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Lottie's DPD 2 > GP Clinic > Flashcards

GP Clinic Flashcards

1
Q

Raised WCC and dysuria with no UTI Sx. Dx?

A

Bladder cancer

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2
Q

Tonsillitis treated with amoxicillin. Comes back 2 days later with widespread maculopapular rash. Dx?

A

EBV (glandular fever)

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3
Q

List signs of glandular fever

A

Splenomegaly

Axillary lymphadenopathy

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4
Q

What are Ix for glandular fever?

A

Monospot test
FBC
Blood film

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5
Q

What would an EBV blood film show?

A

Atypical activated lymphocytes

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6
Q

What would FBC show in EBV?

A

Lymphocytosis, low platelets, anaemia

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7
Q

45y/o with RUQ stabbing pain + nausea. Happens after eating. DDx?

A 
Gallstones 
Biliary colic 
Cholecystitis 
Peptic ulcer 
R lower love pneumonia 
Hepatitis
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8
Q

Ix for biliary colic?

A

BLOODS: FBC, U&E, LFT, CRP, amylase

Abdo USS

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9
Q

Cramps in legs when walking, stops when rests. DDx?

A

PAD
Intermittent claudication
Spinal stenosis

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10
Q

Ix for ?intermittent claudication

A

Peripheral vascular exam inc pulses, skin changes
Buergers test
ABPI

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11
Q

How does intermittent claudication differ from acute limb ischaemia?

A 
IC = pain on walking, ABPI <0.9
ALI = 6 Ps, severely impaired blood flow
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12
Q

What is critical limb ischaemia?

A

Rest pain >2 weeks +/- tissue loss

ABPI <0.5

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13
Q

Burning sensation for 3 months after eating. Sometimes a nasty taste in the mouth. Qs to ask?

A

Other Sx eg cough or dysphagia
Worse when lying down?
Smoking? Alcohol? obese?

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14
Q

Burning sensation for 3 months after eating. Sometimes a nasty taste in the mouth. DDx?

A

GORD

Peptic ulcer

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15
Q

Ix for ?GORD

A

4 week PPI trial

H.Pylori trial

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16
Q

If H.Pylori test is +’ve, what is Tx?

A

Triple therapy

7 day course of PPI (twice a day), 2 ABx - clarithromycin/amoxicillin/metronidazole

17
Q

L sided facial drop. Arms&legs fine. DDx?

A

Bells palsy
MN lesion
Stroke

18
Q

L sided facial drop. Arms&legs fine. Ix?

A

CN exam
Upper & lower limb exam
Scalp, parotids, ears, mastoids, mouth inspection

19
Q

Differentiate between UMN and LMN lesions in the face

A 
U = forehead spared 
L = forehead not spared
20
Q

What is Bells palsy?

A

Idiopathic facial nerve palsy

Diagnosis of exclusion

21
Q

What is Mx of Bells palsy?

A

Reassurance - not stroke
Eye care - esp when sleeping
High dose steroids if PC <72hrs

Lottie's DPD 2 (10 decks)

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