PassMed Qs Flashcards
A patient was given a course of phenoxymethylpenicillin for what was thought to be tonsillitis. She presents 3 weeks later with her throat still sore and exudate on examination.
What is the next best management?
Request FBC and Monospot test
Likely to be Glandular Fever
Don’t give amoxicillin to patients with glandular fever as may cause a rash
What is the most appropriate choice of contraception for a woman with heavy periods and known fibroids?
COCP
IUD not suitable with fibroids
A patient is currently on the COCP. However she continues to smoke. Her periods were erratic and heavy before and she wishes to avoid this. What’s the best choice of contraception?
IUD (no oestrogen and will cause light periods)
POP will cause her to have an erratic cycle again
What chronic pain management should you avoid in the elderly? How can you overcome this?
OPIODS
Refer patient to social prescriber to conservatively manage pain
A patient presents with a recent insect bite. It is swollen, red, irritated but shows no signs of infection. What advice should you give?
Regular apply cold compress to area
Possibly use anti-histamines
A 10 year old boy complains of pain in his left knee after sport. 2 days later he still has this pain and struggles to weight bear. What is the most important action a GP should take?
EXCLUDE AN IRRITABLE HIP
(causes hip pain and limping)
(follows viral infection or trauma)
When should you follow up a patient after starting them on SSRIs?
1 week for 18-25 year olds
(higher suicide risk)
2 weeks for others
A teenage boy presents to you with severe acne that hasn’t improved with over the counter medication. He feels so embarrassed that he is avoiding going to school or leaving the house. He has stated to fail exams and lose weight.
What is the most appropriate action?
Refer him to Child and Adolescent Mental Health Services (CAMHS)
His mood is more important then the acne
A 5 year old boy presents to his GP with multiple sticky, honey-coloured crusts around his mouth. They are not painful but they are itchy.
What is the diagnosis and what is the management?
Topical Fusidic Acid cream
(impetigo)
A boy presents with an itchy rash and a fever. What is the best treatment to RELIVE his symptoms?
Paracetamol for the fever
(chlorphenamine good but not best answer)
What is anticipatory grief and what are the 5 stages?
A patient with a terminal diagnosis disputing the fact they may die
Denial
Anger
Bargaining
Depression
Acceptance
What should you do if a patient presents to you in GP with a suspected perforated gastric ulcer?
Call the surgical registrar on call and arrange for the patient to go to ED in an ambulance
What is the role of a health visitor?
Offer support and encouragement to families through the early years from pregnancy to primary school
Heavy painful periods… anything else you wanna ask?
Sexual history?
Pattern of pain?
Associated symptoms (bloating, mood change)?
Post-coital and inter menstrual bleeding?
What 2 conditions should be ruled out before dix-hallpike?
Cervical neck injury
Postural hypotension
