CAP Year 4 Flashcards
What is the management of a patient identified as MRSA positive on routine screening?
Daily skin washing Single room PPE for staff Clean furniture and equipment No antibiotics
What is the most common cause of reiters syndrome?
Chlamydia
What are the clinical features of carotid artery stenosis?
Ischaemic attacks e.g. amarosis fugax
What is the management of carotid artery stenosis?
Anti-platelet medication
If high grade >70% - carotid endarterectomy
How do you calculate the number of units in 1 litre of alcohol?
In 1 litre - % alcohol =no. of units
What is the first line treatment for intermittent claudication?
Life style modification
Is Olanzapine safe in pregnancy?
Yes
When is ECT indicated in depression?
Emergency presentations of severe depression where life is at risk
Management of viral gastroenteritis in children?
Advice re Hydration and fluid intake
When should a patient with bronchiolitis be admitted?
When they have low saturations
What drug can be used in Hyponatraemia cause by SIADH where fluid restriction is unsuccessful?
Demeclocycline
What are the two functions of parathyroid hormone?
Increases calcium levels by increased reabsorption from the kidneys
Increases conversion of Vitamin D to 1,25 hydroxy vitamin D which increased calcium absorption from the gut
Signs of WARMD?
Neovascularisation and haemorrhage at the macula with eventual scarring.
What is Addison’s?
Auto immune adrenal failure
Why does Addison’s cause tanning of skin?
Additions has low cortisol and high ACTH.
ACTH comes from a pro-hormone which also makes melanocyte stimulating hormone
How can diagnosis of polymyositis be made?
Muscle biopsy
What is the most common causative organism of pneumonia?
Step pneumonia which is gram positive diplococci
What is the most common cause of encephalitis?
Herpes simplex
Which 3 groups are more likely to be affected by listeria?
Neonates
Elderly
Immunocompromised
What is the least teratogenic anti-epileptic for women of child bearing age?
Lamotrigine
What does delay of femoral pulses in a new born suggest?
Coarction of the aorta
What are defensins?
Small cysteine rich cationic proteins that bind to microbial cell membranes and asset in killing cells
What is seen on biopsy in dermatitis herpetiformis?
Granula IgA at the dermal papillae
What fluid management should be given in severe pre-eclampsia?
Fluid restriction due to poor renal function. 80mls NaCL if urine output low - measure output.