GP

Question 1

How does hip dysplasia present in the 6-8 week baby check?

Answer 1

Different length legs
Knees at different levels
Can’t abduct hip to 90 degrees
Clunk sound

Question 2

What can undescended testes be linked to in the 6-8 week baby check?

Answer 2

Cancer
infertility
Endocrine disorders

Question 3

Why do we check the eyes of babies?

Answer 3

For congenital cataracts

Question 4

What is a red flag in a baby check of the eyes?

Answer 4

light reflecting off the retina

Question 5

What is a critical CHD?

Answer 5

Can cause death within 28 days

Question 6

What is serious CHD?

Answer 6

Within first 12 months

Question 7

What is in the red book?

Answer 7

Birth details
Family history
Immunisation
Reviews and screening

Question 8

Differential of a cough?

Answer 8

Bronchitis
Pneumonia
TB
COPD
Left ventrivular systolic dysfunction
Postnasal drip
GORD
ACE inhibitors
Idiopathic 
Psychogenic

Question 9

Tests for asthma?

Answer 9

Spirometry
Peak flow test
Airway responsiveness
Allergy tests

Question 10

What is the atopic triad?

Answer 10

Asthma
Atopic dermatitis
Allergic rhinitis

Question 11

What ages are breast screenings done?

Answer 11

50-70

Question 12

When do we refer a breast lump?

Answer 12

Over 30 and have an unexplained lump with or with out pain.

Over 50 and any other breast change.

Question 13

What is diarrhoea?

Answer 13

3+ loose or liquid stools per day

Question 14

What is an abnormal PSA result?

Answer 14

Above 3ng they should be referred to a specialist

Question 15

What is given after a kidney transplant?

Answer 15

mTOR inhibitors

Question 16

What needs monitoring after a kidney transplant?

Answer 16

Full bloods
BP
Urine output
Immunosuppression levels

Question 17

What is the age limit for cornea donation?

Answer 17

80

Question 18

What is the age limit for heart valves and tendons?

Answer 18

60

Question 19

What diseases can’t you have if you plan on donating organs?

Answer 19

HIV (unless reciever is also positive), hepatitis, cancer in last 12 months or Creutzfeldt-jakob disease

Question 20

What is Haemodialysis?

Answer 20

Occurs 3 times a week and takes 4 hours. A tube in the arm removes the blood.

Question 21

What is peritoneal dialysis?

Answer 21

Filters using the inside lining of the abdomen. permanent catheter is inserted and the fluid needs to be changed.

Question 22

How often does peritoneal dialysis occur?

Answer 22

4 times a day or can be done overnight

Question 23

What are the side effects of dialysis?

Answer 23

Fatigue, low blood pressure, sepsis, muscle cramps, itchy skin

Question 24

What drugs should those with renal failure avoid?

Answer 24

NSAIDs

Question 25

What is stage 2 CKD?

Answer 25

GFR 60-89

Question 26

What is stage 3a CKD?

Answer 26

GFR 45-59

Question 27

What is stage 3b CKD?

Answer 27

GFR 30-44

Question 28

Who has an NHS health check?

Answer 28

40-74

Question 29

What does the health check up look at?

Answer 29

Stroke, kidney disease, heart disease, type 2 diabetes or dementia

Question 30

What are the issues with Tylenol?

Answer 30

Liver damage

Question 31

What are the issues with NSAIDs?

Answer 31

Heart attack, stroke and GI bleeding

Question 32

What must you avoiding driving on?

Answer 32

New opioids

Question 33

What is the CVD risk assessment score?

Answer 33

QRISK2

Question 34

What do you need for a QRISK2 score?

Answer 34

Age, sex, ethnicity, BMI, HDL (HbA1c)

Question 35

How often is QRISK2 done?

Answer 35

Every 5 years

Question 36

What investigations should be done on someone with prostate worries?

Answer 36

Urinary frequency-volume chart IPSS questionnaire Physical exam Blood tests

Question 37

What is an example of a SRRI?

Answer 37

Cirtoline

Question 38

What is a traditional anti-depressant?

Answer 38

Tricyclics which can be toxic in overdose

Question 39

What is an issue with SSRIs?

Answer 39

In the short term they can cause short term low mood and increased risk of suicide

Question 40

What does SSRI stand for?

Answer 40

Selective serotonin reuptake inhibitors

Question 41

What is an issue with St. Johns wart?

Answer 41

interacts with warfarin and contraceptive pill

Question 42

What are screening tests for depression

Answer 42

BECK, HADS, PHQ-9

Question 43

What is a screening tool for anxiety?

Answer 43

GAD-7