Good to know Flashcards
legal highs ECG
SVT
ECG with U waves, look out for
hypokalaemia
hyperK mx
Ca gluconate
pic eye in sink
pareidolia
guy in underwear, enlarged hands with headache
most likely accompanying symptom + Dx
visual disturbance // acromegaly
Tx of CT IC mass w/ symptoms
dexamethasone
post-op px with significant blood loss intra-operatively
pulm. oedema due to fluid overload
hyperCa anti-emetic of choice
haloperidol
pic uterine fibroid. most likely symptom
menorrhagia
anti-emetic in gastric stasis
metoclopramide (if colicky pain –> hyoscine butylbromide)
suicidal px wants to leave the ward. known hx depression. which MHA?
find out if 2 or 3
px with 17-hydroxylase deficiency (congenital adrenal hyperplasia)
DDx salt-water crisis from hypertensive encephalopathy (probs this)
when can baby sit unsupported
9m
LA to give in hysterectomy
bupivacaine (longest acting?)
HbA1C of 50 with no symptoms. next step
repeat in 30mins? 1 week?
changes to T1DM insulin prior to surgery
reduce by 20% the day before
child w/ constipation where movicol didn’t work
lactulose
refractory depression & self neglect mx
ECT
OCD px mx
ERP
lost sensation in hands & legs after car accident
conversion disorder
lady presents to GP with myriad symptoms over 3 years with no findings
somatisation
post-depression tx, now wants to work on her problems, dealing with grieving for her deceased mother & improve relationship with children. what therapy
interpersonal therapy
guy taking lithium + amitryptilline + SSRI. experience symptoms (tremor, tachycardia)
lithium toxicity or serotonin syndrome
prim lady 1hr in 2nd stage labour, baby at -2 station. what next
?c-sec
lady ran 2 marathons, lanugo hair
anorexia nervosa
px with hashimoto’s. what associated condition?
coeliac disease
cancer screened in men
bowel
MSM, what tests to do
3 site test
pink gram stain diplococci mx
IM ceftriaxone (gonorrhoea)
growth chart showing macrosomia. what condition
gestational diabetes
perineal tear, muscle involved, sphincter spared
2nd degree
male with clear penile discharge. organism
candida // chlamydia
picture of laproscopy with adhesions
chlamydia or gonorrhoea
gowers positive, inheritance pattern
x-linked recessive
candida in pregnancy
vaginal clotrimazole
asthmatic lady feeling anxious. ABG shows hypoxia & hypocapnia. asthma or anxiety
asthma (hypoxia)
how to alleviate deteriorating COPD with BiPAP
probs reduce (see aaqid response)
FBS pH 7.23. what next
repeat in 30mins
CKD, got AKI, pH 7.16. what next
renal replacement therapy
drug chart filled out wrong, less morphine than needed. what will happen?
pain
efast indications
penetrating chest trauma etc
NOT DEFINITIVE Dx
endometrial tissue in myometrium
adenomyosis
restrictive lung disease O2 support
find out
electrolyte to check to prevent seizures
sodium vs magnesium
most common TCA SE
dry mouth (others include blurred vision, drowsy, tachycardia)
difficulty swallowing from birth
laryngomalacia
best anti-depressants for bulimia
fluoxetine
tx Duke C bowel cancer
adjuvant chemo
started on lithium but then came issues, what med to stop
fluoxetine
woman says husband has been replaced
copgras
lifestyle protective factor against N/V
smoking
overdose with dilated pupils, hypotension, tachycardia
TCA
E coli UTI in 5 year old imaging?
nope
cancer with mets in brain & lungs mx
chemotherapy
rectal cancer on chemo, vomit dark blood & not opened bowel or passed flatus
large bowel obstruction
cancer most likely to have cause SVCO in non-smoking guy
NSC lung cancer
smoker & shipyard worker cancer
mesothelioma
inferior STEMI drug to give
aspirin
what is used to monitor HIV progression
viral load
UTI antibiotic in someone on methotrexate
nitrofurantoin (trimethoprim can increase risk of bone marrow suppression)
Squint exam which a picture of how eye is more lateral, does not move when covered. Then the opposite eye when covered moves laterally and bad eye is centred
manifest convergent
Down’s neonate not passed meconium after 3 days, best initial investigation
abdo XR
Bronchiolitis kid not eating half their feeds and oxygen normal
NG tube
Cancer patient with N/V. Lots of nausea and frequently vomiting, which antiemetic
haloperidol
N/V cancer patient on morphine
levomoprmazine?
