1003. 29/09/20

Question 1

What are the refeeding vitamins?

Answer 1

100mg 3xPD
1 capsule- forceval 1 capsule
1 tab Vit B co-strong 3xPD

Question 2

How do you recognise a refeeding patient?

Answer 2

Low albumin,

Question 3

What should you check in a refeeding patient?

Answer 3

Check magnesium, phosphate and potassium

Question 4

What is the primary antibiotic for a skin infection?

What is the penicillin allergic antibiotic for a skin infection?

Answer 4

Flucloxacillin

Vancomycin

Question 5

What conditions may lead to erythema nodosum?

Answer 5

TB, Sulfanimide, NSAIDS, idiopathic, strep pharyngitis, deep infection

Question 6

What drugs may cause steven johnsons syndrome?

Answer 6

Anti-epileptics (vancomycin, rivaroxaban, penicillins, barbiturates

Question 7

Why would someone get a Hickman line in?

Answer 7

Long term antibiotics
hemodialysis
long term TPN
Poor access

Question 8

What are the two types of NG tubes?

Answer 8

Feeding tubes
draining tubes (andersons)

Question 9

What are the symptoms of cirrohsis?

Answer 9

Bleeding, ascites, hypoalbuminemia

Question 10

What is to be said about the liver?

Answer 10

Loves food

Hates alcohol

Question 11

What are some good study resources from Mo?

Answer 11

Zero 2 finals

Tom’s tips (usually come up in exams)

Question 12

All UC patients receive an x-ray upon admission. Why is this?

Answer 12

Rule out toxic megacolon

Features include:

small bowel: <3 cm loss of houstral markings
large bowel: <6 cm
appendix: <6 mm Thumbprinting- mucosal oedema
caecum: <9 cm

Question 13

Why do you test a IgA and an TTG in celiac’s disease?

Answer 13

In those with an IgA deficiency then TTG will not be raised. Therefore IgA must be checked before IgA

IgG is raised in coeliacs

Question 14

What is seen in celiacs on biopsy?

What condition is ceoliac’s related to?

Answer 14

Villous atrophy and crypt hypertrophy

T1DM

Question 15

What is involved in a TACE procedure?

Answer 15

Embolisation of a hepatic artery combined with deliverance of chemotherapy.

Question 16

What do these antibodies test for?

Anti MPO
Anti proteinase 3
ANA

Answer 16

All for vasculitits

Question 17

What is chain stoking?

Answer 17

when periods of shallow breathing alternate with periods of deeper, rapid breathing.

The deep, rapid breathing may be followed by a pause before breathing begins again.

breathing may also become more noisy as a result of the build-up of mucus.

Question 18

What is chain stoking?

Answer 18

when periods of shallow breathing alternate with periods of deeper, rapid breathing.

The deep, rapid breathing may be followed by a pause before breathing begins again.

breathing may also become more noisy as a result of the build-up of mucus.