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AKT > AKT > Flashcards

AKT Flashcards

1
Q

UTI in children

A

if +ve leucocytes and -ve nitrite –> <3 years start antibiotics, if >3 years only start if symptomatic
Nitro or TMP

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2
Q

Pyelonephritis + Pregnant

A

cefalexin

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3
Q

non lactational mastitis

A

co-amoxiclav

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4
Q

AOM

A
  1. amoxicillin 5-7 days
  2. co-amoxiclav 5-7 days
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5
Q

Sinusitis

A

Pen V
Co-Amoxiclav if severe

10 days of symptoms - high dose nasal steroids
21 days of symptoms - antibiotics

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6
Q

perichondritis

A

ciprofloxacin

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7
Q

diverticulitis

A

co-amoxiclav

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8
Q

whooping cough

A

erythromycin

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9
Q

HAP

A

<5 days - co-amoxiclav
>5 days - ciprofloxacin

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10
Q

define AKI

A

rise in SCr by 26 in 48 hours of by 50% in 7 days

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11
Q

acceptance for ACEi

A

drop in EGFR by 25% or rise in SCR by 30%

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12
Q

HTN - ACR >70

A

<130/80

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13
Q

referral for CKD

A

fall by 15ml/min in 12 months or reduced by 25% in 12 months

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14
Q

Thiazides and CA

A

Hypercalcaemia

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15
Q

Cushings and Conns K

A

hypok

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16
Q

describe hydrocele

A

abive psermatic cord
anterior and inferiro to testicle

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17
Q

DMARD safe in pregnancy

A

hydroxychloroquine

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17
Q

hameaturia after URTI

A

IGA

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18
Q

drugs not in G6PD

A

sulphonylureas and ciporfloxacin

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19
Q

cervical screening

A

25-64 every 5 years

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20
Q

UKMEC bmi >35

A

cocp is ukmec 3

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21
Q

UKMEC bmi 30-35

A

cocp is ukmec2

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22
Q

VTE and COCP

A

if personal hx –> UKMEC4
if Fhx in a first degree rleative less than 45 years –> UKMEC3

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23
Q

VTE and COCP

A

if personal hx –> UKMEC4
if Fhx in a first degree rleative less than 45 years –> UKMEC3