initial vs definitive intussusception mx
pneumatic reduction –> laparotomy
mirena most common side effect
irregular bleeding
Which vaccine not to give in a kid with HIV
MMR
Early morning headache in a kid but no tumour on scan
idopathic IC HTN
Kid coughing and gets apnoea, lymphocytosis
pertussis
Woman had 1 miscarriage, 2 vaginal births, 1 stillborn, 1 LSCS for twins (counts as one) and currently pregnant, what is her gravidity
6
Foetus at right occipito anterior, what to do
c-sec
Woman just started COCP and now post coital bleeding
ectropion
Post-partum contraception
nexplanon (?)
Man is dying from cancer and cannot be roused, family there and need DNACPR. who signs?
consultant
At what age can a kid draw a square
4
Kid with stridor and facial swelling
OXYGEN FIRST THEN ADRENALINE
Woman had eye pain and now arm feels like it is burning and loss of gait
multiple sclerosis
Woman in shock after giving birth but no blood
intraperitoneal haemorrhage vs uterine atony
Which antibiotic to give to a chemotherapy patient with neutropenic sepsis, confirmed to be E coli in bloods and lines have been swabbed
tazocin –> meropenem if ESBL
what to give with morphine for cancer px
senna (or docusate?)
what to give for breathing problems in cancer
morphine
COPD patient in very bad state on non-re-breathe, oxygen unrecordable. what next?
ABG
Well’s 3
D dimer
Woman felt hot so sat down, then fell and arms twitched, quickly recovered, and now has a headache and vomiting
vasovagal syncope (?)
Who consents the patient for an operation
anaesthetist
Guy with a head injury, gave Us and Es, what to prescribe
mannitol
Guy on bendroflumethazide now has a red, hot swollen ankle
gout
Which organism causes aplastic crisis in sickle cell
parovirus
Oxygen in hand higher than foot Mx
PDA –> give ibuprofen
Patient in a care home acting aggressively over 2 days. what to do
(probably) look for organic causes
newest vaccine added to 8 weeks
MenB
Pregnant 16-year-old, emergency c-section needed, which type of consent
informed verbal
Man with leg weakness and urinary problems, also has high PSA
MRI spine
Patient with schizophrenia, never tried medication before, give
risperidone
Hydatidiform mole, next step in management
surgery
best way to check intubation
end tidal CO2
bronchiectasis w/ 84% O2 and not distressed ro cyanosed. which O2 device?
24% venturi
fever, jaundice, RUQ pain (charcot’s triad)
cholangitis
when to stop breastfeeding before surgery
4hrs
pneumothorax leading to shock. cause
obstructive (?)
elderly man with lower backpain, getting worse, radiates down his leg, taking codeine that worked initially but stopped as causing constipation, what is most worrying about his backachered flag
age
old man on diuretics + antihypertensives with high K. Mx?
calcium gluconate
tx post-op vomiting
ondansetron
Elderly lady with a distal radial fracture, she drank 2 hours ago, best first drug to help with manipulation
ketamine
man stabbed and bleeding. how to manage
direct pressure
guy took drugs and seized for 30 mins. teeth clenched with blood stained saliva. airway mx?
NPA
asthma exacerbation already had salbutamol, ipratropium bromide, oral prednisolone. what’s next?
mag sulph
with pneumonia. shocked despite fluids with metabolic acidosis and 38.5C. what next
more NaCl?
