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Fast facts and recaps > 11/3 > Flashcards

11/3 Flashcards

1
Q

when to use fluid resusc

A

SPB<100
HR>90
CRT>2
RR>20

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2
Q

causes of dyspesia - drugs

A

alendronic acid

prednisolone

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3
Q

drugs causing diarrhoea

A

lansoprazole

alendronic acid

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4
Q

caution NSAIDs in who

A

elderly

IBD - CD, UC (gastro-intestinal disorders)

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5
Q

mx DKA

A

A-E
continue long acting insulin
1L 0.9% over 1 hr OR 500ml over 15 mins if hypo
fixed rate insulin 0.1unit/kg/hour via syringe driver - aim for decrease of glucose of 3mmol/L/hour
2+3rd L over 2hrs
4th L over 4 hrs
- add 10% glucose at 125ml/hr once less than 14 (keep between 8-14)
- add K+ from 2nd bag if <5.4
recovered - transfer to s.c. insulin onec E+D and pH>7.3 and wait til 1hr post s.c. to stop insulin infusion

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6
Q

WHO performnce status

A 
0 - normal
1 - restricted to light work
2 - capable of self care but no work activity, up for more than 50% of waking hours
3 - in chair for >50% waking hours
4 - completely disabled
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7
Q

how long can’t you drive or after an implantabe cardc defib

A

6m

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8
Q

CHA2-DS2-VASc score

A 
C - CCF
H - HTN
A - 2 if >75
D - DM
S - stroke, TIA - 2
Vasc - vasc
A - 65-74
Sc - female
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9
Q

feature of AF - signs

A 
apical to radial pulse deficit
irregular irregular pulse
variable volume pulse
single waveform JVP
variable intensity 1st HS
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10
Q

secondary AF

A

hyperthyroid
alcohol excess
sepsis

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11
Q

hepatitis vaccien and serology

A

positive anti-HbS

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12
Q

acute hepatitis serology

A

IgM to HBcAg

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13
Q

acute bacterial meningitis - mx

A

community - IM benzyl P
- allergic to pen - chloramphenicol

hosp
- IV 2g ceftriaxone b.d.
+ IV amox in old/ young for listeria
+ IV aciclovir - virtal encephalitis

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14
Q

tumour lysis syndrome - present

A

RF
nausea, vomiting, mm pain

raised urate, potassium phosphate

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15
Q

asthma - bronchodilator reversibility should be >___

A

> 12%

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16
Q

FeNO for asthma

A

FeNO >40ppb - adults

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17
Q

PEF variability in asthma

A

> 20%

18
Q

hypersegmented neutrophil polymorphs indicate what

A

megaloblastic macroytic anaemia

19
Q

replace B12 or folate first

A

B12

avoid subacute combined degeneration of spinal cord

20
Q

mx of b12 deficiency

A

IM replacement

21
Q

NF1 vs 2

A

NF 1 - cafe aut lait, axillary/ groin frecklesm iris haematomas, scoliosis, phaochromocytomas

NF2 - bilateral vest schwannoma, multi intracran schwannoma, meningioma, ependymoma

22
Q

____ prior to appendicetomy

A

prophylactic abx

23
Q

thiazide diureitc

A

bendroflumethiazide

24
Q

indapamide diuretic

A

indapamide

25
Q

paracetamol overdose - liver enzymes

A

high ALT
low ALP
high ALT:ALP

26
Q

features of gilbert’s

A

unconjugated hyperbilirubinaemia

jaundice - concurrent illness, exercise, fasting

27
Q

mx and ix - gilberts

A

rise in bilirubin after prolonged fasting or IV nictonic acid
no treatment

28
Q

gilberts patho

A

auto recessive
defective bilirubin conjugation
deficiency of UDP glucuronosyltransferase

29
Q

pain in bum on walking

A

iliac stenosis

30
Q

immediate management of SVC obstruction in lung cancertq

A

immediate oral dex 8mg

31
Q

AFP raised in

A

teratoma

32
Q

beta HCG raised in

A

teratoma

seminoma

33
Q

mx renal stones

A

<5mm - spont pass
5mm-2cm - ESWL
<2cm and pregnant - ureteroscopy
complex renal calcili and staghorn - perc nephrolithotomy
unstable, sepsis - nephrostomy to add stent and urgent decompress

34
Q

mx stress incontinence

A

duloxetine

35
Q

RF for gallstones

A

6Fs

  • female
  • fertile - multi pregnancy
  • forty
  • fat >30
  • fair - caucasian
  • fhx

also:

  • CD
  • DM
  • rapid wt loss
  • fibrates, cocp
36
Q

dx pancreatitis

A

characteristic pain + amylase/lipase>3x upper limit
uss
contrast enhanced CT

37
Q

dx acute cholecystitis

A

uss

38
Q

most sensitive and specific enzyme in pancreatitis

A

lipase

39
Q

drugs causing pancreatitis

A 
azathioprine
messalazine
didanosine
bendroflumethiazide
fureosemide
pentamidine
steroids
sodium valproate
40
Q

dx boerhaave’s

A

ct contrast swallow

41
Q

reynold’s pentad

A

charcot triad + hypotension and confusion

severe ascending cholangitis

Fast facts and recaps (39 decks)

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