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GP EXAM PREP > oxford book > Flashcards

oxford book Flashcards

1
Q

if there is a patient with a high probability of asthma, what should you try prescribing?

A

trial of inhaled beclometasone 200mcg for 6 weeks - if response is poor, investigate further

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2
Q

what should you prescribe if you have a patient wtih high probability of asthma but SIGNIFICANT airflow obstruction?

A

oral prednisolone 30 mg for 2 weeks

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3
Q

a patient comes in with a history that suggests intermediate probability of asthma, what should you do?

A

spirometry testing

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4
Q

what are some features that suggest a high probability of asthma?

A

recurrent, episode asthma symptoms (>1 of wheeze, SOB, chest tightness, cough), diurnal variability, duble exp wheeze, atopic history

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5
Q

what is an intermediate probabilty of asthma?

A

some features of asthma with a poor treatment response

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6
Q

flat area of altered colour <10 mm =

A

macule

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7
Q

flat area of altered colour >10 mm =

A

patch

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8
Q

palpable raised scaling lesion >5 mm =

A

plaque

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9
Q

solid raised lesion < 5 mm =

A

papule

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10
Q

solid raised lesion > 5mm with deeper component =

A

nodule

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11
Q

Raised clear fluid filled lesion <5mm in diameter =

A

vesicle

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12
Q

Raised clear fluid filled lesion >5mm in diameter

A

bullae

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13
Q

management of sebaceous cyst

A

excision - whole cyst wall must be excised

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14
Q

Skin coloured nodule with central punctum, regular border, symmetrical, mobile, overlying telangiectasia.

A

sebaceous cyst

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15
Q

how to confirm diagnosis of lipoma?

A

ultrasound - plus or minus biopsy

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16
Q

what is bowens disease?

A

SCC in situ

17
Q

how to treat actinic keratotis?

A
  • topic 5-FU OD for 4 weeks
  • 3% diclofenec gel BD for 2-3 months
  • cryotherapy
  • curretage and cautery
18
Q

Treatment of bowens disease

A
  • cryotherapy
  • superficial skin surgery
  • topical 5-FU
  • Photodynamic therapy
19
Q

cause of seborheic dermatitis?

A

malassezia

20
Q

treatment of seborheic dermatitis?

A

ketoconazole shampoo/creams, keratolytics/steroids

21
Q

guttate psoriasis may follow…

A

streptococcal throat infection

22
Q

treatment of localized psoriasis?

A

vit D analogues, corticosteroids, dithranol

23
Q

treatment of extensive psoriasis?

A

phototherapy

24
Q

treatment of extensive SEVERE psoriasis with systemic involvment:

A

methotrexate

biologics (TNF alpha)

25
Q

treatment of an inflammatory acneiform eruption of psoriasis?

A
  • topical antibiotics
  • oral antibiotics
  • oral isotretinoin if resistant
26
Q

treatment of cellulitis

A

flucloxacillin (+ - clindamycin)

27
Q

treatment of shingles

A
  • oral acyclovir/valclovir
  • analgesia
  • antibiotics for secondary infection
28
Q

treatment of meningococcal meningitits?

A
  • call for ambulance

- IM benzypenicillin (or IV cefotaxime)

GP EXAM PREP (2 decks)

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