Teen went to a party and now in ED with dilated pupils and sweaty and agitated, GCS of 4, temp of 40
cocaine
man with meningitis. gave fluids. what next?
fluids (?)
hyperK tx when ECG changes don’t go away
more gluconate
NG tube confirmation
aspirate –> advance & aspirate again –> CXR
Man with mets can no longer swallow and was on MST MR and has seizures, what to put in syringe driver?
diamorphine and midazolam
Stage 3 CKD and EGFR has dropped. What test to do for CKD
albumin:creatinie ratio, creatinine
Old man in a nursing home with temperature and productive cough with coarse crackles. What to prescribe
amoxicillin
amitriptyline most common SE
dry mouth
Painful, red foot which is itchy. Which antibiotic?
flucoxacillin
Old man with heart problems and declining renal function and HTN. Losartan lowers the HTN to 150 but CKD is worse, why?
renal artery stenosis (?)
Lady with mets takes co-codamol for bone pain, has MSK pain and N/V, also confused. why?
hypercalcaemia
Cancer patient with hyponatraemia and low osmolality. Which cancer?
SCLC
Cancer patient on morphine has constipation. Hard and difficult to pass. laxative?
movicol
Lady on radiotherapy for lung cancer in lower lobe. Most likely long term side effect?
fibrosis (?)
Cancer patient cannot swallow and has seizures so on lavatericetam, on fentanyl patch. What to give?
midazolam
Old lady fell, dizzy and unsteady. Positive HINTS test
vertigo (?)
Patient with NSC lung cancer with headaches and expressive dysphagia. Possible brain mets, most likely location?
parietal (?)
Cancer mets on immunotherapy, has low TSH but high free T4 and normal cortisol
thyroiditis (?)
Weight loss, abdo pain in a young woman. Inflammatory markers normal, loose stools but no blood, iron def anaemia. Cause?
coeliac (?)
Lady on multiple meds has diarrhoea and vomiting. Which to stop?
amitriptylline
Man wants HIV post exposure prophylaxis. When can he have it?
within 72 hours for 4 weeks
test at 6 weeks & 4 months
lady previously had GDM. what to do for next pregnancy
OGTT at 16w
40 weeks pregnant. Contractions but 2cm dilated. What stage is she?
stage 1
Heartburn in pregnancy. Which hormone caused it?
progesterone
29 weeks pregnant in pain, rigid abdomen. Fetal HR is 60
emergency c-sec
Best test for chlamydia
VV NAAT
Induced labour at 41 weeks and fully dilated. Pathological CTG. Fetus is in occipito-transverse position and at ischial spine
FBS (?)
Had an emergency C section, lochia is normal but abdo is tender and she is shocked. Why?
intraperitoneal haemorrhage
HIV patient on anti retrovirals and viral count below 50. What should his wife do?
too low to transmit (?)
Labour for 1hr, needs forceps after abnormal CTG. Baby’s head can be seen. Which analgesia?
entonox (?)
T sign seen on US at dating scan
monochorionic diamniotic twin pregnanc
Lady diagnosed with chlamydia and is 12 weeks pregnant. What to prescribe?
azithromycin
Man was with a man that had gonorrhoea and no condoms. What next?
first void chalmydia/gonorrhea NAAT
Ovarian cysts on US, 9cm complex but asymptomatic. BMI of 31, regular menstrual cycle. What next?
repeat US in 4 months
16 year old boy with cystic fibrosis is vomiting and has abdo pain. Poor weight gain/unable to feed, abdo distension., poor compliance/unable to tolerate creon. Most likely cause?
pancreatic endocrine dysfunction
Weaning advice sought, baby has eczema and mum has nut allergies. When can they have nuts?
wait until child is 6 months
4 year old girl has 6 week history of bone pain, easy bruising
ALL
DDx 13 year old girl has weight gain, tiredness, constipated. Sister has T1DM
autoimmune hypothyroidism
12 year old boy has change in personality and frontal lobe headache, had a seizure. What investigation?
CT head
Term baby girl has a systolic murmur on lower left sternal edge on newborn screening. Bilateral femoral pulses present. Cause?
