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Year 5 Medicine > A&E > Flashcards

A&E Flashcards

1
Q

What should all post MI patients be taking?

A

Dual anti platelet
Beta blocker
ACE
Statin

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2
Q

what part of qrs is used for syncronisation in dc cardioversion?

A

R Wave

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3
Q

What are the prophylactic antibiotics used for meningococcal meningitis?

A

Oral ciprofloxacin or rifampicin is used as prophylaxis for contacts of patients with meningococcal meningitis

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4
Q

What is the most common ecg change in PE?

A

Sinus Tachycardia

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5
Q

How does hyperventilation decrease ICP?

A

Reduce blood CO2 to induce cerebral vasoconstriction

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6
Q

What is the anti-platelet choices for NSTEMI managed with PCI with anti coagulated patients vs non-anticoagulated?

A

Anticoagulated = clopidogrel
Non-anticoagulated = Prasugrel or ticagrelor

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7
Q

When is thrombolysis indicated in PE?

A

Massive PE and Hypotension

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8
Q
A
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9
Q

What treatment for massive PE and hypotension?

A

Altepase

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10
Q

What is the anti platelet of choice for secondary prevention of stroke?

A

Clopidogrel

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11
Q

What is the treatment for broad complex tachycardia?

A

Amiodarone
If unstable - DC Cardioversion

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12
Q

What criteria indicate liver transplant after paracetamol overdose?

A

PH<7.3 or more after 24 hours post ingestion

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13
Q

what artery is ligated when epistaxis is not responding to any treatment?

A

Sphenopalatine

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14
Q

What is the most likely arrest rhythm in tension pneumothorax?

A

PEA

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15
Q

What haemorrhage can cause torsades de pointes?

A

Subarachnoid haemorrhage

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16
Q

What does rapid rewarming in hypothermia lead to?

A

Peripheral vasodilation and shock

17
Q

What is firstline absence seizure medication?

A

Ethosuximide

18
Q

What are white casts in urine a sign of?

A

Acute interstitial nephritis

19
Q

What is the diagnosis of a patient 5 days after MI with acute heart failure and new pan systolic murmur?

A

VSD

20
Q
A

Year 5 Medicine (17 decks)

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