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#passmed 2023 > Acute Care Formative > Flashcards

Acute Care Formative Flashcards

1
Q

Where does Morphine work anatomically to do its analgesia?

A

Substantia gelatinosa

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2
Q

What is the immediate Tx for Haemothorax?

A

Intercostal drain

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3
Q

What can you give in PRIMARY CARE (aka GP) before you transfer Meningitis pt for definitvie mx (aka ceftriaxone)?

A

IM Benzylpenicillin

my boy benzi in the primary care

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4
Q

What can you give in PRIMARY CARE (aka GP) before you transfer Meningitis pt for definitvie mx (aka ceftriaxone)?

A

IM Benzylpenicillin

my boy benzi in the primary care

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5
Q

What vitals will you see in someone with Battles sign (aka bruising behind ear, aka basal skull fracture)?

A
  1. HTN
  2. Bradycardia

opposite of shock bc they are a warrior in battle

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6
Q

What is the diagnostic test for Aortic dissection?

A

Contrast CT

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7
Q

What is the Dx when eye is Down n Out, and pupil is dilated, and they have ptosis?

A

Post communicating artery aneurysm

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8
Q

What is the definitive Mx of Severe hyperkalaemia?

A

Haemodilaysis

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9
Q

What is the strength of adrenaline for Anaphylaxis?

A

1:1000

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10
Q

What is the dose of adrenaline for Anaphylaxis?

A

500mcg

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11
Q

What are the fluid req in a burn pt?

A
  • 4ml x Burn percentage in q x Weight
  • Give half of it in first 8 hours, rest in next 16

e.g 20% burn in question

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12
Q

What is Type 1 Hypersensitivty reaction?

A

Anaphylaxis

ACID

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13
Q

What is the mechanism of Type 1 Hypersensitivty reaction?

A

Antigen reacts with igE on mast cells

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14
Q

What are examples of Type 1 Hypersensitivty reaction? (2 things)

A
  1. Asthma
  2. Anaphylaxis

A, AA

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15
Q

What is Type 2 Hypersensitivty reaction?

A

Cell bound

ACID

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16
Q

What is the mechanism of Type 2 Hypersensitivty reaction?

A

igG / igM binds to antigen on cell surface

17
Q

What are examples of Type 2 Hypersensitivty reaction? (2 things)

A
  1. AI haemolytic anaemia
  2. AHTR (tranfusion reaction)
18
Q

What is Type 3 Hypersensitivty reaction?

A

Immune complex

ACID

19
Q

What is the mechanism of Type 3 Hypersensitivty reaction?

A

Free antigen + antibody (igG / A) combine

20
Q

What are examples of Type 3 Hypersensitivty reaction?

21
Q

What is Type 4 Hypersensitivty reaction?

A

Delayed hypersensitivty

ACID

22
Q

What is the mechanism of Type 4 Hypersensitivty reaction?

A

T cell mediated

23
Q

What are examples of Type 4 Hypersensitivty reaction? (2 things)

A
  1. Allergic contact dermatits (rash from watch)
  2. TB
24
Q

What blood test confirms anaphylactic reaction?

A

Serum tryptase concentration

impressive knowledge remember

25
Q

What blood test confirms anaphylactic reaction?

A

Serum tryptase concentration

impressive knowledge remember

#passmed 2023 (39 decks)

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