VSD
5 year old constipated since being weaned at 6 months. Drinks a lot, has learning difficulties. Cause?
hypercalcaemia
13 month old girl is allergic to eggs and on high dose steroids. Why can she not get MMR vaccine?
high dose steroids
8 year old boy in ED is sick and drowsy. Headaches for 3 days, struggles to stay awake or wake up. Mum also has headaches and is also tired. Cause
CO poisoning
Patient has signs of hypercalcaemia, confirmed by U&E’s, most appropriate initial treatment
fluids
Woman had foul green discharge, no change in partner, treatment
metronidazole
At what age can a child draw a circle
3 years
Guy presenting to ED with signs of alcohol withdrawal, admits to being heavy drinker but hasn’t drank in 2 days cause his friend was staying with him, most appropriate management
admit for detoxification
Cognitive assessment for women with worsening memory in GP
6-CIT
Patient just had TIA, scores 2 on ABCD2. Mx
aspirin 300mg
Guy that had a fall, was shocked, had cold peripheries, hypotensive despite 3000 ml of fluids, ECG normal, most likely shock
haemorrhagic
5 year old girl had first UTI and responded well to antibiotics within 48 hours, investigations
none needed
Patient with first rank symptoms presenting at 20 years old, no prev psych medication, what would you start him on
risperidone
Guy had bowel cancer, removed in surgery and was found to have Duke’s C, next management
adjuvant chemo
ICU bradycardia mx
adrenaline
In the WHO checklist, who checks the person’s name tag
person anaesthetising the patient
FBS of 7.2
recheck in 30 mins
Guy is on section 2 but is running out, needing on going treatment for his schizophrenia but wants to go home
admit under section 3 of MHA
Vaginal tear in vaginal mucosa, but internal anal sphincter and perineal muscles in tact
grade 1
Woman with advanced cancer with brain mets has a lot of nausea, worse in the morning
cyclizine
Guy taking max dose of co-codamol and ibuprofen but not helping with the pain, what would you do
stop co-codamol & start MST
important fact about timing of prinzmetal angina
doesn’t happen during exercise
cause of elevated CK in heroin withdrawal
rhabdomyolysis
Guy feels like insects are crawling on his skin. this is called
tactile hallucination
Woman being treated with breast cancer radiotherapy, develops symptoms of pleural effusion (dull to percussion) management
talc pleurodesis
diabetic foot infection mx
flucloxacillin –> macrolide/doxycycline
woman heard a sound in the bus and said it felt ‘outside her brain’
pseudohallucination
kid having hallucinations post-op
ketamine
coughing after intubation - agent
glycopyrellate (dries mouth) / sugammadex / neostigmine
70 something year old woman with bleeding, most appropriate tests
USS (?)
How long to give PEP for after baby is born
6 weeks
Which cancer would you screen for in men
colorectal
Patient on lithium and TCA, recently prescribed fluoxetine, becomes agitated, high temp, restless and tremors
serotonin syndrome
Guy compliant with his olanzapine for 3 months, but not working, what would you do
oral haloperidol (?)
Young guy type 1 diabetic passed out after a night out. metabolic cause
hypoglycaemia
Young guy went to sleep after night out, when he went to pee he passed out. cause
vasovagal
Pregnant lady with gestational diabetes, presents at 34 weeks with baby in 95th percentile, management (she wanted a vaginal delivery)
discuss c-sec (?)
Lady on carbamazepine, doesn’t want IUD anymore, what next contraception
injection (?)
Long term ventilation in ICU, wean off ventilator with
tracheostomy
What is most likely stopping this from being a day case🡪 lives alone, ASA grade 2, diabetes, age > 65, laparotomy
laparotomy
Vaginal tear, through to perineal muscles and <50% of internal anal sphincter
3a
Just been on COCP, same partner for the past 2 years, developed PCB
ectropion (?)
