misc

Question 1

treatment of accidentally putting local in an IV

Answer 1

20% lipid emulsion

Question 2

contraindication to regional anaesthetics (spinal block, epidural ect)

Answer 2

anticoagulation therapy

Question 3

breakthrough morphine

Answer 3

1/6 daily dose

Question 4

oral -> subcut morphine

Answer 4

half dose

Question 5

codeine -> morphine

Answer 5

1/10 dose

Question 6

lidocain MOA

Answer 6

Na channel blocker

Question 7

amiodarone MOA

Answer 7

K channel blocker

Question 8

digoxin toxicity

Answer 8

ECG
yellow/ green vision

Question 9

side effect of metoclopramide

Answer 9

galactorrhoea

Question 10

live attenuated virus

Answer 10

MMR

Question 11

where do loop diuretics work

Answer 11

ASCENDING loop

Question 12

defib in VT/VF

Answer 12

witnessed - 3
not witnessed - 1

Question 13

antibiotic that interacts with alcohol

Answer 13

metrinodazole

Question 14

antibiotics not to give when pregnant

Answer 14

doxy

Question 15

when do you have to stop drinking clear vs non clear fluids pre op

Answer 15

2 hrs before

6 hours before

Question 16

metformin/ sulphonureas + surgery

Answer 16

on morning take 1 or 2

miss one (only take 2) if you take 3

Question 17

once daily insulin + surgery

Answer 17

reduce dose by 20%

Question 18

warfarin + surgery

Answer 18

stop 5 days before
INR day before >1.5 give oral vit K

emergancy - wait 6-12hrs (if possible) and give IV vit K

Question 19

antiplatlets + surgery

Answer 19

aspirin - continue usually
clopi - stop 7 days before

Question 20

steroids and surgery

Answer 20

convert corticosteroids to IV hydrocortisone

Question 21

ACEi + surgery

Answer 21

stop 24 hours before

Question 22

when should INR be checked before surgery

Answer 22

day before

Question 23

when are antiboitics given in surgery?

Answer 23

same time as anaesthetics

Question 24

burns + confusion

Answer 24

give high flow O2 (in case of carbon monoxide poisoning)

Question 25

when to treat burns

Answer 25

10% kids 15% adults

Question 26

fever, rash and tachy after penicillin

Answer 26

jarch-herxheimer give anti-pyretics

Question 27

medication that stops other stuff working as well

Answer 27

rifampicin

Question 28

screening before rituximab (non hodgkins)

Answer 28

Hep B

Question 29

dengue fever

Answer 29

headache behind eyes fever facial flushing rash thrombocytopenia

Question 30

risk of 0.9% NaCl

Answer 30

hyperchoraemic metabolic acidosis

Question 31

deficiency thats a side effect of metformin

Answer 31

b12

Question 32

post op complications hrs vs days

Answer 32

hrs - perforation or bleeding days - anastomotic leak

Question 33

TCA overdose

Answer 33

dry mouth, retention, constipation dilated pupils wide QR increased potassium

Question 34

treatment of TCA overdose

Answer 34

bicarbonate

Question 35

treatment of motion sickness

Answer 35

1. hyoscine 2. cyclizine 3. promethazine

Question 36

treatment of schisto

Answer 36

praziquantel

Question 37

glabdular fever + sport

Answer 37

avoid contact sport 4 weeks after