CAP test revision Flashcards
If a patient suffers from asthma and is already on salbutamol + and ICS what is the next line of therapy?
LTRA (leukotriene receptor antagonist) - monteleukast
before LABA
What is the most common site of ulcerative colitis?
REctum
What is A1AT deficiency?
Emphysema like symptoms - commonly misdiagnosed as asthma/COPD (young patients)
What treatment is given for periods of watery diarrhoea interspersed with normal stool?
High dose laxatives
What must be abnormal to indicate pancreatic damage?
Serum amylase
When giving defibrillation what is the ratio of shock to CPR?
Single shock followed by 2 mins CPR
What can a third heart sound indicate?
Either physiological if otherwise healthy or due to CCF
What effect can acid suppression (omeprazole - PPI) have upon the stools?
Cause diarrhoea - C. diff
Why does splitting of the 2nd heart sound occur?
When the aortic and pulmonary valve closure isn’t synchronised - usually physiological
How is toxic megacolon diagnosed?
AXR if have signs of systemic upset (can occur in UC)
What side effects can ivabradine cause?
Bright spots in vision
What treatment is given for AF if asymptomatic?
None
If acidotic, what diseases are considered if in pain or have no pain?
No pain = ketoacidosis
Pain = mesenteric ischaemia
What are the symptoms of cholangitis?
Jaundice, fever and sepsis