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Year 3 Primary Care > Minor / Major Illnesses in GP (Primary Care) > Flashcards

Minor / Major Illnesses in GP (Primary Care) Flashcards

1
Q

What percentage of all shingles cases is accounted for by Ophthalmic herpes zoster?

A

10 - 25%

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2
Q

What is post herpetic neuralgia?

A

burning pain that lasts long after the rash ad blisters of shingles disappear

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3
Q

Who should be given antiviral treatment for shingles?

A
  • over 50s (most at risk of post herpatic neuralgia)

- Under 50s if opthalmis, non truncal involvement, pain, severe rash or immunocompromised

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4
Q

Who is the shingles vaccine routinely offered to?

A

70 - 79 yrs

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5
Q

small lumps which are pearly white or slightly pink. If squeezed , a white cheesy fluid is secreted?

A

Molluscum Contagiosum.
Most commonly affects under 15s (1-4 yrs).
- virus causes growths.
- molluscum will crust over then go within 6 to 12 weeks.
- spreads to other areas of skin
- will completely go within 12-18 months

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6
Q

Why is it best not to treat molluscum contagiosum especially in children?

A

Mollusca usually go without treatment.

  • treatments can be painful e.g. liquid nitrogen
  • infection / scarring
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7
Q

a non blanching rash

A

mengingococcal septicaemia

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8
Q

What is the treatment in community for meningococcal septicaemia?

A

IV or IM
- Benzylpenicillin
Or
- Ceftriaxone

call 999

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9
Q

when should you take action on a HSV1 cold sore ?

A

If cold sore hasn’t healed within 7-10 days then consider biopsy for cancer

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10
Q

impetigo

A

honey crusted , maculapapula lesions around the nose and mouth.

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11
Q

what is the treatment for impetigo?

A
  • fusidic acid
    Or
  • mupriocin
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12
Q

What is the treatment for acne?

A

MILD:

  • topical retinoid
  • benzoylperoxide
  • OCP

MODERATE:
Oral antibiotic e.g. tetracycline, oxytetracycline, doxycycline, (erythromycin if tetracyclines contraindicated)

SEVERE:
- Oral retinoid e.g. Roaccutane + oral contraceptive

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13
Q

what antibiotic would be prescribed for a skin boil?

A
  • Flucloxacillin
  • clarithromycin
  • erythromycin
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14
Q

burrows + itchy rash?

A

scabies

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15
Q

How is scabies treated?

A
  • treat all members of household with topical insecticide. (2 doses, with 1 week between each dose)
  • wash towels + bedding 50 degrees or above.
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16
Q

What is the typical presentation of threadworm?

A
  • intense itching bottom especially at night
17
Q

What is the treatment for threadworm?

A

Anthelminthic for whole household and pets.

thoroughly clean house, clothes.

18
Q

What causes chickenpox?

A

varicella zoster virus

19
Q

how is chicken pox spread?

A
  • transmission by direct person contact, airborne, bedding.
20
Q

What is the incubation period of chickenpox?

A

10-21 days

21
Q

What are the symptoms of chickenpox?

A
  • initially cold like symptoms, high fever for 2 days.
  • intensely itchy vesicular rash which develops in clusters over 3-5 days.
  • most of rash on trunk
22
Q

What are the complications of chickenpox?

A
  • arthritis
  • pneumonia
  • bacterial infection of skin
  • sepsis
23
Q

What are the complications of chickenpox in a pregnant lady?

A
  • pneumonia risk

- foetal abnormalities

24
Q

What are the risk factors of oral candida?

A
  • HIV (immunocompromised)
  • cancer
  • diabetes
  • anaemia
  • haematinic deficiency
  • inhaled steroids
25
Q

What is the treatment for oral candida?

A

1st line:

  • Miconazole oral gel
  • nystatin drops

Fluconazole oral tablet 50mg a day for 7 days if severe

26
Q

What are aphtous ulcers associated with?

A
  • stress
  • menstruation
  • celiac disease
  • crohn’s
  • trauma
27
Q

What could be the cause of abundant small vesicles and ulcers with fever and cervical lymphadenopathy, particularly in infants?

A

Primary herpes stomatitis (herpes simplex virus)

28
Q

What could be the diagnosis:

35yr, central face erythema, telangectasia papulopustular eruption, blepharitis?

A

Acne Rosacea

29
Q

What is the treatment of acne rosacea?

A

MILD - topical metronidazole

MODERATE - oral tetracycline or erythromycin

30
Q

14 year old boy presents with pain over anterior aspect of knee at insertion of the patella tendon into the tibial tuberosity?

A

Osgood Schlatters

will go by itself, just take NSAIDs to relieve inflammation

Year 3 Primary Care (2 decks)

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