23/1

Question 1

What questions are asked in a quick cognitive exam?

Answer 1

Name
DOB
Where do you live?
Where are we just now?
Count the months backwards from Dec
Take 7 away from 100…

Question 1

What is the treatment of TB?

What are the side effects?

Answer 1

RIPE - 2 mnths RIPE, 4 months RI

Rifampicin - orange/red secretions
Isoniazid - peripheral neuropathy
Pyrazinamide - gout - pyra = crystals = gout
Ethambutol - colour blindness - E = eyes

Question 2

CURB-65 score - what is it a measurement of?

Management of pneumonia both in and out of hospital

Community vs accquired

Answer 2

30-day mortality

Confusion <8
Urea >7
RR >30
Blood pressure <90/<60
>65

If >1/2 - hospital admission
<1 - at home AB management

<2
- 5 days TDS PO amoxicillin/ 200mg doxycline day 1 followed by 100mg OD

3-5 (in hospital)
- IV co-amoxiclav TDS + PO doxy BD

Hospital accquired
- as normal unless severe
severe:
IV amox TDS + gentamicin

Aspiration
Non-severe: PO amox + metronidazole
Severe: IV MAG

Question 3

In what lung infection would you see ‘redcurrant’ sputum and in what GI condition would you see ‘redcurrant’ stools?

Answer 3

Klebsiella pneumonia

intussusception

Question 4

What is the most common cause of CAP?

Who gets vaccinated?

Answer 4

> 65

Strep pneumonia

Question 5

How can SVT be immediately managed?
Before ablation of pathway or long term drug management

Answer 5

Vasovagal manoeuvers
Cardiovert
Adenosine