GP Flashcards
What is first line treatment for recurrent gout?
Allopurinol
What is a common side effect of allopurinol?
Rash - stop the medication if this happens
Is aspirin a risk factor for gout?
Yes low dose aspirin
Which medication is usually used in urge incontinence?
Oxybutinin
Which medication is used for urge incontinence in elderly who are frail and why?
Mirabegron as it has less anticholinergic side effects
What is treatment for UTI in breastfeeding mum?
Trimethoprim 200 milligrams twice a day for 3 days
Why shouldn’t nitrofurantoin be used in breastfeeding mum?
Can cause haemolysis in G6PD deficient babies
Which UTI drug should be avoided in methotrexate and why?
Trimethoprim because it increases risk of bone marrow suppression
How many days course of antibiotics for a non pregnant woman?
3 days
When should a statin be offered in under 80’s?
If Q risk is greater than 10%
Which medication should be stopped when clarithromycin is started? and why?
Atorvastatin because if they interact together it can cause rhabdomyolysis
What is the COCP regimen for a patient who just wants to regulate their period?
Pill everyday for 9 weeks followed by 4 or 7 day pill free interval
What is treatment for UTI if both nitrofuratoin and trimethoprim are contraindicated?
Pivmecillinam 400mg initial dose then 200mg TDS for 3 days
Why should down syndrome patients avoid trampolines?
Higher risk of atlantoaxial instability if they fall leading to neural compression
In which condition is ulipristal acetate (ellaOne contraindicated)
Asthma - esp severe so if the patient is taking steroids
How long do patient need contraception for in post menopause?
They have to be amenorrhoeic for 2 years before they can stop if under 50 or 1 year if over 50
What are the cancer risk associated with COCP?
Reduced ovarian and endometrial but increased breast and cervical cancer risk
What to be aware of with eczema treatment in darker skin?
Topical corticosteroids can induce depigmentation
When is IUD contraindicated?
Active chlamydia infection
What is first line treatment for oral thrush?
150mg oral fluconazole single dose
How many cigs is an absolute contraindication to COCP?
Being over 35 and smoking over 15 cigs
In progesterone only pills what time period is considered a missed pill?
More than 12 hours. If late on taking the POP that day just take it as soon as possible
What is prophylaxis of migraine bs acute treatment?
Prophylaxis is propranlol
Acute treatment is sumatriptan
What is statin dose for primary prevention in patient with total cholesterol greater than 5 ?
20mg
What is first line management of bell’s palsy?
Oral prednisolone
In levonelle if a woman is over 70kg or BMI over 26 what is dose?
Double the dose
How many days for the COCP to be effective vs POP?
COCP: 7 day s
POP : 2 days
How many days after UPSI can levonelle (levonorgestrel be given)
Up to 3 days
What gfr result would contraindicate nitrofurantoin?
eGFR less than 45
What’s the equation to work out units of alcohol?
percentage of the alcohol x the amount in ml then divide that number by 1000
What is first line medication for gout flare?
NSAIDs unless heart failure then give colchicine
What is diagnostic test of coeliac?
OGD with small bowel biopsy
What hormone do ovulation strips detect?
LH - LH spikes just prior to ovulation
What can a statin do to muscles?
Can cause myalgia - if CK is 5 x upper limit of normal stop the statin
How many weeks post partum before IUD can be fitted?
Either within 48 hours of giving birth of 4weeks after
How should COCP use be done before surgeries?
Stop 4 weeks before and use other method as it’s a risk for VTE. Then restart 2 weeks after surgery
Which antibiotic when drinking alcohol can cause flushing, tachycardia and nausea/ vomiting?
Metronidazole - causes a disulfiram like reaction. Avoid alcohol for at least 48 hours after stopping treatment
