GP High Yield Sheet PDF 2023 RCSI

GP High Yield Sheet – Dr. Manar AlMansoor (RCSI Class of 2023) • • • • • • • • • • • • • • • • • • • • • • • What is the treatment of STIs caused by trichomonas vaginalis? Metronidazole or tinidazole as a second-line agent. What is the treatment of gonococcal STIs? IM ceftriaxone and PO azithromyci...

GP High Yield Sheet – Dr. Manar AlMansoor (RCSI Class of 2023) • • • • • • • • • • • • • • • • • • • • • • • What is the treatment of STIs caused by trichomonas vaginalis? Metronidazole or tinidazole as a second-line agent. What is the treatment of gonococcal STIs? IM ceftriaxone and PO azithromycin. What is the first line emergency contraception? Cu-IUD. This also works by providing ongoing contraception, unlike oral EC. Mid-diastolic murmur loudest at apex? Mitral stenosis. Pansystolic murmur loudest at left lower sternal border? VSD. Best next step in a patient with AOM and now presenting with acute mastoiditis? Refer to ED. Best next step in a patient presenting with cauda equina syndrome? Refer to ED. REQUIRES IMMEDIATE ADMISSION Type of anemia in menorrhagia? Hypochromic microcytic. Most important parameter to check before starting DOACs? Renal function tests or eGFR. Unilateral epistaxis in a child, most likely cause? FB. What is the CHA2DS2VASc score? 0 no therapy preferred, 1 either aspirin or oral anticoagulation, 2 or more oral anticoagulation is indicated. CHF, HTN, age 75+ (2 points), DM, stroke (2 points), vascular disease, age 65+, female. 60-year-old male with anemia, next best step? Colonoscopy. HTN, <55 years, what is the first line treatment? ACE inhibitor or ARB. If can’t then beta blocker. ACE INHIBITORS AND ARBS ARE TERATOGENIC HTN, >55 years OR African/Caribbean, what is the first line treatment? CCB like amlodipine. If HF or high risk for HF? Thiazide-related diuretic such as indapamide and chlortalidone. N.B. CCBs are contraindicated in heart failure. Band-like headache i.e., bilateral, worse at work? Tension headache. Usually still able to do normal activities, not exacerbated by physical activity and not associated with vomiting. What is the treatment of HFM disease? Supportive treatment. WILL PRESENT WITH VESICLES IN HANDS, FOOT, MOUTH AND IS CAUSED BY COXSACKIE VIRUS, REMEMBER THAT THIS IS CONTAGIOUS How would you manage a child with bronchiolitis? Supportive treatment. Presenting symptoms of DVT? Calf swelling, erythema, tenderness, fever, warmth, distended collateral superficial veins. Presenting features of cerebellar disease? Intentional tremor, wide-based gait, slurred speech. Mass in RUQ, child is pale between attacks, what is the diagnosis? Intussusception. Elderly, tiredness and fatigue, dyspepsia, loss of appetite, anemic, what would you do? Upper GI endoscopy. What is the medication used to treat burning foot sensation in diabetic patients? Carbamazepine. BMD values and their meaning? o Normal should be -1 and more. o Osteopenia is between -1 and -2.5.