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AKT > RCGP > Flashcards

RCGP Flashcards

1
Q

DOAC Dialysis in Overdose

A

Dabigatran (direct thrombin inhibitor) with low plasma binding levels

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2
Q

SSRI for GAD min lenght tx

A

6 months after tx control

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3
Q

Genetic condition with subluxation cord & why

A

Down due to increased ligament laxatiy due to abnormality in collagen ( lots of ortho problems)

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4
Q

Brimonidine in ptx open angle glaucoma and IHD

A

Brimonidine, an adrenoceptor stimulant, can aggravate coronary insufficiency.

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5
Q

high risk neural tube defects/ high dose folic acid groups

A

either partner has neural tube defect
either partner fhx neural tube defect
Previous baby with neural tube defect
Woman - coleiac/malabsorption stuff, diabetes, sickle cell anaemia, or on antiepileptics

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6
Q

First line mx symptomatic partially retractile phimosis

A

Moderate to potent steroid creams with regular gentle retraction (warm bath, with each void ). R

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7
Q

mild lichen sclerosus of a phimotic foreskin tx

A

Moderate to potent steroid creams

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8
Q

cap bleeding palliative

A

adrenaline gauze

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9
Q

travellers diarrhoea most common and timeline

A

e coli - should resolve in 72hours . more than 14days then something wierd

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10
Q

Deep gluteal syndrome - symptoms

A

Buttock pain
Aggravated by prolonged sitting
Tenderness on deep palpation
Passive stretching/resisted contraction cause pain ( passive stretching of flexed, adducted and internally rotated hip)

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11
Q

Acute bacterial rhinosinusitis

A

Acute bacterial rhinosinusitis would be indicated by the presence of at least 3 of:
1. Discoloured discharge (unilateral predominance)
2. Severe local pain (unilateral predominance)
3. Fever > 38 °C;
4. Elevated inflammatory markers (CRP)
5. ‘Double sickening’ whereby the patient’s condition deteriorates.

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12
Q

<2yrs b/l otitis media with ottorhea mx

A

Abx

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13
Q

Salmon patches type

A

Stork bite- neck nape
anegls kiss- glabella

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14
Q

duration infective exacerbation bronchiectasis abx

A

14 days

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15
Q

Orlistat mx of obesity requirements

A

1) Diet, Exercise, Behavioural approaches
2) BMI >28 with RF or BMI 30

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16
Q

Orlistat in Kiddos (12yrs)

A

Specialists when stuff is very bad, loads of physical comorbidities

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17
Q

Biting lips cystic, translucent papulonodule lower lip

A

Mucocele

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18
Q

Ranula??

A

retention cyst floor of mouth from sublingual salivary glands in babies and kiddos

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19
Q

Ranula issues

A

enlarges slowly and can get big enough to cause repisratory issues

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20
Q

Sturge–Weber syndrome

A

Cap naevus/port wine stain unilateral over forehead conforming to 1st/2nd division in trigeminal nerve, epilepsys, developmental delay, behaviour issues

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21
Q

1st term miscarriage

A

chromosomal errors

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22
Q

heart med causing change in taste

A

amiodarone

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23
Q

Familial Hypercholesterolaemia testing for fammily

A

DNA testing & LDL-C Concentration (first, second and sometimes third degree relatives)

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24
Q

PPV of FIT

A

7% ( i.e. postive test means 7% chance of hving cancer )

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25
Q

HF with left ventricular systolic dysfunction first line

A

BB ( bisoprolil, carvedilol, nebivolol ) and ACEI

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26
Q
A
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27
Q

Hypothyroidism tx incl dose and monitotring ( prsuming to cardiovascular disease)

A

Levothyroxine 1.6mcg/kh/body weight for adults <65yrs

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28
Q

They are having a heartattack/ sounds like they had one in the last 12 hrs with an abnormal ECG mx

A

Ambulance/ ED

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29
Q

They sound like they are having a heart attack/sounds like they had one in the past 12hrs but ECG is fine

A

Urgent same-day assessment

30
Q

Sounds like had a heart attack 12-7hrs ago

A

Urgent same day assessment

31
Q

Gestational diabetes RF

A

BMI >30
Previous big baby 4.5kg or above !!
gestational diabetes
FH/first degree relative with diabetes
Minority ethnic family with high prevelence of diabetes

Chonky, with a previous chonky baby
Syrupy previously, family got syrup blood, or ethnicity has syrup blood

32
Q

Vaginal thrush when pregnant mx

A

intravaginal clotrimazole/miconazole for 7 days or clotrimazole pessary (dont use an applicator if thyre preggo)

