GP

Question 1

qrisk score less than 10%

Answer 1

lifestyle changes

Question 2

qrisk score more than 10%

Answer 2

statin. atorvastatin 20mg

Question 3

contraception Hx of breast cancer

Answer 3

copper coil

Question 4

most effective form of emergency contraception

Answer 4

intrauterine device

Question 5

COCP and major operation

Answer 5

stop theCOCP 4 weeks before major surgery, prevents DVT

Question 6

Lung cancer referral pathway

Answer 6

> 40 with two lung symptoms
smoker and one symptoms

haemoptysis

Question 7

oesophageal cancer referral

Answer 7

dysphagia

> 55 + weight loss + dyspepsia/abdo pain/reflux

Question 8

pancreatic cancer

Answer 8

> 40 and jaundice

Question 9

Stomach cancer referral

Answer 9

same as liver and gall bladder

mass

Question 10

Colorectal cancer referral

Answer 10

• iron deficiency anaemia
• abdo mass
• change in bowel habit
• > 40: weight loss +abdo pain
• <50: weight loss + abdominal pain/rectal bleeding
  <50 weight loss/rectal bleeding/abdo pain
  >60 anaemia

Question 11

Breast cancer referral pathway

Answer 11

> 30 unexplained breast lump
50 nipple discharge, skin changes

Question 12

Ovarian cancer referral

Answer 12

early fullness
bloating
pelvic/abdo pain
increased urinary frequency

Question 13

endometrial cancer

Answer 13

psot menopausal bleeding

Question 14

bladder and renal

Answer 14

haematuria

Question 15

laryngeal cancer

Answer 15

hoarseness