Mother has CF and dad is a carrier, likelihood of child having it
50%
What vaccinations at 3 months
6-in-1 // menB // PCV
thought this wife was replaced by someone else
copgras delusion
depression Screening for lady in GP with low mood
PHQ-9
Schizophrenia patient, been on medication, hallucinations are gone but now apathy, lack of motivation, withdrawn, cause
negative symptoms of schizophrenia
Nurse that had bad experience with needle and now has phobia, affecting her job, best management
exposure & response therapy
Definitive diagnosis for COPD patient that had sudden onset pleuritic chest pain and breathlessness, no change in his normal cough
CTPA (PE)
Woman had forceps delivery, presents few days later with abdo pain, offensive lochia
endometritis
Guy that is on meth/coke says he wants support to stop taking drugs immediately, tried before but had unpleasant withdrawal symptoms, what would you do
community addiction services
Girl has always had really heavy periods, so has her mom and sister, what investigation would be most important
coagulation screen (von willebrand)
Diabetic with hypertension, recently started on 2.5 mg Ramipril, during follow up he still has high blood pressure, what would be the most appropriate investigation
U&ES (?)
What is true about ambulatory blood pressure
must take reading morning and evening
4 day old baby has not passed meconium, you are suspecting features of down’s syndrome, most appropriate investigation
abdo XR
Patient presents with difficulty swallowing due to pain, with central lung cancer invading the mediastinum, recently had radiotherapy, now has thrush in his mouth, what is the most likely cause of his dysphagia
thrush
radiotherapy induced oesophagitis?, extrinsic pressure on oesophagus, invasion into oesophagus
Patient that has mesothelioma died, what would you tell his family
death needs to be transferred to coroner
Patient that was on chemo now has burning on hands and feet
hand-foot syndrome
Man with COPD given oxygen 35%. ABG showed mild respiratory acidosis. Oxygen was 13kpa (Normal)
What is the next initial management?
NIV (if there’s also T2RF)
Boy had terrible headache that last for 6 hours. Has to sleep it off before gets better
migraine (triptan if >12)
Lady with cognitive impairment, difficulty finding words + blind. Which is the best test for her
6-CIT
Woman under rapid sequence induction, then muscle twitches. what agent
suxamethonium
Man given conscious sedation for reduction of shoulder. Then had pinpoint pupils & – RR. agent
fentanyl
Lady put under this drug to sleep. Sudden hypotensive, and pulse not palpable
propofol
Patient is under GA. Then developed hypotension with rash. I think normal HR or could be low
adrenaline
(dantrolene for malig. hyperthermia)
(metaraminol with high HR)
Patient came in with agitation and back pain after collapse. Patient was tachy and hypotensive. What is your initial bedside management
12 lead ecg (?)
Confirming death after auscultating hear sounds
Pupillary reflex
Patient present with dysuria, loin pain and fever vs Patient present with dysuria and fever
ciprofloxacin (pyelo) vs trimethoprim (UTI)
Co-codamol 30/500 not helping
Change to 20mg BD morphine but stop co-codamol
Patient with Left sided HF on ramipril, bisoprolol etc asked what med to give next?
spironolactone
What hormone dominates proliferative stage of menstrual cycle?
progesterone or oestrogen? (looks like oestrogen)
Guy wants to commit suicide and is leaving what would you do?
Section 5(2)
Guy with down’s lost mother 12 months ago + put tin in microwave and caused fire. Dx
alzheimer’s (?)
Patient with thoughts of wanting to spit in other peoples food. Sister has schizo what medication to give?
quetiapine
Child with bouts of coughing + lymphocytosis
pertussis
Lady with incontinence when coughing/sneezing + does not reach toilet in time
mixed
Stroke patient how long after to review?
6 months then annually
Woman with fight with boyfriend and blindness one eye
conversion disorder
Confirming a death central pulse and cardiac auscultation already done?
pupillary response
Patient with polyuria + abdo pain + thirst asked what you would measure?
serum Ca (?)
Patient with discharge etc + going to start on antibiotics. Which organisms to cover?
chlamydia, gonorrhoea, anaerobes
Pus cells + diploccoci + Green/yellow discharge
gonorrhoea
amenorrhoea. uterus + ovaries not present USS
genitourinary malformation
rash in child that goes over nappy and skin folds
candida
Child with hypotonia and poor feeding at birth but now hyperphagia
prader-willi (imprinting)
15 year old pre-pubertal + skeletal survey 13 year olds
constitutional delay
paeds Headache one side + blurred vision + has to sleep after
migraine
Child headache morning last two months + CT normal
non-organic/benign raised hypertension
Child vomiting + losing weight + squint
brain tumour
diarrhoea in dementia patient
donepezil (haloperidol?)
