GP Flashcards
(30 cards)
treatment ladder for COPD if steroid responsive
SABA or SAMA
SABA + LABA + ICS
SABA + LABA + ICS + LAMA
treatment ladder for COPD is steroid unresponsive
SABA or SAMA
SABA + LAMA + LABA
when is someone said to be steroid responsive in COPD treatment
asthmatic features
atopic illness
variation in FEV1
treatment for h.pylori
lansoprazole
metronidazole
clarithromycin
what can small cell lung cancers secrete
ADH or ACTH
what can squamous cell lung cancers secrete
parathyroid hormone
HTN if under 55 or with diabetes
ACEi/ARB
ACEi/ARB + CCB/diuretic
ACEi/ARB + CCB + diuretic
HTN if over 55 or black/afro-caribbean
CCB
CCB + ACEi/ARB/diuretic
CCB + ACEi/ARB + diuretic
what needs to be checked after 2 weeks on an ACEi
u and e’s
why can an ACEi cause a cough
bradykinin accumulation
signs on CXR in heart failure
ABCDE
alveolar oedema (bat wing opacities)
Kerley B lines
cardiomegaly
dilated upper lobe vessels
pleural effusion
1st line for ezcema
emmolients
2nd line for eczema
topical corticosteroids
second line gout treatment after allopurinol
febuxostat
blood results seen in alcoholic liver disease
raised AST and ALT
AST:ALT 2:1 ratio
common bacteria causing COPD exacerbations
moraxella cararrhalis
calculating the risk of someone having a stroke or MI in next 10 years
q risk
gold standard diagnostic investigation for stable angina
CT coronary angiography
assessing risk of major bleeding when on a DOAC
orbit
what can you prescribe for smoking cessation
NRT - recommend offering patch and then gum, nasal spray etc
varenicline
bupropion
side effects of NRT
nausea
vomiting
headaches flu like symptoms
what is Varenicline
nicotine receptor partial agonist
common side effects of verinicline
nausea
headaches, insomnia, abnormal dreams
when should verenicline be used in caution
breast feeding contraindictaed
caution in history of depression/self harm
