Document Flashcards
Who does post-natal baby checks?
GP
Cyclizine mechanism of action?
Anti-histamine, piperazine derivative with H1-recpetor antagonist
Ondansetron mechanism of action?
5-HT receptor antagonist
Mechanism of action of Domperidone/prochlorperazine?
Dopamine antagonist - Domperidone is a peripheral dopamine (D2 and D3) antagonist
Saline electrolyte levels?
Na 154, Cl 154, all else 0
Dextrose fluid electrolyte levels?
Glucose 50, all else 0
Hartmann’s electrolyte levels?
Na 131, Cl 111, Bicarb 29, K 5, Ca 2
Saddle nose problem, high serum ACE (-ve canca). Dx?
Sarcoidosis - NB GPA not answer here
32 year old female with symmetrical polyarthritis and proteinuria?
SLE
Female with dactylitis and DIP?
Psoriatic arthritis
Male with sternal pain, lytic lesions - what Ix to Dx?
Protein electrophoresis to look for Bence-Jones proteins in MM
What therapy is Beck’s triad?
CBT
What fruit/veg interacts with Warfarin?
Green veg as high in vitamin K
Freudian theory
Psychoanalytical
Fruit that interferes with statins?
Grapefruit
Someone taking amoxicillin who comes in vomiting?
Alcohol?
Surfer who has gradual hearing loss?
Exostosis
Someone with hearing loss after getting off a plane?
Tympanic membrane rupture or glue ear
Female with dysphagia and anaemia?
Patterson-Kelly-Brown - this is a condition where iron deficiency is associated with a post-cricoid oesophageal web
Mild dyskariotic smear result - what to do?
Repeat smear in 6 months
Severe dyskariotic smear result - what to do?
Colposcopy
Colposcopy shows ulcerated/malignant type lesion with discharge - what Tx?
LLETZ
Man dragged out of the river from drowning. What type of shock and ABGs?
Hypothermic - mixed metabolic and respiratory acidosis
Man in RTA, c-spine ok, airway ok, weak radial pulse. What type of shock is most likely?
Hypovolaemic
Someone you give fluids to then they rapidly deteriorate - what do you do now?
Stop fluids, give IV furosemide
Adrenaline doses - what does 1:1000 mean?
1mg = 1ml of the fluid
Pulseless VT - what Tx?
Amiodarone 300mg (know dose)
Bradycardia what Tx?
Atropine 500mcg
Someone on SABA and steroid using SABA 4 times a day - next step?
Add LABA
Why doesn’t trimethoprim work for upper UTI?
It doesn’t penetrate renal parenchyma
Why does antibiotic not help ulcer on foot?
It needs drainage - abscess walled off from the drug and so the bacteria live on
Rectal issue - too painful to examine - what do you do?
Examine under anaesthetic
Blood on toilet paper, painful?
Anal fissure
Ank spond and then has blood diarrhoea for 2 weeks. Dx?
UC
Cruise down Nile river and then watery diarrhoea 6 weeks later - Ix?
Test urine or stool microscopy to look for eggs
Ix for chlamydia in male?
First pass urine for PCR
Man Tx with antibiotics for a presumed pneumonia, smoker, returns 6 weeks later still hoarse. What do you do?
Refer urgently to ENT
Bullous pemphigoid BM appearance?
IgG linear deposits
Stabbed in the neck and shoulder pain - what nerve damaged?
Axillary nerve
Elbow replacement then tingling in ring finger, positive Froment’s sign?
Cubital tunnel syndrome
Internal and shortened limb?
Posterior dislocation at hip
Tx of tibial fracture in middle aged?
Closed fractures with minimal displacement are managed non-operatively with a leg cast - cast application is delayed 3-5 days to allow time for swelling to reduce. Open fixation required if it is an unstable fracture
Anterior uveitis Tx?
Topical prednisolone
1st line in AACG (glaucoma)?
IV acetazolamide
Preeclampsia prevention?
Aspirin, Labetalol, Nifedipine, Hydralazine
Women without uterus has hot flushes and night sweats. What HRT do you use?
Oestrogen only
Woman aged 39 with TAH BSO for endometriosis - what do you put them on?
Sequential
First Mx for squints?
Correction of any refractive errors
MS optic neuritis left eye
Central scotoma
Man, 21, MS presentation picture, nystagmus and pupils not looking the same direction?
Internuclear ophthalmoplegia
Heliotrope rash and liner streaks hands
Dermatomyositis
Woman collapses, has high potassium and low sodium, daughter says she hasn’t taken her meds?
Addisonian crisis
Tx for acne in girl wanting contraception?
Dianette - OCP
White patches vaginal walls?
Candida albicans
Bilateral red eyes in child?
Chlamydia conjunctivitis
Woman with a lesion on leg, hard centre, getting it checked after her friend had skin cancer. Its been there for years?
Dermatofibroma
Absent granular layer, hyperproliferation of keratinocytes?
Psoriasis
Someone who can’t consent to treatment after accident what law?
Common law
Schizo woman being detained who does she go to to appeal?
Advocacy worker
Malaria and typhoid tx?
Malarone. Typhoid also ampicillin
Haematuria in someone coming back from abroad?
Schistosomiasis
Woman taking NSAIDs for hip replacement develops bleeding. What ulcer type?
Acute erosive gastritis
Hypothermia ECG change?
J-waves
Best way to measure BP in 65 year old man in HDU?
Invasive BP monitoring
Best way to measure BP in GP surgery?
Validated arm cuff (semi-automatic)
Best way to measure BP in white coat hypertension?
Ambulatory monitoring
65 year old lady vacant pauses, distracted. Lasts several hours and recovers in less than 24hrs?
Partial status epilepticus
Most apt thing these children can do?
Child born at 34 weeks no issues, now 1?
Cruising round furniture
Most apt thing these children can do?
Child born at 40 weeks, now 3 months old?
Head control
Child at 2 weeks old, very unwell, respiratory distress, temperature. What is likely causative organism?
RSV - bronchiolitis
Child who was feeding well until change from milk to solid foods?
Coeliac disease
Scan for someone with prostate cancer and back pain?
Technetium bone scan
MI patient. What Ix?
ECG and Troponin - there is each on their own as well so be careful not to miss it
1st line for BPH?
Tamsulosin - alpha blocker
Someone on IV co-amoxiclav and clarithromycin for severe pneumonia whose obs have been stable for 48 hrs. What do you do?
Step down to oral doxycycline
