ACE - ramipril
Features of end stage heart failure
Frequent hospital admission
Breathless and rest
Low kidney function
Lack of independence with ADL’s
Rheumatoid arthritis treatment
Methotrexate DMARD
Progressive conductive hearing loss
Young
Normal tympanic membrane
Negative rinnes, Weber’s lateralised
Otosclerosis
Most common cause of travellers diarrhoea
Enterotoxigenic e coli
Vertigo
Worse at night when turning over/on head movement
No hearing loss/tinnitus
Benign paroxysmal positional vertigo
Benign paroxysmal positional vertigo diagnostic manoeuvre
DiX Hallpike manoeuvre
Benign paroxysmal positional vertigo treatment manoeuvre
Epley Manoeuvre
3 types of delerium
Hypoactive, hyperactive, mixed
What medication is prescribed with levidopa
Decarboxylase inhibitor
Alzheimer’s risk factors
Increased age, family history, downs syndrome, social isolation
What class of drug as sedative for those with parkinsons
Bezodiazipine