1 Flashcards
Low levels of gonadotrophins (FSH, LH) In amenorrhea- cause?
Hypothalamic cause:
- Secondary stress
- Excessive exercise
Management of Addison’s disease
Hydrocortisone (Should be doubled in an illness) + fludrocortisone
Which supplement should not be given with levothyroxin
Iron
Calcium carbonate
- Reduce the absorption of levothyroxin, should be given for hours apart
Which antiepileptic drug causes pancreatitis
Sodium valproate
Most common cause of thyrotoxicosis
Graves’ disease
Diagnostic values for gestation Diabetes
- Fasting glucose >= 5.6
- Two hour glucose >= 7.8
What is ECG changes or diagnostic for pericarditis
PR depression
First line treatment of glaucoma
Latanoprost – prostaglandin analogue
Increases outflow
Which medication used in glaucoma causes brown pigmentation of the iris
Latanoprost
Which medication should be avoided in glaucoma if the patient is taking Tricyclic antidepressants or MAOI
Sympathomimetics-
example brimonidine
Antenatal care- anomaly scan is done at
18–20+6 weeks
-earliest - 18 weeks
Dating scan is done at
Eight weeks the earliest
Nuchal scan is done at
11 weeks the earliest
First dose of Anti– D prophylaxis to rhesus negative women is given at
28 weeks
Second dose of Anti – D prophylaxis to rhesus negative women
34 weeks
Treatment of recurrent C.diff
Fidaxomicin
Empirical treatment of epididymo-orchitis
- Ceftriaxone 500 mg IM single-dose
- doxycycline PO 100 mg BD for 10 to 14 days
What electrolyte abnormality do SSRI cause
Hyponatraemia
Which antidiabetic medication causes necrotising fasciitis of the genitalia or perineum
SGLT – 2 inhibitors eg, Dapagliflozin
What is the first line treatment of a woman with menorrhagia and requiring contraception
Mirena (IUS)
Second line – COCP, long acting progestogens
First line treatment in women with menorrhagia who do not need contraception
Mefenamic acid 500 mg TDS
Medication used for short-term to immediately stop bleeding in Menorrhagia
Norethisterone 5 mg TDS
Medication for treatment of drooling of saliva in people with Parkinson’s disease
Glycopyrronium bromide
What is treatment of whooping cough
Azithromycin or clarithromycin
What is the organism which causes acute epiglottitis
Haemophilus influenza type B
X-ray findings in acute epiglottitis
Thumb sign
steeple sign
Cause of cavitating pneumonia in upper lobes (hint-alcoholics)
Klebsiella
What extrapulmonary features does legionella pneumonia cause
Hyponatraemia
Hepatitis
What extrapulmonary features does Mycoplasma pneumonia cause
Haemolytic anaemia
Erythema multiforme
Treatment of bacterial conjunctivitis in pregnant women
Topical fusidic acid
Prophylaxis of spontaneous bacterial peritonitis
Oral ciprofloxacin or norfloxacin
Diagnosis of spontaneous bacterial peritonitis
Paracentesis – neutrophil count > 250 cells/ul
Treatment of SBP
IV Cefotaxime
Drug treatment in panic disorder
SSRI- paroxetine
Scoring for sepsis
Quick SOFA
Treatment of syphilis in pregnancy
IM benzathine penicillin G
Mechanism of action of Nexplanon
Inhibits ovulation
Continuous machinery murmur is found in
PDA
Management of tremor in drug induced Parkinson
procyclidine
Which Anti-Parkinsonian drug causes pulmonary fibrosis
Cabergoline
Antiemetic used in Parkinson is
Domperidone
- pain after exercise
- intermittent locking and swelling of the knee joint
Osteochondritis dissecans
- Pain, swelling, tenderness over the tibial tubercle
- sporty teenager
Osgood-Schlatter’s disease
- Chronic anterior knee pain arising from walking up and down the stairs
- And prolonged sitting
Chondromalacia patellae
