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COTE Flashcards

1
Q

What is PERC?

A

Pulmonary Embolism Rule-out Criteria, an initial screening tool to assess if the patients could be having a pulmonary embolism.

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2
Q

In what condition is haloperidol contraindicated?

A

Parkinson’s disease

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3
Q

In a well, but cognitively impaired patient, what can cause delirium?

A

Change in environment

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4
Q

Describe hypoactive delirium

A

Withdrawal
Lethargy
Slow responses

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5
Q

What is 1st line in Lewy body Dementia?

A

Acetylcholinesterase inhibitors e.g. donepezil, rivastigmine

Memantine

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6
Q

What should be avoided in Lewy body dementia?

A

Neuroleptics e.g. haloperidol due to possible development of irreversible parkinsonism

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7
Q

What is the action of Memantine?

A

NMDA Receptor antagonist

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8
Q

What additional blood tests form part of the confusion screen?

A 
TSH
B12
Folate
Glucose 
Bone profile (Calcium)
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9
Q

What is the START tool?

A

Screening tool to alert doctors to the right treatment tool. It is used in patients with multiple morbidities, especially elderly patients, to decide whether the introduction of a new medication will be beneficial.

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10
Q

What suggests a diagnosis of delirium rather than dementia?

A

Impairment of conscious level

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11
Q

What class of drug can cause a gout flare up?

A

Thiazide diuretics e.g. Indapamide

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12
Q

What is PRISMA-7?

A

A validated questionnaire that can be used to confirm frailty in an individual

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13
Q

What is GPCOG?

A

A test designed as a GP screening tool for dementia

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14
Q

When is memantine therapy immediately indicated in Alzheimers?

A
  1. Ach inhibitors are contraindicated

2. Severe Alzheimers

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15
Q

What is a unilateral, hyper dense, crescent shaped area on CT head?

A

Subdural haemotoma

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16
Q

What is Charles Bonnet syndrome?

A

Associated with visual loss, patients describe smaller versions of real life objects. They know that the hallucinations are not real.

This is due to damage of the visual system and not a mental health disorder

17
Q

What is the treatment for Charles Bonnet syndrome?

A

Reassurance

18
Q

What can be used to raise blood pressure in orthostatic intolerance and adrenal insufficiency?

A

Fludrocortisone

Passmed Flashcards (10 decks)

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