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My Phase 3a cards > GP Peer teaching > Flashcards

GP Peer teaching Flashcards

1
Q

What is the difference between the hypertension threshholds if measuring at home vs in clinic?

A

The threshhold is 5mmHg lower for home monitoring

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2
Q

What lifestyle advice would you give to someone with hypertension?

A

Reduce salt <6g but <3g ideally
Reduce caffeine intake
Stop smoking, lose weight etc

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3
Q

What is the first line treatment for hypertension in under 55s? Class and drug example

A

ACE inhibitor e.g. ramipril

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4
Q

What is the first line treatment for hypertension in over 55s or people of Afro-Carribean origin?

A

Calcium Channel Blockers e.g. Amlodipine

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5
Q

What is the 2nd line treatment for hypertension?

A

CCB + ACEi

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6
Q

What is the 3rd line treatment for hypertension?

A

Add a thiazide diuretic (to CCB and ACEi)

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7
Q

Which thiazide diuretic can be used as the 3rd line hypertension treatment?

A

Clorthalidone

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8
Q

What is the treatment for resistant hypertension if potassium is <4.5mmol?

A

Spironolactone

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9
Q

What is the treatment for resistant hypertension if potassium is >4.5mmol?

A

Higher dose thiazide diuretic

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10
Q

What is the target BP for someone over 80?`

A

150/90

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11
Q

What is the target BP for someone under 80?

A

140/90

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12
Q

What investigations need to be done when an ACEi is started?

A

Urea and electrolytes

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13
Q

What are indications for specialist referral in hypertension?

A

BP >180/110
Papilloedema
Headache

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14
Q

Which guidelines are used to determine if someone under 16 should receive contraception?

A

Fraser guidelines

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15
Q

At what age can children never consent?

A

Under 13

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16
Q

What is the long acting contraception of choice in young people, why?

A

Implant

because depo shot may reduce bone mineral density

17
Q

What is the PHQ-9?

A

Patient Health Questionnaire for depression

18
Q

What are 3 aspects of diet advice for controlling T2DM?

A 
Low fat dairy products
Oily fish
High fibre sources of carbs
Reduce saturated fats and trans fats
5-10% weightloss
19
Q

When should metformin be offered?

A

When HbA1c rises to 48mmol on lifestyle treatment

20
Q

Give examples of add-on drugs in T2DM management.

A

sulfonylurea

gliptin

21
Q

What should be offered if glucose is inadequately controlled on metformin + add-on?

A

Triple therapy

Consider insulin therapy

22
Q

What is the cut-off for add-on therapy on someone who is on highest dose metformin? What do you do if they are over that?

A

58mmol/mol

Add on e.g. sulfonylurea

23
Q

What is the target blood pressure for a diabetic?

A

140/80

24
Q

When should you offer a statin?

A

When someone’s QRisk is >10%

25
Q

What is the Qrisk score?

A

10 year risk of cardiovascular disease

My Phase 3a cards (11 decks)

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