08/03

Question 1

What are key features of Wolff Parkinson White on ECG?

Answer 1

PR interval <120ms
Prolonged QRS complex
Delta waves present

Question 2

What is a common trigger for cluster headaches?

Answer 2

Alcohol

Question 3

How is a diagnosis of malignant hypertension made?

Answer 3

BP >180/120
PLUS
Sign of end organ damage
-papilloedema
-retinal haemorrhages
-increased intracranial pressure causing headache and nausea
-Chest pain
-haematuria
-nosebleeds

Question 4

What are the causative organisms of pyogenic liver abscess?

Answer 4

Staph aureus in children

E.coli in adults

Question 5

What is the management of pyogenic liver abscess?

Answer 5

Antibiotics
-amoxicillin + metronidazole + ciprofloxacin

Drainage

Question 6

What is the management of spasticity due to MS?

Answer 6

Baclofen or gabapentin 1st line
Can use diazepam
Physiotherapy

Question 7

How can oral morphine be converted to SC morphine?

Answer 7

Divide total daily dose by 3

Question 8

What is the management of hiccups in palliative care?

Answer 8

Chlorpromazine

Haloperidol can be used

Question 9

When should adrenaline and amiodarone be given in patients with shockable rhythms?

Answer 9

After 3rd shock
Adrenaline given every 2 shocks from then on
Amiodarone re administered after 5th shock

Question 10

What are risk factors for idiopathic intracranial hypertension?

Answer 10

Female 
Obesity
Pregnancy
Drugs
-COCP
-steroids
-tetracycline
-Vit A
-lithium