GP High Yield Sheet PDF 2023

GP High Yield Sheet – Dr. Manar AlMansoor (RCSI Class of 2023) • • • • • • • • • • • • • • • • • • • • What is the first line treatment for TB? 6 months of rifampicin and isoniazid, with pyrazinamide and ethambutol included for the first 2 months. THE RIPE DRUGS Presenting features of hyperthyroi...

GP High Yield Sheet – Dr. Manar AlMansoor (RCSI Class of 2023) • • • • • • • • • • • • • • • • • • • • What is the first line treatment for TB? 6 months of rifampicin and isoniazid, with pyrazinamide and ethambutol included for the first 2 months. THE RIPE DRUGS Presenting features of hyperthyroidism? Tremor, weight loss, palpitations, AF, hyperactivity, hyperhidrosis, eye changes, alopecia, infertility. Woman with breast soreness/nipple hyperpigmentation/urinary frequency (DUE TO EXTERNAL PRESSURE), what would you order? Beta hCG (N.B. Nipple hyperpigmentation can occur in pregnancy, breastfeeding or as a side effect of highdose estrogen therapy). Woman with post-menopausal bleeding, what would you order? Endometrial biopsy. Absent red reflex in a 6-week-old baby, what do you do? Urgent referral to ophthalmology to r/o retinoblastoma. Presenting features of cluster headaches? Unilateral headaches focused around one eye with autonomic symptoms on that side including runny or blocked nose/red watery eye/ptosis/miosis/forehead sweating. Attacks last between 15-180 minutes. What is the acute management of cluster headaches? 100% oxygen and selective serotonin receptor agonists such as sumatriptan. What is the medication used for prophylaxis in cluster headaches? Verapamil may be used if the attacks are frequent. Which anti-convulsive is associated with the greatest chances of SJS? Lamotrigine. Multiple flat café au lait spots on the back, painless, positive family history? NF-1, gene is located on chromosome 17. Neurological symptoms that are worse in hot temperatures? Multiple sclerosis; specifically, Uhtoff’s phenomenon. N.B. Other sign is called Lhermitte’s sign where the patient experiences an electric shock-like feeling on flexion of the neck. Monitoring test for statins? LFTs. What are the rotator cuff muscles and their actions? Supraspinatus (abduction) JOBE’S OR EMPTY CAN TEST, infraspinatus (lateral/external rotation), teres minor (lateral/external rotation), subscapularis (medial/internal rotation) LIFT OFF TEST. APLEY’S SCRACTH TEST IS USED FOR RAPID ASSESSMENT OF SHOULDER MOVEMENT What is the antibiotic management of UTIs? Nitrofurantoin or trimethoprim. 3-day course in females if uncomplicated, 7-10 days in males/immunocompromised/GU malformation/relapse and recurrent infections. What is guttate psoriasis? Multiple drop-like lesions that are usually preceded by a streptococcal sore throat. THIS TYPE IS NOT AS COMMON AS PLAQUE PSORIASIS. What is the treatment for impetigo? Topical mupirocin. What is the treatment for cellulitis? Flucloxacillin. What is the treatment for shingles? Oral acyclovir or valacyclovir, analgesia, antibiotics for secondary bacterial infection. What are the medications given in angioedema? Adrenaline, hydrocortisone, antihistamine. What does a vaginal pH of more than 4.5 indicate? Bacterial vaginosis or Trichomonas vaginalis. NOTE THAT VAGINAL PH IS NORMAL OR <4.5 IN CANDIDIASIS.