antidepressant with SE agranulocytosis
mitrazepine
Patient mood up and down periods of elation and depression
cyclothymia
do not take this with lithium
ibuprofen/NSAIDs
likely risk of IVF
multiple pregnancy
A man came in to GUM clinic. He had been having rectal pain, discharge (bleeding) and tenesmus for a week. He had a few casual male partners
gonorrhoea
A 7-year-old girl was brought in to the GP clinic by her mother. The girl had been suffering for 6 weeks of pain in her joints. Her mother also noticed that she had been more tired than usual for the past couple of weeks. There was also some rashes noticed by her mother. There was no abdominal pain or any change in the urine.
Upon examination, you noticed that she looked pale, and there were rashes on her body.
What is the most likely diagnosis?
ALL
A 10-weeks pregnant lady came in to EPAU after she noticed some spotting this morning. She denied any pain in her abdomen. On transvaginal USS, no intrauterine pregnancy was seen. There was also no free fluid and no adnexal mass seen.
What is your next step of management?
check bHCG level
The midwife was examining a lady’s perineum after her vaginal delivery. The midwife noticed that the lady had perineal tear involving the whole thickness of the external anal sphincter. The internal anal sphincter was intact.
What is the degree of the perineal tear?
3B
A 5-day-old baby was brought in to your clinic by his parents after they noticed some rash on his body. He was otherwise well and did not have any other symptoms
erythema toxicum
A girl came in with round raised lesions on her skin, which were painful to touch. Mother reported that her daughter had just finished a course of antibiotics for her sore throat
erythema multiforme
A man with HIV who had not been complying to his antiretroviral therapy came in with dry cough which started few weeks ago. Chest Xray showed no significant finding
Pneumocystisis jiroveci
A man with HIV noticed some purple-coloured lesions on his skin and inside his mouth
kaposi sarcoma
A man with HIV is complying well with his antiretroviral treatment. He noticed that his face had become flatter and the circumference of this abdomen had increased
lipodystrophy
A young man came in complaining of blood in his urine. Upon questioning, he admitted that he had been taking an illegal drug
ketamine
A man was found unconscious and cyanosed in the park. When he woke up, he admitted that he had been taking a drug prior to the episode
heroin
A young lady was brought in to the A&E by her friends. Upon arrival, she was tachycardic, tachpnoeic and hyperthermic. Her friends told you that they were having a party beforehand, where the patient had been taking a drug. She reportedly was telling her friend that she felt great after taking the drug, and that she loved all of them and would like to spread her love
ecstasy
A man came in to your clinic after being persuaded by his friends who were concerned that he had been acting strangely. When asked, he admitted that he had been isolating himself and feeling paranoid of other people. He admitted that he had been using a Class B drug
cannibis
A man came into your clinic seeking advice. He admitted that he had taken the medications prescribed for his sleep and anxiety more than what he should be taking. He said that he had a seizure after he stopped taking this medication
diazepam
A patient with depression is about to be started on a medication by his psychiatrist. He was told that he should not eat cheese or drink wine or have maritime while he is no this medication
phenelzine (MAOIs)
A patient with depression is about to be started on new medication by his psychiatrist. He was told that the medication could make him drowsy and gain weight. He was also told to seek medical help immediately if he is having infection as the medication can sometime change his white blood cell level
mitrazepine
BV in pregnancy management
are u sure metronidazole?
what can you ask a 2 year old to draw
line
MRC dyspnoea scale grades: Gets breathless walking on flat
4
Guy was going for operation, friend left him alone, smoker, took a drink of water 4 hours ago. Which factor was most likely to make you delay op
chest infection
Vague question about lady whose husband had had a change in character: become shaky, withdrawn and a bit slower on metoclopramide. What was his gait likely to be?
festinating (shuffling)
16 year old girl comes in because she believes she was sexually assaulted, who would you refer her to for examination?
forensic
Most appropriate psych test for lady with change of behaviour in GP surgery
6-CT
Treatment of hydatidiform mole
refer to trophoblastic centre
Person had renal failure, history of renal stones, had to determine what tests to do to start immediate management
CT-KUB (or USS?)
