AKT mock 2 Flashcards
What is the medication of choice for management of hiccups in palliative care?
Haloperidol or chlorpromazine
When is the peak incidence of delirium tremens following alcohol withdrawal?
72hrs
What is the first-line treatment for children and adolescents with anorexia nervosa?
Family based therapy
When can the copper IUS be inserted for the use of emergency contraception following UPSI?
within 5 days after the first unprotected sexual intercourse in a cycle, or within 5 days of the earliest estimated date of ovulation, whichever is later
Which type of malignancy can be associated with EBV?
head and neck malignancy, usually nasopharyngeal in origin or lymphoma.
What is the appropriate management for a perforated tympanic membrane caused by barotrauma?
Reassure and follow up - will likely resolve after 6-8 weeks
Supplementation with which drug is required prior to surgery for patients taking prednisolone?
Hydrocortisone
On a DEXA scan, what it the Z score adjusted for?
The Z score is adjusted for age, gender and ethnic factors
What is the initial management for a patient with rheumatoid arthritis?
DMARD monotherapy +/- a short-course of bridging prednisolone
methotrexate is the most widely used DMARD.
sulfasalazine
leflunomide
hydroxychloroquine: should only be considered for initial therapy if mild or palindromic disease
What are the appropriate monitoring requirements for patients with RA on methotrexate?
Monitoring of FBC & LFTs is essential due to the risk of myelosuppression and liver cirrhosis. Other important side-effects include pneumonitis
What is the appropriate management for a patient with RA that has had inadequate response to at least two DMARDs including methotrexate?
TNF-inhibitor eg infliximab
What is the appropriate management short term for acute flares of rheumatoid arthritis?
Oral or intramuscular steroids such as methylprednisolone
What is the appropriate treatment for an acute flare of gout?
Colchicine (unless severe renal impairment) or NSAIDs (unless asthmatic)
What should be prescribed long term to patients to prevent a gout flare?
Allopurinol - requires colchicine/ NSAID cover when starting as may cause acute gout flare
What is the appropriate management for placental abruption, when the foetus is alive and < 36 weeks?
fetal distress: immediate caesarean
no fetal distress: observe closely, steroids, no tocolysis, threshold to deliver depends on gestation
What is the appropriate management for placental abruption, when the foetus is alive and > 36 weeks?
fetal distress: immediate caesarean
no fetal distress: deliver vaginally
What is the appropriate management for placental abruption, when the foetus is not alive?
induce vaginal delivery
Which contraceptive method is associated with weight gain?
Depo-provera injection
When is it appropriate to give a woman a cervical smear after she has given birth?
Cervical screening in pregnancy is usually delayed until 3 months post-partum unless missed screening or previous abnormal smears
When would it be appropriate not to surgically fix a scaphoid fracture?
An undisplaced scaphoid fracture not involving the proximal pole
immobilise wrist either in a Futuro splint or below-elbow cast for a further 6 weeks.
In PTSD, what is the appropriate first line drug therapy if CBT or EMDR therapy are ineffective?
Venlafaxine
How might you treat local anaesthetic toxicity?
IV 20% lipid emulsion
What is the appropriate antidote for paracetamol poisoning?
Activated charcoal if ingested <1hr
N-acetylcysteine (NAC)
Liver transplantation may be req
What is the appropriate antidote for Salicylate poisoning?
Urinary alkalinisation with IV bicarbonate
Haemodialysis
