CCC must knows Flashcards
Bowel cancer screening age
60-74
breast cancer age screening?
50 to 74 years old
Alcohol related neck pain?
Hodgkins lymphoma => Dex
How long between having a seizure and being able to drive again? Exception to this?
12M
Unprovoked via CT + EEG => 6M
Most common type of Oesophageal Ca in white people?
Adenocarcinoma
Most common type of Oesophageal Ca in african people?
SCC
Flare up colitis?
Methylpred.
Dexamethasone 16mg needs what else?
30mg Lansoprozole OD
Instead of Oxybutynin in old people what else do we use?
Mirabegron (urge incontinence)
MSH1/MSH2 mutations?
Colorectal / ovarian / endo cancers
Most common thyroid cancer?
pap. cancers
we okie to give Midazolam for dementia patients in palliative EOL care?
Nah give Haloperidol as benzo makes it worse
codeine is what strength to morphine
1/10th
100mg codeine in 10mg Morph
stqage 4/5 chronic kidney disease needs what type of pain relief in syring driver?
Alfentanil
positive FIT test => ?
Colonoscopy
Biphosphonates are a type of …. that can be used for bony metastasis for pain?
Adjunct => can help relive pain in bone metastasis
Drug induced N+V what to give for SC?
Haloperidol 0.5mg SC
do we stop metformin in End of life@?
yes
Just dont stop anti-epileptics
U+E for tumour lysis syndrome
Inc. Urate / K / Phosphate
Low Calcium (phosphorus mops up calcium so means it becomes low)
Vincristine associated with peripherael neuropathy?
What do we give it in?
Yes
=> give it in non-Hodkins lymphoma
Can radiotherapy cause ED?
yes
Constipation as a common SE of Clozapine?
Yea
travellers diarrohoea organism?
e.coli
Q-risk of >10%?
20mg atorvastatin
most common cause of Downs/
Non-disjunction mutation
*chromosome doesnt split properly
Raised plaques / pruritis / soreness on penis?
candida => flucolonazole
if >65, do we need to confirm with a dipstick that they have a UTI or can we clinically just give them Dx and Abx
dont need dipstick in >65
normal / higher PTH + high calcium + low phosphate?
Primary hyperparathyroidism
Coagulase negative staph? CLUSTERS
Staph epidermis for catheter lines
=> Gram+ cluster Cocci
All of face droop inc. forehead?
Bells => Pred 10days
smooth, firm, painless, mobile lump breast
Fibroadenoma
<20 cigs a day = what mg of nicotine?
>20 cigs = ?
<20 => 2mg nicotine
> 20 => 4mg nicotine
Ovulation strips measure what hormone?
LH
Rheumatic fever = what criteria?
Jones criteria
Strep A (pyogenes) => PenV
common sit for colon cancer to spread?
liver
Can we give transdermal HRT in VTE risk?
Yes
Oxybutynin CI in what condition eye
Glaucoma
Lichen what with the vag thats itchy? *doesnt inc. Ca risk
Lichen Sclerosis
Planus increases Ca risk
Severity scale for COPD?
MRC
SAMA example
Albuterol
2nd line for COPD
SABA + LABA + ICS
target for those on sulph + insulin for HBA1C
53
Which diabetic causes weight gain?
Gliclazide ( +hypos)
Assessing end organ damage with BP?
Urine dipstick (AcR)
Scoring system for astroke?
Bamford Oxford
NT-Pro BNP?
HF
400-2000 urgent referal within 6 weeks
>2000 => 2 weeks
ACS driving?
No driving 6 weeks
1st line PMS?
COCP
=> GnRH + SSRI if wanting kids
What sizes of fibroids warants different management?
> 3cm => GnRH => Myomectomy
<3cm => IUS + COCP
If ovarian cyst <5cm?
Self resolve
1st Trimester threshold anaemia?
110
2nd trimester threshold anaemia?
105
If previous GDM when to do OGTT?
16weeks
Abruption risk factors
ABRUPTION
A - Abruption
B - BP high
R - Rupture membranes
U - uterine trauma (car seat belt)
P - Polyhydramnios
T - twin
I - Infection
O - Older age >35
N - Narcotic use
Hodkins vs non hodge?
Hodg => reed sternburg cells
Tumour of lymphocytes (B+T for both types)
hodgkins => Alcohol pain
headaches triggered by coughing?
Red flag => raised ICP
Type of rash appearing around pregnancy + umbilicus?
Pityriasis rosea
Earliest possible ovulation date is worked out by length of cycle?
-14 days
SE of POP MH?
Depression
Pregnancy UTI?
Amoxicillin
type of therapy for colon cancer?
chemotherapy
=> radiotherapy doesnt do a lot in colon
Painless haematuria in the absence of symptoms?
Dipstick => bladder cancer
=> excluse infection
raised ALT / ALP / GGT
stones => USS Abdomen
1st line ABx for animal bites
Co-amoxiclav
hypercalcaemia / (any toxic metabolic cause) => vomiting what to give?
Haloperidol
stool softener?
Docusate
=> if no change in bowel frequency just needs softer give docusate
type of aki in prostate cancer
Pre renal -> obstructive uropathy
electrolyte inbalance from thiazides?
Hyponataemia
FEV1/FVC >70?
normal
if either FEV1 or FVC are lower than 80% is that normal
abnormal
what to give for cancer related breathlessness?
oramorph 2.5mg PO
Class of bumetanide?
loop diurtic
foot drop nerve
l5
systolic drop >?mmHg HTN
20
=> at 1 + 3 mins => orthostatic
Protamine
reverses heparin
Negatively Birefringent needles
gout
Positively Birefringent Crystals
pseudogout
Riluzole?
MND
ropinirole?
Actiavtes dopamine in Parkinsons (mimics dopamine)
is increased ovarian volume involved in the rotterdam?
yes + 12follicles
what cancer = ADH + Cushings?
Small cell
renal colic dx test?
CT KUB
COPD with asthmatic features post SABA management?
LABA + ICS
No asthmatic features => SABA + LABA + LAMA
LAMA example
tiotropium
sumatriptan for cluster headache is CI when?
Coronary Artery disease
=> so just give high O2
head traumas typically cause what tyype of seizure
Myoclonic
Primary Biliary Cholangitis associated with what Antibodies?
Mitochondrial
Thyroid storm tx?
IV Propranolol
Buscopan given for?
IBS
=> antispasmodic
UTI dipstick in older people
no
HYPOKALAEMIA + HYPONATRAEMIA seen in
Anorexia
> 15 mins seizing
Pheynytoin
antiphospholipid syndorme pregnant what to start them on
Aspirin + LMWH
WHat to give in delirium agitation
Lorazapam 0.5mg Oral
=> haloperidol 0.5mg oral if no Ci
is hypercalcaemia RF for delirium
yes
=> dementia delirium is a thing
chemo nail changes
Taxane
Doxorubicin is a …
Anthracyclines
syndrome associated with breast cancer, osteosarcoma & soft tissue sarcomas
Li-Fraumeni syndrome
anti-emetic in renal impairment
Haloperidol
mesothelioma death?
Coroner
when would u not use Q-risk
CKD
when do we recheck statins
3M / yearld
med for diabetic neuropathy
Duloextine