RTS Revision Flashcards

0
Q

Acne appearance

A

Comedones, pustules, papules on face chest and upper back

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1
Q

Skin conditions

A

Eczema: red itchy inflammation
Seborrheic dermatitis: yellow greasy scales on scalp in children, red rash greasy scales in adults
Psoriasis: silvery scales red plaques

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2
Q

Acne treatment

A

Benzoyl peroxide (concs 2.5-10%)
Antibiotics
Isotretinoin
Hormonal treatments

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3
Q

Treatment of athletes foot

A

Imidazoles and allylamines as topical preps first line

Also tolnaftate and undecenoates

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4
Q

Where does ring work not effect?

A
Face 
hands 
feet 
groin or 
scalp
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5
Q

What type of cream treats ring worm?

A

Imidazole cream

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6
Q

What is jock itch?

A

Fungal infection of the groin

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7
Q

Treatment of jock itch

A

Imidazole or terbinafine cream

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8
Q

Referal for fungal nails

A
Predisposed to fungal infection
Pregnant or breast feeding woman
Under 18
If it's not DLSO
More than 2 infected nails 
Destroyed nail 
Failed treatment 3 months

Treat with amorolfine 5% nail laquer

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9
Q

HPV

A

Human papilloma virus

Causes warts and verrucas

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10
Q

Aciclovir and penciclovir cause….

A

Cold sores

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11
Q

Red flag for bowel cancer

A

Blood in stools

Abdominal mass

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12
Q

Referrals red flag for nausea and vomiting

A
Weight loss red flag
Blood in vomit red flag
Severe tummy pain
Projectile vom under 3 month baby
Vomit under 1 month baby 
24 hours vom in 1 year old
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13
Q

Red flags for diahorrea

A

Blood in stools
Weight loss

Refer when symptoms last over 2-3 days in children and elderly, 24 hours in diabetes

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14
Q

Some examples of anti motility drugs for diahorrea

A

Loperamide
Bismuth
Kaolin

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15
Q

Alarm signs dyspepsia

A
GI bleeding
Difficult swallowing
Unintentional weight loss
Swollen tummy
Persistant vomiting
16
Q

Egs of antacids

A

Rennies remegel

17
Q

Alginates

A

Gaviscon
Gaviscon advance
Peptic

18
Q

Pro kinetic example

A

Motilium

Domperidone

19
Q

H2 antagonist

A

Zantac

Pepcid AC

20
Q

Referal symptoms

A
Blood in stool tarry mucus
Over 14 days
Patient over 40 sudden change in bowel habit
Suspect depression
Weight loss
21
Q

Referal symptoms

A
Abdominal pain
Blood in stool red flag 
Fever 
Manually reduce hemorrhoids
Middle age persistent change in bowel habit
Unexplained rectal bleeding red flad
Severe pain
22
Q

Referal IBS

A
Blood in stools
Under 16
Over 45
No history of IBS
Fever
Nausea and vomiting
Severe tummy pain
Steatorrhoera
23
Q

What laxative should be discouraged in IBS

A

Lactualose

24
Q

Referral cough

A
Wheezing
Dry night time cough
Coloured sputum
Blood sputum
Cough over three weeks red flag
Pain on inspiration 
Chest pain red flag
Generally unwell 
Drug induced cough
25
Q

Referral sore throat

A

ADR- a skin rash
Duration over 2 weeks
Dysphagia (hard to swallow)
Bacterial infection

26
Q

How does influenza present?

A
Sudden onset of symptoms
Shivers
Chills 
Malaise
Aching of Limbs 
Insomnia 
Loss of appetite
27
Q

Red flag of cold?

A

Chest pain

28
Q

Why give antihistamines to person with a cold?

A

Lesson symptoms of sneezing and runny nose

29
Q

Referral with hay fever

A

Wheezing
Treatment failure
Unilateral discharge especially in children

30
Q

When so the symptoms of hay fever peak

A

Morning and evening

When hot and humid

31
Q

Combination of treatments hay fever

A

Antihistamines
Corticosteroids
Mast cell stabilisers
Decongestants

32
Q

Sedating and non sedating antihistamines

A

Sedating: chlorphemaine

Non sedating: loratidine, cetirizine, acrivastine (over 12’s) , Benadryl plus

33
Q

Mast cell stabiliser for hay fever

A

Sodium cromoglicate