Bakr GP Past Papers Notes PDF

- Presents with sudden onset of severe scrotal pain. May be associated with right iliac fossa pain, nausea, and vomiting. Examination: tender, hard testis riding higher than contralateral testis. Admit urgently to surgical/urology team. KFP 1. Brother w/ recent heart attack - CV a. Most important...

- Presents with sudden onset of severe scrotal pain. May be associated with right iliac fossa pain, nausea, and vomiting. Examination: tender, hard testis riding higher than contralateral testis. Admit urgently to surgical/urology team. KFP 1. Brother w/ recent heart attack - CV a. Most important CV-RF: smoking b. Drug for primary prevention: simvastatin c. Comment on ECGà Normal Rate and Regular/Normal Rhythm d. Add medicationà Aspirin 2. Poorly controlled asthma – resp a. Second line treatment after ACE-I for HTN (Amlodipine) b. Control questions c. Next step in RXà LABA (SABA, then inhaled corticosteroid then LABA) d. Patient who quit smoking for two years and now is considering to go back to smoke. Which stage of change? Relapse 3. Antenatal care – obs/gynae a. 3-4 health promotion for her current pregnancy b. Treatment of abdominal pain in pregnancyà Heat patches or Lignocaine Therapy or Physiotherapy c. 2 symptoms of pre-eclampsia: vomiting, epigastric pain, headache, visual disturbance, decreased fetal movements, small for gestational age fetus d. Breast engorgement 4. Paroxysmal AF (Atrial Fibrillation) - CV a. 2 medical conditions/complications: stroke/CVA, HF b. 2 reasons for high INR>6 à Alcohol (only if drank suddenly) and Grape Fruit Juice (can increase, also statins increase) c. Manage high INRà Stop Warfarin (Data Interpretation Lecture) d. Systematic Reviewà Selection and Publication Bias 5. Palliative care - palliative a. SE to watch for in morphine: constipation or respiratory depression b. Changes to dosageà Increase dose to 80mg (She was on 60mg and still has pain) c. Two complications of arm metastasis, lymphedema? d. Progressive SOB IXà D-Dimer, bro what? D-dimer is for acute PE, not progressive e. Ethics: doctrine of double effect kill the fetus to safe the mother’s life 6. Psych: anxiety symptoms – psych a. Two investigationsà ECG and TFT b. One diagnosisà Generalized Anxiety Disorder c. One managementà CBT 7. Pediatrics – paeds