23 November #2 Flashcards

1
Q

What is the management of Guillain Barre Syndrome?

A

Supportive
IV immunoglobulins

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2
Q

What are side effects of prochlorperazine?

A

Dizziness
Tremors
Movement disorders

Commonly affect young women

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3
Q

What are side effects of bromocriptine?

A

Pulmonary fibrosis
Retroperitoneal fibrosis
Pericardial fibrosis

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4
Q

What are features of multiple system atrophy?

A

Parkinsonism
Postural hypotension
Erectile dysfunction
Atonic bladder- incontinence
Cerebellar signs

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5
Q

What are symptoms of posterior scleritis?

A

Decreased visual acuity
No pain
Swollen eyelids
Proptosis
Swollen optic disc

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6
Q

What are symptoms of retinal detachment?

A

More common in short sighted (myopes)
Painless flashes, floaters
Visual field loss
Decreased visual acuity

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7
Q

what is a sign of significant vitreous haemorrhage?

A

Absence of red reflex

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8
Q

What is a side effect of viagra?

A

Blue tinged vision

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9
Q

What are risk factors for age related macular degeneration?

A

Increasing age
Smoking
Family History
HTN
Diabetes
High cholesterol

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10
Q

What are symptoms of macular degeneration?

A

Reduction in visual acuity (rapid in wet)
Difficulty seeing in the dark
Fluctuations in visual disturbance
Flashing/flickering lights
Glare around objects
Visual hallucinations (Charles Bonnet syndrome)

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11
Q

What medications should be commenced following ACS?

A

Dual antiplatelet therapy (for 12 months if PCI happens)
Ramipril
Beta blocker
Statin

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12
Q

What is Scarlet fever?

A

Coarse red resh and strawberry tongue, sore throat, headache, fever
Treat with 10 days PenV or azithromycin if pen allergic

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13
Q

What is the management of rosacea?

A

Simple- suncream
Predominant erythema/flushing- topical brimonidine
Mild to moderate- topical ivermectin/metronidazole/aselaic acid
Moderate to severe papules/pustules- topical ivermectin and oral doxycycline

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14
Q

What are the spirometry results in obstructive lung disease?

A

FEV1- significantly reduced
FVC- reduced or normal
FEV1/FVC- reduced

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15
Q

What is the Bishop score?

A

To assess whether induction of labour will be required

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16
Q

What electrolyte abnormalities are seen in digoxin toxicity?

A

Hypokalaemia
Hypomagnesaemia
Hypercalcaemia
Hypernatraemia

17
Q

What are features of cluster headaches?

A

Intense stabbing around one eye
Pain occurs 1-2 times per day
Eye redness, watering and lid swelling

18
Q

What medication is used in 3rd stage of labour?

A

Oxytocin

19
Q

what are features of reactive arthritis?

A

develops within 4 weeks of infection
Arthritis- asymmetrical
Datylitis
Urethritis
Conjunctivitis
Anterior Uveitis
Circinate balantitis
Keratoderma menorrhagia

20
Q

What is the referral guide for FIT testing?

A

Abdo mass or change in bowel habit or iron deficiency anaemia
OR
>40 unexplained weight loss or abdo pain
OR <50 rectal bleeding with abdo pain/weight loss
>50 rectal bleeding/abdo pain/weight loss
>60 with anaemia

21
Q

What causes pneumonia in alcoholics?

A

Klebsiella pneumoniae