21/4/22 Flashcards
Explain the driving rules for:
- Epilepsy
- Stroke/TIA
- Diabetes
- Eye conditions
Epilepsy :
One off seizure
- 1 year car
- 5 years HGV
Diagnosis of epilepsy (need to reapply for license)
- 1 year fit free car
- 10 years off meds
Stroke/TIA
- 1 month car
- 1 year HGV
Diabetes
- hypo that requires help = cannot drive for 3 months
Insulin
- restricted license
- have to get it updated every 1-3 years (1 year in HGV)
- extensive monitoring required with HGV
Insulin (<3mnths)
- don’t have to inform DVLA if car but do if HGV
Other meds
- no need to inform DVLA if car
- need to inform DVLA if HGV
Eye conditions - need to inform DVLA
What is meant by borderline personality disorder?
Emotionally unstable
How long should SSRIs be continued to prevent relapse?
6 months
How do you manage acute dystonic reaction (increase in dystonia)?
Procyclidine
Write out the DVT flowchart
What is fetal fibronectin used as a measurement of?
High levels of fFN (released from gestational sac) can indicate early labour
Doesn’t mean it will definetley happen but can be used as measurement
What test is used to diagnose Lewy body dementia?
DaT scan
What does the presence of green tinged liquor on birth suggest?
Meconium is present
What are the CAGE questions to establish alcohol dependance?
have you ever felt like you need to Cut back?
have you ever felt Annoyed by people criticising your drinking?
have you ever felt Guilty about your drinking?
ever had an Eye-opening experience in the morning?
What is Wernickes encephalopathy?
What is the triad of symptoms?
How is it managed?
What irreversible condition can it progress to?
Thiamine (vitamin B1) deficiency
Confusion
Ataxia
Opthalmoplegia (nystagmus, eye palsies)
IV and IM thiamine replacement
Check blood sugar levels
Korsakoff’s syndrome
What drug can cause megaloblastix anaemia?
Phenytoin and carbamazepine both interfere with folate metabolism
How do you remember where iron folate and B12 are absorbed?
“Dude I Just Feel Ill Bro”
Duodenum - Iron
Jejunum - Folate
Ileum - B12
