GP exam practice Qs

Which is true for tx of aspiration pneumonia?

Anaerobic cover (flaggyl should be added to coverage tx)

head lice treatment?

Isopropyl myristate

tinea corporis 1st line tx?

topical terbinafine

target lesions

erythema multiforme

SJS

>10% TBSA

Acute OM paeds first line tx?

Analgesia and reassurance

Uvular deviation is a key indicator for?

Peritonsillar abscess

Chalazion in eye (painless lump) tx?

Incision and drainage (not infection usually)

Painless loss of vision

Absent red reflex

Halos around lights ?

Cataracts

Child and battery in ear tx?

Immediate referral to ENT <24 hours

recommended Hba1c target for elderly at risk of falls and hypos?

58-64mmol/L

Elevated prolactin - first line test for same to check if true?

TSH/Free T4 (hypothyroidism is a common reversible cause for same)

CML chromosomal abnormality

Philadelphia chr. (seen on cytogenetic analysis)

Smudge cells on peripheral blood film?

CLL

Most common childhood cancer?

ALL

Hallmark of AML? Blood smear showing

Auer Rods

Howell Jolly bodies seen in ?

Asplenia

G6PD deficiency triggered by what food?

On blood smear shows?

Fava beans

Heinz bodies

Depo Provera contraception common to?

bleed irregularly in first few weeks (reassuring)

Pupil dilation and red painful eye with LOV

Acute angle glaucoma

Pearly nodule on face with telangiectasia

1st line tx?

Nodular BCC

Surgical excision with margins

Bowel Ca screening ireland

FOB test every 2 years between 59-70 (first kit sent between 59-61 yo)

Stable immunosuppressed pt travelling to area high risk gastro?

1000mg single dose azithromycin as stand by

when to admit child for FTT work up?

if fall <0.4% centile

Physiological jaundice timeline

Rises up to Day 3 post birth then declines (but starts immediately)

Breast milk jaundice begins?

2nd week of life

Epiglottitis cause?

Tx?

Sign on lateral neck xray?

Haemophulus influenza B (HiB) usually in unvaccinated child

ABx ± progress to intubation

Thumb sign

Tx worms in a child

Mebendazole for entire household

Best way to detect chromosomal abnormalities in pregnancy?

Amniocentesis

Risk stratifying back pain in community ? (score/scale)

StARt Back Screening tool (can decide whether to tx conservative vs physio vs specialist)

best antiemetic in CA patients?

ondansetron

second line agent for LT mngmt of GCA?

low dose aspirin

depression screening tool?

PHQ 9

#1 risk of undescended testes?

Higher risk of testicular cancer

when to recheck lipids after statin commenced?

3 months

statins and pregnancy?

cannot take

genital lichen sclerosus - looks like?

tx?

procelain atrophic plaques with intense vulval itching

Tapered topical clobetasol over 3 months

syphillis first line?

IM penicillin (benpen)

1st line tx for nocturnal enuresis ?

Alarm and reward system (behvioural tx)

initial cognitive ax for GPs for suspected dementia?

GP assessment of cogntition (GPCOG)

tracheal deviation:
away?
towards

away from = tension pneumothorax and large pleural effusion (pushing analogy)
towards = lung collapse and pneumonectomy (pull analogy)

#1 hallmark sign of meckels diverticulum?

painless rectal bleed

NAI suspicion in child

admit to ward and report to TUSLA

Volvulus clinical sign #1?

green bilious vomit

measles rash?

starts at hariline and moves down, from face to trunk to limbs (in mouth white Koplik spots)

Rubella key trait?>

Palpable lymphadenopathy behind the ears and neck

painful ulcerated skin lesion

SqCC

Non bullous impetigo tx?

topical hydrogen peroxide 1%

HTN ladder ireland

1. ACEi (or ABR) or CCB

2. ACEi + CCB

3. ACEi + CCB + Thiazide like diuretic

4. All above + spiro

TIA
- ABCD2

- TX?

- Driving restriction

-No longer used resally

-Aspirin 300mg and refer to specialist in 24 hours

- 1 month

INR 5-8 on warfarin

WH warfarin and give vit K

Dose reducing apixaban

Age, weight and creatinine (need 2 of 3)

• Age > 80

• Weight <60kg

• Creatinine >133 (NOT eGFR)

Sensorineural hearing loss

• Refer

• Tx

Refer same day (emergency)

High dose steroids

Croup

org?

Tx? (+ if severe)

organism - viral (parainfluenza virus)

Oral dex (0.15mg/kg)

If severe can add in nebulized adrenaline