GP

Question 1

LONG TERM MANAGEMENT OF BRONCHIECTASIS

Answer 1

postural drainage and inspiratory muscle training

Question 2

first line for low severity CAP

Answer 2

Oral amoxicillin

Question 3

COPD management

Answer 3

1- saba
2- no change decipher if steroid responsiveness/ asthma features
3- laba and ICS - salmetrol and beclamethasone

Question 4

what lung cancer is mostly linked to smoking

Answer 4

squamous cell carcinoma

Question 5

lung cancer contraindications for surgery

Answer 5

• SVC obstruction
• stage 3b or 4
  -malignant PE
• tumor near hilum

Question 6

what abx is used for long term copd

Answer 6

azithromycin

Question 7

what investigation is required post discharge of pneumonia

Answer 7

cxr in 6 weeks

Question 8

first line for hospital acquired pneumonia

Answer 8

co- amoxiclav

Question 9

where is diverticular most commonly found

Answer 9

sigmoid colon

Question 10

what medications do you give to induce remission in UC

Answer 10

• rectal aminosalicyate
• oral AM 1st if extensive
• oral steroid

Question 11

what medications do you give to induce remission in crohns

Answer 11

• steroids

Question 12

what medication do you give for a flare of UC

Answer 12

• RECTAL AM
• ORAL AM

SEVERE RELAPSE OR more than 2 exacerbations then azathioprine

Question 13

what medication do you give for a flare in crohns

Answer 13

stop smoking
azathioprine

Question 14

first line tx for biliary colic

Answer 14

elective laparoscopic cholecystectomy

Question 15

what should you assess before initiating azathiorprine

Answer 15

thiopurine methyl transferase activity

Question 16

management of a severe flare up of UC

Answer 16

admit to hospital and give IV STEROIDS

Question 17

endoscopy for crohns would show ?

Answer 17

skip lesions
deep ulcers

Question 18

most common cause of pyelonephritid

Answer 18

E COLI

Question 19

FIRST LINE medication for IBS

Answer 19

LOPERAMIDE

Question 20

imaging of choice for suspected perianal fistulae in crohns

Answer 20

MRI pelvis

Question 21

most commonly affected site in crohns

Answer 21

ileum

Question 22

hoarse voice, malaise and chronic smoking history

Answer 22

pan coast tumor, suppressing the recurrent laryngeal nerve

Question 23

what type of lung cancer is gynecomastia associated with

Answer 23

adenocarcinoma

Question 24

in what conditions is mesothelioma most common with

Answer 24

exposure to asbestos

Question 25

main points about malignant otitis externa

Answer 25

90% diabetics
unrelenting otalgia
purulent otorhhea
give ciprofloxacin ear drops

Question 26

main points regarding otitis externa

Answer 26

common cause - recent swimming
s . aureus
ear pain, itch , discharge
mx- topical abx or topical abx with steroid

Question 27

two assessments recommended by nice to assess falls risk

Answer 27

turn 180
timed up and go

Question 28

abx for infective exacerbation of copd

Answer 28

clarithromycin

Question 29

what emergency contraceptions can you use within 120 hrs

Answer 29

copper device
ulipristal

Question 30

what emergency contraception can you use within 72 hrs

Answer 30

levongestrel

Question 31

when are children vaccinated against measles

Answer 31

1yr and 3yr 4 months

Question 32

what is the mechanism of anastrazole

Answer 32

inhibition of peripheral oestrogen synthesis

Question 33

mechanism of tamoxifen

Answer 33

oestrogen receptor antagonist

Question 34

what organism causes fungal nail

Answer 34

trichophyton rubrun

Question 35

safe acne treatment in pregnancy

Answer 35

oral erythromycin