Miscellaneous Flashcards
What is primary focal hyperhidrosis and what are the diagnostic criteria?
It is excessive sweating of a benign cause, sometimes running in families.
Diagnostic criteria:
Typically symmetrical, bilateral sweating
Sweating eases off at night and there is no focal nocturnal sweating
Age of onset < 25 years
Affecting ADLs
Frequency of at least 1x episode per week
Features that suggest alternative cause are onset > 25, night sweats and uniliateral.
In which circumstances should urine MCS be sent from GP if suspecting a UTI?
Treat on clinical suspicion / positive dip generally
Ensure send MCS if
> 65
Visible OR non-visible haematuria
Pregnant women symptomatic of UTI (always treat for 7/7, even if asymptomatic bacteruria in pregnancy due to risk of ascending infection, send repeat urine MCS after completing abx for test of cure)
Men with suspected UTI (also treated for 7/7)
What is the Widowed Partner’s Allowance?
This is a payout from the government to someone who’s spouse or civil partner has died and they have dependent children.
They are eligible until their oldest child leaves full time education or they reach retirement age or they REMARRY whichever is sooner
The payout is dependent on the deceased having made sufficient national insurance contributions while alive
What is the funeral payment?
This is a ONE-OFF payment to the partner or parents of the deceased if they are ON BENEFITS to help pay for a funeral
What is the bereavement support payment?
This is a lumpsum and then 18 monthly payments that you are eligible for if you are under the state pension age when your partner dies.
This is dependent on sufficient national insurance contributions
The amount given changes depending on whether you are also on benefits
True or false - beta blockers can reduce hypoglycaemic awareness in diabetics / those on insulin?
TRUE
Beta blockers can block the adrenergic mediated response to hypoglycaemia and so diabetics should be cautioned re this
According to the GMC, what is the most common monitoring error in prescribing?
Failing to order the appropriate monitoring test
What is the FRAMEs model of communication and for what can it be used for?
FRAMES is a brief intervention / motivational interview approach that can be used e.g for those with drug abuse.
Feedback, Recommendations, Advice, Menu of Options, Empathy and Self-efficacy
How do you calculate the number of units in an alcoholic drink?
The volume (ml) x the ABV (alcohol by volume e.g 9%) / 1,000
What associated medical conditions have an increased prevalence in Down’s syndrome?
Hypothyroidism
Type I DM (no ^ risk of Type 2 DM in Down’s!)
Congenital heart disease
Congenital GIT abnormalities
Atlanto-axial instability
Alzheimer’s
Leukaemia
Cataracts
Deafness
What is the standard recommended dose of vitamin D recommended for adults in the UK?
400 IU / 10 mcg per day for everyone aged over 1 years including during pregnancy and breast feeding
What age range is faecal calprotectin recommended for use as a screening tool in primary care for IBD?
18 - 60
Not recommended > 60. If fit negative, then refer if concerns
True or false - paternity testing can be offered on the NHS?
FALSE
GPs should direct patients requesting paternity testing to private providers. NOT provided on the NHS
What is the most common cause of vitamin B12 deficiency in adult, especially elderly adults?
Food-cobalamin malabsorption
Food-cobalamin malabsorption is the inability to absorb vit B12 from food despite adequate oral intake. It is very common in the elderly. It is mainly caused by atrophic gastritis which can be caused by multiple factors including long-term PPI use, metformin, H.pylori infection or age-related gastric atrophy.
It does respond to high dose oral Cobalamin so can save them needing IM B12 like in pernicious anaemia
What are the criteria for an URGENT referral for obstructive sleep apnoea?
Drive for a living or a job for which vigilance is essential
Pregnant
Undergoing preoperative major surgery
Unstable cardiovascular disease (uncontrolled HTN, uncontrolled arrhythmia or nocturnal angina)
Non-arteritic anterior ischaemic optic neuropathy
What is the definition of obesity class I, II and III
Class I = BMI 30-35
Class II = BMI 35-40
Class III = BMI > 40
(Overweight = BMI 25 and over)
