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Question 1

What is the memory aid for polymyalgia rheumatica?

Answer 1

PMR - sounds like PMS

Periods = pelvic/shoulder pain
Blood = increased ESR (plasma viscosity)
Headaches = GCA

Managed with prednisolone (pretty)

Question 2

Management of painful loss of acuity in primary care

Answer 2

Urgent referal to optho

Question 3

How is malignant spinal cord compression managed?

Answer 3

Glucocorticoid steroids (dexamethasone)
- improves both pain and neurological symptoms

Load with 16mg then 8mg BD

Question 4

What is the 3rple assessment for suspected breast cancer?

Answer 4

Clinical examination
Imaging - mammogram and USS
Biopsy

Question 5

Describe the HTN management pathways

How does this differ for young female pts?

Answer 5

<55 OR T2 diabetic
1. ACEi

> 55 OR Afro-Carribean
1. CCB

2. A + C/ A + D
3. A + C + D

AVOID ACEi as damages foetus - use BCD

Question 6

How is spontaneous bacterial peritonitis diagnosed?

How is it managed?

Answer 6

Neutrophil count >250 on tap

Prophylactic ciprofloxacin/ceftriaxone

If happened - broad spectrum ABs