GP Flashcards
LONG TERM MANAGEMENT OF BRONCHIECTASIS
postural drainage and inspiratory muscle training
first line for low severity CAP
Oral amoxicillin
COPD management
1- saba
2- no change decipher if steroid responsiveness/ asthma features
3- laba and ICS - salmetrol and beclamethasone
what lung cancer is mostly linked to smoking
squamous cell carcinoma
lung cancer contraindications for surgery
- SVC obstruction
- stage 3b or 4
-malignant PE - tumor near hilum
what abx is used for long term copd
azithromycin
what investigation is required post discharge of pneumonia
cxr in 6 weeks
first line for hospital acquired pneumonia
co- amoxiclav
where is diverticular most commonly found
sigmoid colon
what medications do you give to induce remission in UC
- rectal aminosalicyate
- oral AM 1st if extensive
- oral steroid
what medications do you give to induce remission in crohns
- steroids
what medication do you give for a flare of UC
- RECTAL AM
- ORAL AM
SEVERE RELAPSE OR more than 2 exacerbations then azathioprine
what medication do you give for a flare in crohns
stop smoking
azathioprine
first line tx for biliary colic
elective laparoscopic cholecystectomy
what should you assess before initiating azathiorprine
thiopurine methyl transferase activity
management of a severe flare up of UC
admit to hospital and give IV STEROIDS
endoscopy for crohns would show ?
skip lesions
deep ulcers
most common cause of pyelonephritid
E COLI
FIRST LINE medication for IBS
LOPERAMIDE
imaging of choice for suspected perianal fistulae in crohns
MRI pelvis
most commonly affected site in crohns
ileum
hoarse voice, malaise and chronic smoking history
pan coast tumor, suppressing the recurrent laryngeal nerve
what type of lung cancer is gynecomastia associated with
adenocarcinoma
in what conditions is mesothelioma most common with
exposure to asbestos
main points about malignant otitis externa
90% diabetics
unrelenting otalgia
purulent otorhhea
give ciprofloxacin ear drops
main points regarding otitis externa
common cause - recent swimming
s . aureus
ear pain, itch , discharge
mx- topical abx or topical abx with steroid
two assessments recommended by nice to assess falls risk
turn 180
timed up and go
abx for infective exacerbation of copd
clarithromycin
what emergency contraceptions can you use within 120 hrs
copper device
ulipristal
what emergency contraception can you use within 72 hrs
levongestrel
when are children vaccinated against measles
1yr and 3yr 4 months
what is the mechanism of anastrazole
inhibition of peripheral oestrogen synthesis
mechanism of tamoxifen
oestrogen receptor antagonist
what organism causes fungal nail
trichophyton rubrun
safe acne treatment in pregnancy
oral erythromycin
