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PSA > Extras > Flashcards

Extras Flashcards

1
Q

Long term treatment post STEMI

A

Aspirin lifelong
Clopidogrel or ticagrelor for - 1 month if no/bare stent
or for 12 months if drug-eluting stent

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2
Q

Long term treatment post NSTEMI

A

Aspirin lifelong

Clopidogrel or ticagrelor for 12 months

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3
Q

Long term treatment post TIA, Ischaemic stroke or PAD

A

Clopidogrel lifelong

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4
Q

In which 4 situations should oxygen therapy not be used routinely with no evidence of hypoxia?

A

MI/ACS
Stroke
Obstetric emergencies
Anxiety-related hyperventilation

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5
Q

What should you use in COPD patients for O2?

A

28% O2 in a 4L/min venturi mask

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6
Q

Write the 7 UKMEC3 criteria for prescribing the COCP - what does this group mean?

A 
>35, smoker of <15 a day
FHx of 1st degree relative VTE <45
Carrier of BRCA1/2
Controlled hypertension
Immobility
BMI >35
DM diagnosed >20 years ago - can be UKMEC4 if severe

These mean that the disadvantages of prescribing outweigh the advantages

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7
Q

Write the 8 UKMEC4 criteria for prescribing the COCP - what does this group mean?

A 
>35, smoker of >15 a day
Previous VTE or thrombogenic mutation
Previous stroke/IHD
Uncontrolled hypertension
Major surgery with prolonged immobilisation
Breastfeeding <6 weeks postpartum
Migraine w aura
Current breast cancer
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8
Q

In whom should steroids be gradually withdrawn?

A
  • received more than 40mg prednisolone daily for a week
  • received more than 3 weeks’ treatment
  • been given repeat doses in the evening
  • taken a short course within 1 year of stopping long term therapy
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9
Q

What adrenaline do you give in cardiac arrest?

A

10ml of 1:10,000 IV adrenaline

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10
Q

What adrenaline do you give in anaphylaxis?

A

0.5ml of 1:1,000 IM adrenaline

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11
Q

What is first line triple therapy for H.pylori eradication?

A

PPI + Amoxicillin + Metronidazole

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12
Q

What is first line triple therapy for H.pyloti eradication if pen allergic?

A

PPI + Clarithromycin + Metronidazole

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13
Q

What drugs are contraindicated in heart failure? (4)

A

Pioglitazone - fluid retention
Verapamil - fluid retention
Steroids - Fludrocortisone - fluid retention
NSAIDs - fluid retention

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14
Q

What drugs are contraindicated in ischaemic heart disease? (3)

A

HRT/COCP
NSAIDs
Veranicline (smoking cessation, nicotine receptor agonist)

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15
Q

What is classed as high risk after surgery for the dose of enoxaparin?

A

Over 60
Active cancer
Anaesthesia time >90 minutes

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16
Q

What is the standard treatment for hyperkalaemia?

A

10 units of Insulin aspart (Novorapid) in 100ml of 20% dextrose over 30 minutes IV

PSA (9 decks)

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