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24
Q

> 35 and smokes

A

> 15 - UKMEC4
<15 - UKMEC3

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25
Q

abx not safe in breastfeeding

A

tetracyclines
ciprofloxacin
chloramphenicol

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26
Q

downs syndrome tests

A

10-14 weeks –> combined test
14 weeks –> quadruple test

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27
Q

GDM diagnosis

A

fasting >5.6, OGTT 7.8

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28
Q

HTN and T1dm

A

BP <130/80

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29
Q

IFG

A

fasting >6.1-7

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30
Q

IGT

A

gasting >6.1 - 7 and OGTT >7.8 - 11.1

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31
Q

weight neutral diabetic drugs

A

metformin and gliptins

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32
Q

orlistat rules

A

BMI >30 or >27 with RF
stop if not lost 5% in 3 months

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33
Q

stage 1 HTN

A

clinic >140/90
Home >135/85

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34
Q

stage 2 NTN

A

clinic >160/100
home >150/95

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35
Q

bells palsy treatment

A

<72 hours – 10 days of steroids

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36
Q

peripheral nystagmus

A

horizontal + torsional nystagmus

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37
Q

central nystgamus

A

vertical + torisonal

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38
Q

breakthrough pain dose

A

one sixth

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39
Q

PO codeine/tramadol/dihydrocodeine to moprhine

A

divide by 10

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40
Q

PO morphine to PO oxycodone

A

divide by 1.5

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41
Q

po morphine to sc oxycodone

A

divide by 3

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42
Q

po morphine to subcut diamoprhine

A

divide by 3

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43
Q

functional BO nausea

A

metoclopramide

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44
Q

hbsag

A

active infection - acute or chronic

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45
Q

antihbc

A

CAUGHT - current or previous infection

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46
Q

antihbs

A

resolved infection - immune - vaccines
antiHBs without antiHBc is immunisised

47
Q

proven GORd severe osoephagitis

A

8 weeks of full dose PPI

48
Q

PBC ab

A

AMA +ve

49
Q

PSC ab

A

pANCA

50
Q

2WW >55 and weight loss and

A

either upper abdo pain, reflux or dyspepsia

51
Q

2WW >40

A

weight loss and upper abdominal pain

52
Q

2ww >50

A

rectal bleeding

53
Q

<50 with bleeding

A

abdominal pain or bowel change or weight loss or IDA

54
Q

bowel screening

A

50-74 years 2 hourly

55
Q

pain on lebow extension

A

tennis elbow

56
Q

MCP + PIP joints

A

RA

57
Q

no plantarflexion and inversion

A

tibial nerve

58
Q

when is FRAX not needed before DEXA

A

<40 with major risk for fragility fracture
>50 with a fragility fracture

59
Q

when is DEXA not needed before treatment

A

> /75 with fragility fracture
on steroids and >65 with fragility fracture

60
Q

when is DEXA not needed before treatment

A

> /75 with fragility fracture
on steroids and >65 with fragility fracture

61
Q

antibitoics not for use in MG

A

quinolones
macrolides
tetracyclines

62
Q

NICE guidance step up for asthma

A

low dose ics
then add lTRA
then add LABA

63
Q

BTS guidance step up for asthma

A

low dose ICS
then add LABA
then add LTRA or increase dose of steroid

64
Q

severe asthma

A

PEFR 33-50%
>12 – hr >110, RR >25
>5 - RR >30 HR >125
<5 RR >40 HR >140

65
Q

fev1 fvc obstructive

A

feve 1 low
fvc normal
<0.7

66
Q

fev1 fvc restrictive

A

fev1 low
fvc very low
>0.7

67
Q

herald patch

A

rosea

68
Q

erythema multiforme

A

mycoplasma

69
Q

pregnant anaemia

A

<110

70
Q

raised APTT

A

haemophillia
antiphopsholipid syndrome

71
Q

hamophillia a

A

viii

72
Q

group a strep exclusion

A

24 hours after abx

73
Q

whooping cough exclusion

A

48 hours after abx

74
Q

impetigo

A

48 hours after abx or crusted

75
Q

measles exclusion

A

4 days

76
Q

rubella exclusion

A

5 days

77
Q

mumps exclusion

A

5 days

78
Q

chickenpox exclusion

A

5 days

79
Q

confluent rash behind the ears

A

measles

80
Q

semi dilated pupil

A

glaucoma

81
Q

haloes

A

glaucoma

82
Q

ciliary flush

A

anterior uveitis

83
Q

small and irregular pupil

A

anterior uveitis

84
Q

RAPD

A

retinal detachment and optic neuritis

85
Q

homes aide

A

unilaterally dilated pupil

86
Q

argyll robertson

A

small unreactive irregular pupils

87
Q

Glaucoma risk

A

Hypermetropia

88
Q

Fixed mid dilated pupil

A

Glaucoma

89
Q

patch testing

A

type 4 reactions - contact allergic dermatitis

90
Q

Pr interval prigressively gets longer

A

2nd degree - mobitz type 1

91
Q

NICE traffc light: nasal flaring

A

amber

92
Q

NICE traffic light: RR

A

6-12 months >50 = amber
>12 months >40 = amber
red flag > 60

93
Q

NICe traffic light RR >60

A

red

94
Q

NICE traffic light: dry mucous membranes

A

amber

95
Q

NICE traffic light: HR

A

<1 year - >160 =amber
1-2 years - > 150 = amber
2-5 years - >140 =amber

96
Q

belo and lateral to pubic tubercle

A

femoral hernia - all should be repaired

97
Q

medial and inferiro to epigastric arteries

A

direct (DM)

98
Q

lateral to epigastrid arteries

A

indirect (LI)

99
Q

inguinal heria in scrotum

A

indirect (illy willy)

100
Q

chalyida partner notification

A

symptomatic men - 4 weeks
asympatic men and women - 6 months

101
Q

tetanus vaccine: full course confirmed and last dose <10 years ago

A

no vaccine or IG required

102
Q

when to give antibiotics in acute bronchitis

A

> 65 with 2 of OR >80 with 1 of
- diabetes
congestive heart failure
-steroid use
- hospital admission in previous 1 year

103
Q

CHADVASC

A

2 points for >75 or previous stroke
start if men have 1 or women have 2

104
Q

subclinical hyperthyroid: referral

A

TSH <0.1 x 2 on 3 months part

105
Q

subclinical hyperthyroid: management

A

monitor TFTs every 6 months

106
Q

high w-t-h

A

> 0.6

107
Q

healthy w-t-h

A

0.4-0.5

108
Q

define primary amenorrhoea

A

no periods or boobs by 13
no periods but boobs by 15`

109
Q

when should oestrogen contraception be stopped

A

aged 50

110
Q

`perfect use and typical use: cocp and pop

A

perfect 0.3% typical 9%

111
Q

perfect use and typical use: implant

A

0.05%

112
Q

mild LD

A

50-70

113
Q

moderate LD

A

35-50

114
Q

severe

A

20-35

AKT (8 decks)

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