GP

Question 1

What is first line treatment for recurrent gout?

Answer 1

Allopurinol

Question 2

What is a common side effect of allopurinol?

Answer 2

Rash - stop the medication if this happens

Question 3

Is aspirin a risk factor for gout?

Answer 3

Yes low dose aspirin

Question 4

Which medication is usually used in urge incontinence?

Answer 4

Oxybutinin

Question 5

Which medication is used for urge incontinence in elderly who are frail and why?

Answer 5

Mirabegron as it has less anticholinergic side effects

Question 6

What is treatment for UTI in breastfeeding mum?

Answer 6

Trimethoprim 200 milligrams twice a day for 3 days

Question 7

Why shouldn’t nitrofurantoin be used in breastfeeding mum?

Answer 7

Can cause haemolysis in G6PD deficient babies

Question 8

Which UTI drug should be avoided in methotrexate and why?

Answer 8

Trimethoprim because it increases risk of bone marrow suppression

Question 9

How many days course of antibiotics for a non pregnant woman?

Answer 9

3 days

Question 10

When should a statin be offered in under 80’s?

Answer 10

If Q risk is greater than 10%

Question 11

Which medication should be stopped when clarithromycin is started? and why?

Answer 11

Atorvastatin because if they interact together it can cause rhabdomyolysis

Question 12

What is the COCP regimen for a patient who just wants to regulate their period?

Answer 12

Pill everyday for 9 weeks followed by 4 or 7 day pill free interval

Question 13

What is treatment for UTI if both nitrofuratoin and trimethoprim are contraindicated?

Answer 13

Pivmecillinam 400mg initial dose then 200mg TDS for 3 days

Question 14

Why should down syndrome patients avoid trampolines?

Answer 14

Higher risk of atlantoaxial instability if they fall leading to neural compression

Question 15

In which condition is ulipristal acetate (ellaOne contraindicated)

Answer 15

Asthma - esp severe so if the patient is taking steroids

Question 16

How long do patient need contraception for in post menopause?

Answer 16

They have to be amenorrhoeic for 2 years before they can stop if under 50 or 1 year if over 50

Question 17

What are the cancer risk associated with COCP?

Answer 17

Reduced ovarian and endometrial but increased breast and cervical cancer risk

Question 18

What to be aware of with eczema treatment in darker skin?

Answer 18

Topical corticosteroids can induce depigmentation

Question 19

When is IUD contraindicated?

Answer 19

Active chlamydia infection

Question 20

What is first line treatment for oral thrush?

Answer 20

150mg oral fluconazole single dose

Question 21

How many cigs is an absolute contraindication to COCP?

Answer 21

Being over 35 and smoking over 15 cigs

Question 22

In progesterone only pills what time period is considered a missed pill?

Answer 22

More than 12 hours. If late on taking the POP that day just take it as soon as possible

Question 23

What is prophylaxis of migraine bs acute treatment?

Answer 23

Prophylaxis is propranlol
Acute treatment is sumatriptan

Question 24

What is statin dose for primary prevention in patient with total cholesterol greater than 5 ?

Answer 24

20mg

Question 25

What is first line management of bell's palsy?

Answer 25

Oral prednisolone

Question 26

In levonelle if a woman is over 70kg or BMI over 26 what is dose?

Answer 26

Double the dose

Question 27

How many days for the COCP to be effective vs POP?

Answer 27

COCP: 7 day s POP : 2 days

Question 28

How many days after UPSI can levonelle (levonorgestrel be given)

Answer 28

Up to 3 days

Question 29

What gfr result would contraindicate nitrofurantoin?

Answer 29

eGFR less than 45

Question 30

What's the equation to work out units of alcohol?

Answer 30

percentage of the alcohol x the amount in ml then divide that number by 1000

Question 31

What is first line medication for gout flare?

Answer 31

NSAIDs unless heart failure then give colchicine

Question 32

What is diagnostic test of coeliac?

Answer 32

OGD with small bowel biopsy

Question 33

What hormone do ovulation strips detect?

Answer 33

LH - LH spikes just prior to ovulation

Question 34

What can a statin do to muscles?

Answer 34

Can cause myalgia - if CK is 5 x upper limit of normal stop the statin

Question 35

How many weeks post partum before IUD can be fitted?

Answer 35

Either within 48 hours of giving birth of 4weeks after

Question 36

How should COCP use be done before surgeries?

Answer 36

Stop 4 weeks before and use other method as it's a risk for VTE. Then restart 2 weeks after surgery

Question 37

Which antibiotic when drinking alcohol can cause flushing, tachycardia and nausea/ vomiting?

Answer 37

Metronidazole - causes a disulfiram like reaction. Avoid alcohol for at least 48 hours after stopping treatment