GP random things

Question 1

causes of microcytic anaemia

Answer 1

TAILS

thalassaemia
Anaemia of chronic disease
Iron deficiency anaemia
lead poisoning
sideroblastic anaemia

Question 2

causes of normocytic anaemia

Answer 2

3A’s and 2H’s

Acute blood loss
anaemia of chronic disease
Aplastic anaemia
Haemolytic anaemia
Hypothyroidism

Question 3

causes of macrocytic anaemia

Answer 3

B12 deficiency
folate deficiency

Question 4

treatment for bells palsy

Answer 4

steroids - pred
lubricating eye drops

Question 5

management for BPH

Answer 5

alpha blockers - tamulosin = relax smooth muscle = symptoms improve (lower urinary ones)
5-alpha adrenergic reducatse inhibitors - finasteride = reduce size of prostate

Question 6

what are the risks with tamulsoin

Answer 6

postural hypotension

Question 7

side effects of finasteride

Answer 7

sexual dysfunction

Question 8

causes of CKD

Answer 8

diabetes
HTN
meds - NSAIDs, lLithium
glomerulonephritis
PKD

Question 9

tests to do for CKD

Answer 9

eGFR
proteinuria
haematuria

Question 10

what are the grades of eGFR (g-score) for CKD

Answer 10

G1 - >90
G2 - 60-89
G3a - 45-59
G3b - 30-44
G4 - 15-29
G5 - <15

Question 11

what are the grades of urine albulmin:creatinine ratio (A score) for CKD

Answer 11

A1 <3mg/mmol
A2 3-30
A 3 - >30

Question 12

treatment of CKD

Answer 12

optimise cause and treat causes
ACE-i
SGLT-1 inhibitors - dapagliflozin

Question 13

complications of CKD

Answer 13

anaemia
renal bone disease
CVD
peripheral neuropathy
end-stage kidney disease
dialysis-related complications

Question 14

treatment of COPD

Answer 14

1) SABA + SAMA (ipratropium bromide)

2 - no asthmatic/steroid response) LABA + LAMA
2 - asthmatic/steroid response) LABA + ICS

Question 15

symptoms of conjunctivitis

Answer 15

red, bloodshot eye
itchy and gritty
discharge

Question 16

management of conjuctivitis

Answer 16

chloramphenicol

Question 17

crystals found in gout

Answer 17

monosodium urate crystals - needle-shaped and negatively bifringent of polarised light

Question 18

calcium pyrophosphate crystals of pseudogout

Answer 18

rhomboid-shaped and positively bifringent

Question 19

management of acute gout

Answer 19

NSAIds
colchicine

Question 20

prophylaxis of gout

Answer 20

allopurinol
febuxostat

Question 21

management of H.pylori

Answer 21

PPI
amoxicillin
clarithromycin