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PHASE 2A > GP > Flashcards

GP Flashcards

1
Q

How does hip dysplasia present in the 6-8 week baby check?

A

Different length legs
Knees at different levels
Can’t abduct hip to 90 degrees
Clunk sound

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2
Q

What can undescended testes be linked to in the 6-8 week baby check?

A

Cancer
infertility
Endocrine disorders

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3
Q

Why do we check the eyes of babies?

A

For congenital cataracts

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4
Q

What is a red flag in a baby check of the eyes?

A

light reflecting off the retina

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5
Q

What is a critical CHD?

A

Can cause death within 28 days

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6
Q

What is serious CHD?

A

Within first 12 months

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7
Q

What is in the red book?

A

Birth details
Family history
Immunisation
Reviews and screening

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8
Q

Differential of a cough?

A 
Bronchitis
Pneumonia
TB
COPD
Left ventrivular systolic dysfunction
Postnasal drip
GORD
ACE inhibitors
Idiopathic 
Psychogenic
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9
Q

Tests for asthma?

A

Spirometry
Peak flow test
Airway responsiveness
Allergy tests

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10
Q

What is the atopic triad?

A

Asthma
Atopic dermatitis
Allergic rhinitis

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11
Q

What ages are breast screenings done?

A

50-70

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12
Q

When do we refer a breast lump?

A

Over 30 and have an unexplained lump with or with out pain.

Over 50 and any other breast change.

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13
Q

What is diarrhoea?

A

3+ loose or liquid stools per day

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14
Q

What is an abnormal PSA result?

A

Above 3ng they should be referred to a specialist

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15
Q

What is given after a kidney transplant?

A

mTOR inhibitors

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16
Q

What needs monitoring after a kidney transplant?

A

Full bloods
BP
Urine output
Immunosuppression levels

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17
Q

What is the age limit for cornea donation?

A

80

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18
Q

What is the age limit for heart valves and tendons?

A

60

19
Q

What diseases can’t you have if you plan on donating organs?

A

HIV (unless reciever is also positive), hepatitis, cancer in last 12 months or Creutzfeldt-jakob disease

20
Q

What is Haemodialysis?

A

Occurs 3 times a week and takes 4 hours. A tube in the arm removes the blood.

21
Q

What is peritoneal dialysis?

A

Filters using the inside lining of the abdomen. permanent catheter is inserted and the fluid needs to be changed.

22
Q

How often does peritoneal dialysis occur?

A

4 times a day or can be done overnight

23
Q

What are the side effects of dialysis?

A

Fatigue, low blood pressure, sepsis, muscle cramps, itchy skin

24
Q

What drugs should those with renal failure avoid?

A

NSAIDs

25
Q

What is stage 2 CKD?

A

GFR 60-89

26
Q

What is stage 3a CKD?

A

GFR 45-59

27
Q

What is stage 3b CKD?

A

GFR 30-44

28
Q

Who has an NHS health check?

A

40-74

29
Q

What does the health check up look at?

A

Stroke, kidney disease, heart disease, type 2 diabetes or dementia

30
Q

What are the issues with Tylenol?

A

Liver damage

31
Q

What are the issues with NSAIDs?

A

Heart attack, stroke and GI bleeding

32
Q

What must you avoiding driving on?

A

New opioids

33
Q

What is the CVD risk assessment score?

A

QRISK2

34
Q

What do you need for a QRISK2 score?

A

Age, sex, ethnicity, BMI, HDL (HbA1c)

35
Q

How often is QRISK2 done?

A

Every 5 years

36
Q

What investigations should be done on someone with prostate worries?

A

Urinary frequency-volume chart
IPSS questionnaire
Physical exam
Blood tests

37
Q

What is an example of a SRRI?

A

Cirtoline

38
Q

What is a traditional anti-depressant?

A

Tricyclics which can be toxic in overdose

39
Q

What is an issue with SSRIs?

A

In the short term they can cause short term low mood and increased risk of suicide

40
Q

What does SSRI stand for?

A

Selective serotonin reuptake inhibitors

41
Q

What is an issue with St. Johns wart?

A

interacts with warfarin and contraceptive pill

42
Q

What are screening tests for depression

A

BECK, HADS, PHQ-9

43
Q

What is a screening tool for anxiety?

A

GAD-7

PHASE 2A (14 decks)

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