GP Handbook

Question 0

Abdominal distension

Answer 0

5 Fs

Fluid, fat, faeces, fetus, flatus

Question 1

Abdominal mass
V
Pelvic mass

Answer 1

Pelvic mass unable to get beneath

Question 2

Reason for absent testis

Answer 2

Undescended
Retractile
Removed

Question 3

High albumin

Dx

Answer 3

Dehydration

Question 4

Altered color/ smell of menstration

Answer 4

No known association

- reassure

Question 5

Causes of

Ascites

Answer 5

Cancer
Hypoproteinaemia
- LF, nephrotic, diet, malabsorption
R heart failure
Portal HTN

Question 6

diarrhoea

Send stool sample if

Answer 6

Blood
Fever
Over 7 days duration
Recent return from tropical area
Food worker

Question 7

Imbalance due to

Answer 7

Lesion in

• Peripheral nerves
• Dorsal column
• Cerebellum

Question 8

Test for dysarthria

Answer 8

Repeat after me

• baby hippopotamus
• British constitution

Question 9

Fluency and understanding in dysphasia types
Receptive
V
Expressive

Answer 9

R: fluent, does not understand speech

E: non fluent, understands speech

Question 10

Aspects of dysphasia

Answer 10

Comprehension; 2 step command
Repitition: repeat whole phrase
Name object
Reading and writing

Question 11

Types of foot pain

Answer 11

Toe
Forefoot
Heel

Question 12

Blue
V
White infant attacks

Answer 12

B; breath holding

W; asystolic

Question 13

Causes of

Glycosuria

Answer 13

DM
Pregnancy
Sepsis
Renal tubular damage

Question 14

Groin lumps

Ddx

Answer 14

Above inguinal lig
- inguinal hernia, lymph node

Below inguinal lig
- femoral hernia, lymph node, femoral vein varices, femoral artery aneurysm

Question 15

Muscle weakness types

Answer 15

UMN; increase TPR
LMN; decrease TPR
Muscle; decrease TP normal R
NMJ; fatigueable
Functional

Question 16

Clinical jaundice; bili> x

Answer 16

Bili > 35

Question 17

Prehepatic jaundice

Ddx

Answer 17

Gilbert
Haemolytic anaemia
- drugs, malaria

Question 18

Hepatic jaundice

Ddx

Answer 18

Hepatitis
Cirrhosis
CCF

Question 19

Joint pain types

Answer 19

Articular; joint line tenderness
- inflx
- mechanical; locking, catching 
Peri articular
- point tenderness over structure

Question 20

Haematuria?

Rule out

Answer 20

Menstration
Color change;
-Rifampicin, beet root, porphyria

Question 21

Known sarcoid + abdo pain

Answer 21

Hypercalcaemia