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Year 4 GP > Placement > Flashcards

Placement Flashcards

1
Q

What is a differential for a ruptured Baker’s cyst

A

DVT

Check a d dimer

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2
Q

The mirena coil can be used as part of HRT, true or false

A

true
in combination with oestrogen HRT
the mirena is the progestogen part

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3
Q

the COCP can be used in breastfeeding, true or false

A

false

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4
Q

if someone is on citalopram, can you add amitriptyline/pregabalin/gabapentin

A

no

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5
Q

what is the first line analgesia for joint pain due to OA

A

paracetamol and topical ibuprofen

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6
Q

cautions of NSAIDs

A

PUD
kidney damage
CVS - hypertension, fluid retention

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7
Q

what is a sister mary joseph node

A

periumbilical node

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8
Q

asbestos causes upper/lower zone fibrosis

A

lower zone

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9
Q

SSRI discontinuation symptoms

A 
diarrhoea 
vomiting 
abdo pain 
restlessness 
sweating
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10
Q

major SSRI side effect

A

GI bleeding

therefore do not prescribe with NSAIDs

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11
Q

best imaging for adenomyosis

A

MRI

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12
Q

labyrinthitis vs vestibular neuronitis

A

labyrinthitis = hearing loss, dizzy, tinnitus (L for loss)

vestibular neuronitis = dizziness only

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13
Q

dix hallpike is diagnostic/therapeutic for BPPV

A

diagnostic

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14
Q

why is citalopram not the first line SSRI for depression

A

Cardiotoxicity
QT prolongation
drug interactions

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15
Q

what are the first line SSRIs for depression

A

sertraline

fluoxetine

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16
Q

added benefit of sertraline

A

anxiolytic

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17
Q

systems implicated in retrosternal pain

A

cardiac
oesophageal
mass

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18
Q

tennis elbow is lateral/medial epicondylitis

A

lateral

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19
Q

tests for urinary frequency / nocturia

A

fasting glucose - DM
UTI dipstick
constipation

20
Q

in children with respiratory symptoms such as cough, wheeze and general irritability, what should you always also check

A

check the ears for otitis media

21
Q

What additional examination should you do in patients presenting with resp symtpoms

A

oxygen saturation probe

22
Q

in someone with joint pain, why must you check of they are diabetic

A

in case of osteomyelitis

23
Q

what is given first line for those who can’t sleep

A

zopiclone (BZD related drug)

24
Q

what is vasomotor rhinitis

A

commonly seen in older patients
continuously runny nose, other causes have been excluded
treat with ipratroprium spray

25
Q

D.Dx for someone who presents with fatigue and tiredness who has PR bleeding

A

CRC!!!

Causing anaemia

26
Q

in someone (older patient) with SOB, what sort of questions should you ask

A

SOCRATES of SOB
associated symptoms of the following systems:
resp - cough, pain
CVS - palpitations, ankle oedema, orthopnoea
GI - reflux
Haem - anaemia
ID - fever
RED FLAGS!!! weight loss, night sweats, PR bleeding…

27
Q

Inheritance of NF1

A

AD

28
Q

what is croup and how is it managed

A

laryngotracheobronchitis caused by parainfluenza virus

dexamethasone

29
Q

Features of pyelonephritis

A

renal angle tenderness
rigors and shivers
LUT symptoms - dysuria, haematuria, cloudy, offensive smell
Systemically unwell

30
Q

features of cavernous venous sinus thrombosis

A 
sharp severe headache around the eye 
swelling and bulging of the eye
severe eye pain 
double vision 
(check for clotting disorders)
31
Q

management of hyperhidrosis

A

aluminium salt powder

32
Q

what is a ganglion cyst

A

fluid filled swelling over a joint or tendon

usually occurring with OA

33
Q

management of mucoid cyst

A

draining with a needle

removal with surgery

34
Q

Management of a ganglion cyst

A

conservative

surgical removal if symptomatic

35
Q

describe a ganglion cyst

A

firm lump

found on wrist

36
Q

what is Pagets disease of the bone and how is it managed

A

abnormal osteoclastic activity followed by abnormal osteoblastic activity - ie accelerated rate of bone turnover
^ ALP isolated
bisphosphonates

37
Q

pain at CMC differential

A

OA!!!!
tendonitis
carpal tunnel syndrome

38
Q

describe OA pain

A

burning, throbbing pain at joint

worse with movement

39
Q

if someone presents with a problem in their hand, what should you ask

A

L vs R handed

40
Q

if someone has dry skin and hair loss, what blood test should you do

A

TFT

41
Q

what is important to do for a child that has epilepsy

A

safety net about showering alone, climbing trees etc…

42
Q

what is baby colic

A

baby cries and brings their legs up
in an otherwise healthy baby
can be normal

43
Q

what is GOR in a baby

A

normal in healthy babies
effortless passage of gastric contents in oesophagus ± regurgitation
common, self limiting

44
Q

what is GORD in a baby

A

GOR that causes troublesome symptoms

45
Q

what is CMA

A

cows milk protein allergy
adverse reaction to cows milk
can be IgE or non-IgE mediated

Year 4 GP (2 decks)

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