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Hello from GPTEC 2018!

I’m in Adelaide for the the GPTEC conference on September 11-13. To mark the occasion I’m giving this site a few updates, including several new features as well as bring back some old favourites. Although GP trove started out as a website by-and-for GP registrars, I’m still going to continue it now I’m a GP supervisor and soon-to-be OSCE marker. There will be more focus on knowledge and skill building (and maintenance) instead of just practice exam questions though. The Daily Dozen is back by popular request (see below), but I plan to improve this by moving more towards better targeted study points and key pitfalls over time. The link library has been refreshed with some new additions and a better layout. There is plenty more to do to organise these resources, but hopefully this is a step in the right direction.

If you’re a registrar or other exam candidate preparing for FRACGP exams, this site will continue to offer an array of free resources to help you, including the exam guide and the popular Decoding the KFP guide. Before you all write in to complain (again), the old array of Murtagh’s triads and the spot diagnosis quizzes have not disappeared, they have been integrated into the category pages (e.g. Skin, Eyes). That said, I do like hearing from you all, so any time you spot something that needs fixing, have an idea for something new, or want to request the reappearance of something old, please use the feedback form.

As always, there is nothing for sale here, there are no pirated exam prep resources allowed and the quizzes on this site are just for fun. I do it because it lets me try out ideas and learn how to make stuff. Plus a surprising number of you all keep visiting so something must be working. Enjoy!


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The Daily Dozen - Friday, 21st September 2018.

Joe, age 31, presents with a painful red right eye. He works as a carpenter and he feels like he might have got something in his eye. Fluorescein examination shows a vertical abrasion on the cornea.
Conjunctival foreign body. It is important to evert the eyelid to look for foreign bodies. Once the foreign body is removed, he should return for review in 24 hours to ensure the abrasion has resolved.

Jonathon Trobe University of Michagen Kellogg Eye Center

Severe epigastric pain + nausea & vomiting + relative lack of abdominal signs
Murtagh's Triads
Chloe, age 4, has a rash that started yesterday with a few itchy red spots on her abdomen. She now has scattered crops these lesions across her trunk, face (including mouth) and limbs. Some of the earlier lesions have progressed to vesicles. Chloe is not immunised.
Chickenpox. A highly contagious viral infection. A hallmark is having different stages of lesions present simultaneously. There can be just a handful of lesions or many hundreds and they are very itchy. The child should be excluded until all blisters have dried. Read more on DermNet, or view school exclusion guidelines here.
Spontaneous haemarthrosis + muscle bleeds + delayed bleeding
Murtagh's Triads

Preconception Assessment

Medical history
  • Reproductive life plan and family planning
  • Reproductive history
  • Chronic conditions
  • Medication use
  • Vaccinations
  • Screening – pap smears and breast screening if relevant
Family history
  • Genetic conditions
Social history
  • Smoking cessation
  • Nutrition and folic acid + iodine supplementation
  • Alcohol and drugs
  • Physical Exercise
  • Psychosocial health and wellbeing
Physical examination
  • BMI, BP
Malaise + painful shoulder girdle + morning stiffness (>50 years)
Murtagh's Triads
Cody, age 5, is found to have reduced visual acuity in his left eye at a routine eye check. He has a history of squint.
Amblyopia. As a result of the strabismus (squint), the left eye has underdeveloped or suppressed vision. This can be treated by patching the other eye, which forces him to use the left eye to fixate on objects. Other causes of amblyopia include anisometropia, cataracts or ptosis.

Jonathon Trobe University of Michagen Kellogg Eye Center

Adolescent with limp + knee pain + hip pain
Murtagh's Triads
Joe, age 72, has noticed a skin lesion on his forehead. He thought it started a few weeks ago as a mozzie bite, but it hasn't healed and seems to be getting slowly bigger. It is not sore or itchy.
BCC. This nodular BCC has the classic pearly rolled edges and central ulceration. On dermoscopy, you might be able to see arborising vessels among other features. Other types of BCCs include superficial and morphoeic. Read more on DermNet
Drowsiness + fever + purpuric rash
Murtagh's Triads

Factors increasing the likelihood of Asthma

  • More than one of wheeze / breathlessness / chest tightness / cough
  • Recurrent or seasonal
  • Worse during the night or in the early morning
  • Atopy
  • Triggered by exercise, cold air, irritants, medicines (eg aspirin or beta blockers), allergies, viral infections, laughter
  • Family history of asthma or allergies
  • Symptoms began in childhood
  • Eosinophilia or raised blood IgE level, without other explanation
  • Rapid relief from SABA bronchodilator
Facies + growth retardation + microcephaly
Murtagh's Triads
GP trove is an independent Free Open Access Medical education (FOAM) website for GP registrars and other FRACGP candidates in Australia.