17/6

Question 1

Things to ask about in stroke/TIA

Answer 1

HPC
- visual
- speech
- gait
- loss of consiocness

FH of stroke and TIA

DRIVING

Question 2

Retro-orbital headache, fever, facial flushing, rash adn thrombocytopenia in returning traveller?

Answer 2

DengueW

Question 3

What kind of diuretic can cause ototoxicity?

Answer 3

Loop

Question 4

Reticulocyte count in sickle cell:
- aplastic anaemia (caused by parovirus)
- acute sequestration

Answer 4

Aplastic (parovirus) = low reticulocyte as bone marrow not producing them

Acute sequestration = high as pumping them out but stuck in the spleen

Question 5

Tachyphlaxis = ?

Answer 5

ACute rapid decrease in response to a drug after its been adminstered

Question 6

What antibiotic can cause torsades de pointes?

Answer 6

Azithromycin

Question 7

Failed PCI = ?

Answer 7

Urgent CABG

Question 8

Persistent MI following fibrinolysis = ?

Answer 8

PCI

Question 9

How to manage anaphylactoid reactions to N-Acetylycsteine?

Answer 9

Stop adn restart at slower rate

Question 10

If a pt has a proximal anterior circulation occlusion for stroke what else can they be offered beyond thrombolysis within 4.5hrs?

Answer 10

Thromboectomy within 6hrs

Question 11

When prescribing fluids what is the potassium requirement per day?

Answer 11

1mmol/kg/day

Question 12

What kind of insulin for gestational diabetes?

Answer 12

Short-acting only

Question 13

Hypothermia ECG changes

Answer 13

J-wave

Question 14

Cyanosis in baby

Answer 14

Transposition of the great arteries

Question 15

What hormone imbalance is associated with osteoporosis in men hence monitoring bone denisty is so important?

Answer 15

HypoTESTOSTERonism