RCGP

Question 1

DOAC Dialysis in Overdose

Answer 1

Dabigatran (direct thrombin inhibitor) with low plasma binding levels

Question 2

SSRI for GAD min lenght tx

Answer 2

6 months after tx control

Question 3

Genetic condition with subluxation cord & why

Answer 3

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

Question 4

Brimonidine in ptx open angle glaucoma and IHD

Answer 4

Brimonidine, an adrenoceptor stimulant, can aggravate coronary insufficiency.

Question 5

high risk neural tube defects/ high dose folic acid groups

Answer 5

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

Question 6

First line mx symptomatic partially retractile phimosis

Answer 6

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

Question 7

mild lichen sclerosus of a phimotic foreskin tx

Answer 7

Moderate to potent steroid creams

Question 8

cap bleeding palliative

Answer 8

adrenaline gauze

Question 9

travellers diarrhoea most common and timeline

Answer 9

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

Question 10

Deep gluteal syndrome - symptoms

Answer 10

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)

Question 11

Acute bacterial rhinosinusitis

Answer 11

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.