21/6 Flashcards

1
Q

What kind of products is HepE associated with?

A

Pork products

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2
Q

What management of roseasca would you implement for each of the following complaints:
- flushing
- general
- papulopustular
- telecantgasia

A

Flushing = brimonide/propranolol (Bees make you more settled -> reduce flushing)

Papulopustular = ivermectin, metronidazole, azelic acid

Telecantgesia = lazer

General = avoid sun, camouflage creams and emoillents

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3
Q

Most common bug to cause exacerbations in bronchiectasis

A

Haem influenza

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4
Q

Management of torsades de pointes?

What electrolyte can cause torsades de pointes?

What is calcium gluconate used to manage?

A

Magnesium sulphate

HYPOkalaemia (one with U waves)

Hyperkalaemia

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5
Q

Go over hand sensation again

A

Remember little dance

With gun = ulnar
rub hands = medial
pretty stroke on the back = radial

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6
Q

Explain how GnRH agonists are used in management of metastatic prostate ca?

A

They work to increase the GnRH production which should eventually overwhelm the pituitatry and reduce testosterone production

However initially it causes a rise in testosterone and can result in a “tumour flare”
- if pts have a spinal mets this can lead to cord compression
- can also cause urinary retention

Can be overcome by giving GnRH antagonists

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7
Q

Urinary ACR >3 in diabetic pts

A

Start on an ACE

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8
Q

What med reacts with statin to give the myalgia response

A

Clarithromycin/erthoymcin

The mice that are fighting off campers and are friends with Ella also have high cholesterol

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9
Q

What kind of tumours are anterior resections used for?

A

RECTAL

REsection = REctal

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10
Q

A stroke where causes a painful CN3 nerve palsy?

What will be the case with the pupil

A

Posterior communicating artery

(surgeons communicate post-op = surgical CN3 palsy)

CN3 leads to pupillary restriction if it is damaged properly = pupillary dilation = surgical

If CN3 is damaged from inside the nerve it is pupil sparing

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11
Q

How is hyper acute and acute transplant failure managed?

A

Hyper = no cure - must be removed

Acute = may be reversed with steroids and immunosuppresants

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12
Q

Go over aphasia chart

A

Girls - global
Backs - brocas
Won’t - wernickes
Count - conductive
(as) Ass - anomic

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13
Q

Management of myxoedema coma?

A

IV thyroid replacement
IV fluids
IV steroids

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14
Q

How long can a febrile seizure last before ambulance must be called?

A

5 mins

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15
Q

Management of symptomatic chronic subdural

A

Burr holes

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16
Q

AICA strokes - ipsilateral or contralateral?

A

Ipsilateral

17
Q

Where is haustra found?

A

Large bowel

18
Q

How is CML managed?

19
Q

What can be used to manage chickenpoz

A

Calamine lotion

20
Q

Explain how amiodarone is delivered?

A

6mg then 12mg then 18mg
- if the previous dose hasn’t created a response

21
Q

Anion gap stuff again

22
Q

If bradycardia doesn’t respond to transcutaneous pacing?

A

Transvenous

23
Q

osteomalacia management

A

Osteomalacia = softening of the bones due to low Ca+ and PO4 and vit D

Manage with
= vit D spplements +/- calcium

24
Q

What CCB causes most sx including pulomonary oedema?

A

Verapamil = VerapKILL

25
Lateral anal fissure?
Secondary cause
26
AF with haemodynamic instability?
synchronised cardioversion
27
What Ig must be checked alongside TTG
IgA
28
How does starting of biphosphates post fracture change based on age
<75 = DEXA -> FRAX -> ?biphosphates >75 = biphosphates straight away witohut DEXA
29
When to start biphosphates - 3 times
1. >75 with fragility fracure without DEXA 2. on steroids >3mths 3. DEXA <-2.5
30
Tumour markers for testicular ca
AFP BCG
31
Ann-arbour staging of Hodgkin's lymphoma
I - 1 lymph node II - 2 areas on the same side of the diaphragm III - areas on both sides of the diaphragm (3 areas) IV - mets outside the lymph system
32
What is the most common causw of primary hyperaldosteronism
Bilateral adrenal hyperplasia
33
What kind of med is duloxetine?
SNRI
34
How do you prevent pnuemothorax?
VATS - video assisted thoracoscopic surgery
35
What is desferrioxamine?
Iron chelation therapy used to reduce iron overload in those that need lots of transfusions e.g. beta-thalassaemia major
36