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 bronchioloits 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