To Remember

Question 1

Australian CVD Risk (Low Risk) %? Ff up? Tx?

Answer 1

<5%, Repeat after 5 years
No Treatment

Question 2

Australian CVD Risk (Mod Risk) %? Ff up?

Answer 2

5-10%, Repeat after 2 years
Consider Treatment

Question 3

Australian CVD Risk (Sev Risk) %? Ff up? Tx?

Answer 3

> 10%, Permanently High Risk,
M-S CKD, Familial Hypercholesterolemia

Question 4

Risk & RF of Hypertension

Answer 4

Risk - MI, Stroke, CKD, PAD, Retinopathy
RF - ABBCCDDEEFSS

Question 5

HPV Testing Results

Answer 5

Negative - Repeat after 5 years
(+) HPV non 16, 18 - Reflex Test
- LSIL - Repeat after 1 year
- HSIL - Colposcopy
(+) HPV 16, 18 - Colposcopy
—-
On Repeat - Same results
(+) HPV non 16,18 and LSIL - Repeat after 1 year
—-
On Repeat
(+) Any HPV - Colposcopy

Question 6

Drug Class/Brand
SABA
ICS
LABA
LAMA
ICS+LABA

Answer 6

SABA - Salbutamol/Blue Puffer
LABA - Salmeterol
ICS - Fluticasone/Budesonide Orange Puffer
LAMA - Tiotropium
ICS+LABA
- Symbicort - Budesonide + Formoterol/ Red Puffer
- Seretide - Fluticasone + Salmeterol/ Purple Puffer

Question 7

Asthma Good Control

Answer 7

Day time symptoms =< 2 days per week
Need for SABA reliever =< 2 days per week
No limitation of activities
No symptoms during night or on waking

Question 8

Ulcerative Colitis vs. Crohn’s Disease

Answer 8

UC - Rectum to Large Bowel, Straight Line, Superficial Layer.
CD - Spares rectum, All Bowels, Skip Lesions, Whole Layer

Question 9

IBD Complications

Answer 9

Both (Short Term)
- Flare Up and Inflammation - Abd, N/V/D, Bloody Diarrhea, Fever
- Ulcers and Fistula
- Obstruction and Blocking

Ulcerative Colitis
- Toxic Mega Colon
- Higher Risk for Bowel CA

Long Term Complications
- Nutritional Deficiency - IDA
- Osteoporosis
- Immune Deficiency (Drugs)
- Bowel CA

Question 10

Delirium Workup

Answer 10

FBE, ESR, CRP, Blood Culture
ECG, Brain CT, CXR
UA
LFT, UEC

Question 11

Diltiazem + Statins Interactions

Answer 11

Liver Failure - Jaundice, Itchiness, Dark Colored Urine, Pale Stools
Rhabdomyositis - Muscle Pain, Weakness

Diltiazem - Lightheadedness or LOC, Swelling in legs?

Question 12

Risk of Surgery = PMHx

Answer 12

IHD = Risk of another MI
- Excercise Tolerance = Anthesia Risk
COPD = Oxygen might go down, Intubation complication
CKD = Lose Blood and worsen your kidney function

Question 13

BP Measurement More reliable and Schedule

Answer 13

More Reliable
- Seated position after resting for 5 mins
- Legs are not crossed
- Quiet room, alone, not distracted, not talking to anywone
- Before Meals, Before Excercise, Before coffee or smoking at least 30 mins after
- After Voiding
- Do not check BP if in pain stress or in extreme temperature

Schedule - For 7 days, 2x a day
- Same time each day
- Every measurement - check at least 2x one minute apart and record both
- Record if any unusual events or incidents like stressed or pain
- If average >= 135/85 = Confirms HTN