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UKMLA > GP > Flashcards

GP Flashcards

1
Q

What is first line treatment for recurrent gout?

A

Allopurinol

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2
Q

What is a common side effect of allopurinol?

A

Rash - stop the medication if this happens

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3
Q

Is aspirin a risk factor for gout?

A

Yes low dose aspirin

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4
Q

Which medication is usually used in urge incontinence?

A

Oxybutinin

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5
Q

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

A

Mirabegron as it has less anticholinergic side effects

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6
Q

What is treatment for UTI in breastfeeding mum?

A

Trimethoprim 200 milligrams twice a day for 3 days

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7
Q

Why shouldn’t nitrofurantoin be used in breastfeeding mum?

A

Can cause haemolysis in G6PD deficient babies

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8
Q

Which UTI drug should be avoided in methotrexate and why?

A

Trimethoprim because it increases risk of bone marrow suppression

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9
Q

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

A

3 days

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10
Q

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

A

If Q risk is greater than 10%

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11
Q

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

A

Atorvastatin because if they interact together it can cause rhabdomyolysis

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12
Q

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

A

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

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13
Q

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

A

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

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14
Q

Why should down syndrome patients avoid trampolines?

A

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

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15
Q

In which condition is ulipristal acetate (ellaOne contraindicated)

A

Asthma - esp severe so if the patient is taking steroids

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16
Q

How long do patient need contraception for in post menopause?

A

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

17
Q

What are the cancer risk associated with COCP?

A

Reduced ovarian and endometrial but increased breast and cervical cancer risk

18
Q

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

A

Topical corticosteroids can induce depigmentation

19
Q

When is IUD contraindicated?

A

Active chlamydia infection

20
Q

What is first line treatment for oral thrush?

A

150mg oral fluconazole single dose

21
Q

How many cigs is an absolute contraindication to COCP?

A

Being over 35 and smoking over 15 cigs

22
Q

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

A

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

23
Q

What is prophylaxis of migraine bs acute treatment?

A

Prophylaxis is propranlol
Acute treatment is sumatriptan

24
Q

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

A

20mg

25
Q

What is first line management of bell’s palsy?

A

Oral prednisolone

26
Q

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

A

Double the dose

27
Q

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

A

COCP: 7 day s
POP : 2 days

28
Q

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

A

Up to 3 days

29
Q

What gfr result would contraindicate nitrofurantoin?

A

eGFR less than 45

30
Q

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

A

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

31
Q

What is first line medication for gout flare?

A

NSAIDs unless heart failure then give colchicine

32
Q

What is diagnostic test of coeliac?

A

OGD with small bowel biopsy

33
Q

What hormone do ovulation strips detect?

A

LH - LH spikes just prior to ovulation

34
Q

What can a statin do to muscles?

A

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

35
Q

How many weeks post partum before IUD can be fitted?

A

Either within 48 hours of giving birth of 4weeks after

36
Q

How should COCP use be done before surgeries?

A

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

37
Q

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

A

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

38
Q
A

UKMLA (12 decks)

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