AMK Flashcards
In which part of the brain are changes most likely to be found in early Alzheimer’s
disease?
temporal lobe
A 43 year old woman is admitted to hospital with an overdose of amitriptyline
hydrochloride taken 4 hours previously. She has a history of chronic
headache.
Her pulse rate is 105 bpm and BP 95/40 mmHg. She is drowsy and her pupils
are dilated. ECG shows significant QRS prolongation.
Intravenous sodium bicarbonate
Bicarbonate is the treatment of the choice in patients with prolonged QRS complexes
following a tricyclic antidepressant overdose.
when would furosemide be used
Furosemide is a type of medicine called a diuretic. It’s used to treat high blood pressure, heart failure and oedema (a build up of fluid in the body). It’s also sometimes used to help you pee when your kidneys aren’t working properly. Diuretics are sometimes called “water pills/tablets” because they make you pee more.
A researcher is seeking to examine whether long-term mobile phone use is
linked to acoustic neuroma risk. The information on mobile phone usage is
collected from participants with acoustic neuroma and a comparable group of
participants without acoustic neuroma, selected from the general practice
register.
Which type of study design is being used?
A. Case–control study
B. Case series
C. Cohort study
D. Cross-sectional study
E. Ecological study
case control
A 43 year old woman has a sudden severe headache that started 24 hours
ago. She has a history of autosomal dominant polycystic kidney disease.
Her temperature is 36.8°C, pulse rate 92 bpm and BP 140/100 mmHg.
Neurological examination is normal. CT scan of head is normal.
Which is the most appropriate next step in management?
A. Erythrocyte sedimentation rate
B. Lumbar puncture
C. MR scan of brain
D. Refer to outpatient headache clinic
E. Start amlodipine
Lumbar puncture
This is because APKD is associated with subarachnoid haemorrage. A lumbar puncture
should be performed. MRA would be reasonable, but not MRI.
