GP Passmed Flashcards
What are the two contraindications of ARBS?
Diabetes, eGFR<60
What monitoring is needed for patients taking citalopram?
ECG - can cause Qt prolongation
What monitoring is needed for patients taking venlafaxine/SNRI?
Blood Pressure
When is prophylactic antibiotics recommended in COPD patients?
If 3 or more exacerbations in 1 year requiring steroid therapy and at least one requiring hospitalisation
What antibiotics are recommended first line for a patient with bronchitis and significant co-morbidities?
Oral doxycycline
When is lateral epicondylitis worse?
On resisted wrist extension/supination whilst elbow is extended
What virus causes roseola infantum?
Herpes Simplex 6
What is the second line for hypertension in age 55 or over - name the medication?
CCB + ACE/ARB or Thiazide like diuretic - indapamide
What antihypertensive can cause reflex tachycardia and why?
Nifedipine - causes peripheral vasodilation
What is the treatment of primary syphilis?
IM benzathine benzylpenicilin
How long should patients wait between topical steroids courses for psoriasis treatment?
4 weeks
What cells may be seen on a blood film for coeliac?
Howell Jolly Bodies
What is ORBIT score?
Bleeding risk score for AF
Sex
Age>74 years
Bleeding History
GFR<60
What antibiotic is used for COPD prophylaxis of infective exacerbations?
Azithromycin
How long does it take finasteride for BPH to work?
Up to 6 months
What is the common cause of bacterial otitis media?
Haemophilus influenzae
Treatment for chlamydia in pregnancy?
Azithromycin, erythromycin, amoxicillin
What Parkinson’s medicine manages tremor in drug induced Parkinson’s?
Procyclidine
What Parkinson’s medicine causes pulmonary fibrosis?
Cabergoline
What Parkinson’s medicine has reduced effectiveness over time?
Levodopa
What test is used to distinguish between unilateral or bilateral adenoma/hyperplasia of adrenal glands?
Adrenal venous sampling
