Quiz topic 1 - General Practice and Primary Health Care Academic ...

QUIZ TOPIC 2 – BOWEL CANCER SCREENING
A 45 year old woman comes to your general practice to ask you about bowel cancer screening.
1. What questions would you ask her to determine her risk of bowel cancer?
2. She has no personal history and is currently asymptomatic, but based on the answers to her
family history the following genogram is developed. Based on this, what screening, if any, would
you recommend?
3. When is FOBT recommended for the general population?
4. The patient wants you to describe what is involved in having a colonoscopy performed. What would you
advise her? What are the risks?
Resources
Familial aspects of bowel cancer – Cancer Council
QUIZ TOPIC 3 – RHEUMATOLOGY
A 66 year old woman comes to your general practice with 6 months of gradually worsening
bilateral shoulder pain and stiffness and has lost 4kg. There is pain and stiffness in both shoulders
and some pain in her hips. The pain is worse in the morning and can be so severe that she finds it
difficult to wash/comb her hair. There is no history of antecedent injury or different activity at the
time of onset. She has trialled NSAIDs with mild benefit.
She has no personal history of prior joint pains and there is no history of rheumatological disease
in the family. She has been on statin therapy for 3 years for hypercholesterolaemia (but no recent
changes to her medication).
General appearance: fatigued BMI 23, no pallor, pink conjunctivae; Vitals: BP 130/80 HR 72 reg
Shoulder: restricted ROM in all movements, restricted to 60 degrees abduction/flexion (bilateral).
Hips: restricted ROM in all movements (bilateral)
Cardio: Normal S1-S2, nil added; Resp: nad; Abdo: nad; Neuro: nad
No visual changes, no scalp tenderness or tenderness over temporal arteries
1. What are the differential diagnoses?
2. What tests would you order?
3. What are some appropriate management options for this patient?
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