1 Flashcards

1
Q

Low levels of gonadotrophins (FSH, LH) In amenorrhea- cause?

A

Hypothalamic cause:
- Secondary stress
- Excessive exercise

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2
Q

Management of Addison’s disease

A

Hydrocortisone (Should be doubled in an illness) + fludrocortisone

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3
Q

Which supplement should not be given with levothyroxin

A

Iron
Calcium carbonate
- Reduce the absorption of levothyroxin, should be given for hours apart

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4
Q

Which antiepileptic drug causes pancreatitis

A

Sodium valproate

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5
Q

Most common cause of thyrotoxicosis

A

Graves’ disease

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6
Q

Diagnostic values for gestation Diabetes

A
  • Fasting glucose >= 5.6
  • Two hour glucose >= 7.8
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7
Q

What is ECG changes or diagnostic for pericarditis

A

PR depression

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8
Q

First line treatment of glaucoma

A

Latanoprost – prostaglandin analogue
Increases outflow

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9
Q

Which medication used in glaucoma causes brown pigmentation of the iris

A

Latanoprost

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10
Q

Which medication should be avoided in glaucoma if the patient is taking Tricyclic antidepressants or MAOI

A

Sympathomimetics-
example brimonidine

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11
Q

Antenatal care- anomaly scan is done at

A

18–20+6 weeks
-earliest - 18 weeks

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12
Q

Dating scan is done at

A

Eight weeks the earliest

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13
Q

Nuchal scan is done at

A

11 weeks the earliest

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14
Q

First dose of Anti– D prophylaxis to rhesus negative women is given at

A

28 weeks

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15
Q

Second dose of Anti – D prophylaxis to rhesus negative women

A

34 weeks

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16
Q

Treatment of recurrent C.diff

A

Fidaxomicin

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17
Q

Empirical treatment of epididymo-orchitis

A
  • Ceftriaxone 500 mg IM single-dose
  • doxycycline PO 100 mg BD for 10 to 14 days
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18
Q

What electrolyte abnormality do SSRI cause

A

Hyponatraemia

19
Q

Which antidiabetic medication causes necrotising fasciitis of the genitalia or perineum

A

SGLT – 2 inhibitors eg, Dapagliflozin

20
Q

What is the first line treatment of a woman with menorrhagia and requiring contraception

A

Mirena (IUS)

Second line – COCP, long acting progestogens

21
Q

First line treatment in women with menorrhagia who do not need contraception

A

Mefenamic acid 500 mg TDS

22
Q

Medication used for short-term to immediately stop bleeding in Menorrhagia

A

Norethisterone 5 mg TDS

23
Q

Medication for treatment of drooling of saliva in people with Parkinson’s disease

A

Glycopyrronium bromide

24
Q

What is treatment of whooping cough

A

Azithromycin or clarithromycin

25
Q

What is the organism which causes acute epiglottitis

A

Haemophilus influenza type B

26
Q

X-ray findings in acute epiglottitis

A

Thumb sign
steeple sign

27
Q

Cause of cavitating pneumonia in upper lobes (hint-alcoholics)

A

Klebsiella

28
Q

What extrapulmonary features does legionella pneumonia cause

A

Hyponatraemia
Hepatitis

29
Q

What extrapulmonary features does Mycoplasma pneumonia cause

A

Haemolytic anaemia
Erythema multiforme

30
Q

Treatment of bacterial conjunctivitis in pregnant women

A

Topical fusidic acid

31
Q

Prophylaxis of spontaneous bacterial peritonitis

A

Oral ciprofloxacin or norfloxacin

32
Q

Diagnosis of spontaneous bacterial peritonitis

A

Paracentesis – neutrophil count > 250 cells/ul

33
Q

Treatment of SBP

A

IV Cefotaxime

34
Q

Drug treatment in panic disorder

A

SSRI- paroxetine

35
Q

Scoring for sepsis

A

Quick SOFA

36
Q

Treatment of syphilis in pregnancy

A

IM benzathine penicillin G

37
Q

Mechanism of action of Nexplanon

A

Inhibits ovulation

38
Q

Continuous machinery murmur is found in

A

PDA

39
Q

Management of tremor in drug induced Parkinson

A

procyclidine

40
Q

Which Anti-Parkinsonian drug causes pulmonary fibrosis

A

Cabergoline

41
Q

Antiemetic used in Parkinson is

A

Domperidone

42
Q
  • pain after exercise
  • intermittent locking and swelling of the knee joint
A

Osteochondritis dissecans

43
Q
  • Pain, swelling, tenderness over the tibial tubercle
  • sporty teenager
A

Osgood-Schlatter’s disease

44
Q
  • Chronic anterior knee pain arising from walking up and down the stairs
  • And prolonged sitting
A

Chondromalacia patellae