33
Q

Trinucleotide disorders - myotinic dystrophy nd Freidreichs attaxia mobidty from which issue

A

cardiomyopathy

34
Q

Case- control propsective or retrospecitive

A

retrospective

35
Q

Black post partum hTN

A

Nifedipine

36
Q

first trimester ectopic presentation

A

Bleeding or pain ( light compared to degree of shock)

37
Q

how to wean diazepam

A

one tenth to one quarter every 2 weeks

38
Q

5mg Diazepam is how much chlordiazepoxide

A

15mg

39
Q

5mg diazepam is home much loprazolam.lorazepam/lometazepam

A

0.5-1mg

40
Q

Diazepam 5mg equivalency to nitrazepam

A

5mg

41
Q

Diazepam 5mg equivaelncy oxazepam

A

15mg

42
Q

Diazepam 5mg equivalency Temazepam

A

10mg

43
Q

Abx to treat human bite incl duration

A

Co-amox 3/7

44
Q

When to treat human bite

A

-drawn blood
hasnt drawn blood but sensitive area / low circulation spot/over cartilage or likely to get infected due to comorbidity

45
Q

How many doses of Vit K given to newborn babies who are breast-fed

A

3 doses ( if bottlefed its 2 doses, given to prevent haemorrhagic disease of the newborn)

46
Q

Babies GORD tx order

A

stop overfeeding/2 week trial smaller volumes more frequently

2 week carobel in-between feeds

4 weeks Alginates

If faltering growth refer

47
Q

tx chlamydia if preggo

A

azithromycin 500mg OD for 2/7

48
Q

Gilberts bloods

A

intermittent mild unconjugated hyperbilirubinaemia

49
Q

is Very low calorie diet a thing

A

yh if they big and need to lose the weight quick for surgeyr or fertility

50
Q

Old person+ NSAID+ HF

A

Bad

51
Q

> 75yrs + NSAID

A

Bad

52
Q

Interstitial Cystitis Mx

A

Manage pain with simple analgesics
Amitriptylline ( could consider other wierd stuff like hydroxyzine, pentosan polysulphate sodium)

53
Q

Boutonnière

A

PIP Flexion
DIP Extension

54
Q

DM in remission definition

A

HbA1c <48 mmol/mol should be measured at least 3 months after cessation of glucose-lowering pharmacotherapy as the usual diagnostic criterion.

55
Q

DM remission mx

A

annual review with HBA1c reading (as still high risk of Cardiovasc stuff as compared to non-diabetic )

56
Q

Worst prognosis Bells palsy

A

Complete palsy, no signs recovery by 6 weeks, Age>60, severe pain

57
Q

saturday night palsy

A

radial nerve - palmar ring and little finger

58
Q

Type 1 diabetes - genetic

A

Assoc Down’s

59
Q

Sex after tx with azithro for chlamydia

A

wait 7 days

60
Q

NAFLD should be on statins- when to stop ?

A

if liver enzymes double within 3 months of starting

61
Q

tell me about chloroquine and malaria

A

it’s rubbish.

( high resistance in malaria places, dont’ bother)

62
Q

Pregnant 2nd/3rd trimester need malaria prophylaxis

A

mefloquine

63
Q

side effect inhaled steroids

A

Glaucoma

64
Q

tx anogential warts

A

bro refer them to sex health specialist

65
Q

Primary care : suspecting ADHD mx

A

watch adn wait for 10 weeks with some advice about behavioural mx. Remember drugs are done secondary care shared management - i.e you can’t prescribe

66
Q

Sounds like Rheumatoid Arthritis for about 2months

A

Refer at THREE months
Dont give steroids or NSAID before assessment

67
Q

7 point checklist for assessing skin lesion

A

Major features (two points each):

Change in size
Irregular shape
Irregular colour

Minor features (one point each):

Inflammation
Altered sensation
Largest diameter 7 mm or more
Oozing of lesion

68
Q

How many points from 7 point weighted checklists warrants a referral to derm

A

3

69
Q

Occupational asthma , is it sensitization to work place agent or irritant induced

A

90% sensitization to workplace agent

70
Q

Parental leave amount and conditions

A

worked for 1 year
18 weeks upto their 18th brithday (4 weeks max in one year)

To be a paretn you have to be on the birth certificate. Not a foster parent ( unless parental responsibility through court)

71
Q

Abortion when and who

A

24th week
If you continue the pregnancy would cause risk of mental and physical health issues with mother

72
Q

Rate-limiting Ca channel blockers ( diltiazem/verapamil) with AF with Congestive HF

A

Bad

Give them Beta blockers

AKT (5 decks)

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