Young Child keep vomiting, they have been tried on gaviscon, what would you use next
thickener
Elderly gentleman with back pain – collapse a couple of hours ago – now: hypotensive, tachycardic etc which test bedside test would you do for immediate management
USS
Woman was recording thoughts about things that upset them in daily life. Had a social phobia and went to a party to see if people would talk to her, what form of psych treatment was she doing
systemic desensitisation
How long would you give a lady PEP for after she’s just delivered
4 weeks
Woman fight with boyfriend and gets blindness in one eye
conversion disorder
shock with cool pale peripheries
hypovolaemic // cardiogenic // obstructive
Click heard at apex for patient who is a smoker and has breathlessness: Diagnosis
pneumothorax
Occipital headache, photophobic, N&V what investigation
CT head
some milestones
A. Girl who can understand no, can sit unsupported
B. Child stoops down, Hand transference
C. 4 year old girl hopping on one foot for 2 seconds, draw a square etc
D. 50 words
E. 2-4 word sentences
Breast cancer asymptomatic found on screening
surgery?
diabetic nephropathy tx // renal artery stenosis tx
ACEi or ARB // angioplasty & stenting
polycystic kidney disease tx
dialysis –> transplant
best chlamydia test
VV NAAT
what class is Psilocybin
A
At what age can a child hold up a cup to drink?
9 months?
duration of pancuronium
long acting non-depolarising
anesthetic agent used instead of propofol for RSI
Thiopentone
mechanism non-depolarising muscle relaxants
Compete with acetylcholine for nicotine receptors
BV tx pregnancy
metranidazole? –> clindamycin –> erythromycin
when can a child eat with a spoon
we’ll see
Man in ICU for 2 weeks on mechanical ventilation – why?
weening off PEEP
when do you give syntometrine IM
3rd stage labour
what is lymphogranuloma venereum
chlamydia STI common in MSM
Testicular cancer with distant mets tx
primary chemo?
how does anorexia affect periods
hypothalamic dysfunction
Reversal of intraoperative bradycardia caused by drugs
glycopyrollate
medications irritant to be given as SC
Diazepam, chlorpromazine and prochlorperazine
Why do we perform the GUTHRIE test?
better outcome if treated early
MRI showing demyelinated areas in brain
MS
Woman with diplopia, has had several episodes of muscle weakness in past
myasthenia gravis
painless vs painful ulcer
syphillus vs herpes
Child with abdo pain and fever, recently had ‘cold’
pyelonephritis
Prostate ca and back mets
palliative RT
Sclc with mets
CT then RT
Nsclc mets to liver
surgery
cervical cancer
surgery and RT or combination
7yr old girl having to use salbutamol everyday, takes ICS regularly
add salmeterol
risk of developing seizure from febrile convulsion
2.5%
78yr old man with a physical comorbidity begins experiencing hallucinations and accusing wife of being unfaithful, treatment of which physical comorbidity could this be SE of
parkinson’s
Baby check, all normal kicking and has urinated and passed meconium in first 24hrs, except dimple lower back
USS?
Someone sitting in a corner responding to visual hallucinations, what drug did he take
psilocybin mushrooms
drug that ++ BP but causes reflex bradycardia
metaraminol
non-depolarising muscle relaxant used in RSI
vecruronium
drug that ++ BP & HR
ephedrine
non-depolarising muscle relaxant used in liver/renal transplant
atracurium
what is true regarding ambulatory BP monitoring
measure BP in morning and evening
leading cause of direct death in pregnant women
suicide
at what age can a child rollover
6 months (?)
wegners granulomatosis antibodies
ANCA
differentiate MG from MS
gravis - gets worse with movement
syndrome: gets better with movement
hepB transmission
blood borne
one sign of global impairment in pseudodementia
“i don’t know” to all questions
ABCD2 score interpretation for high risk
> 4 - high risk, immediate assessment
6 - risk of stroke within next week
correction for gestation age in prem is not required when
after 2 years
airways for burns victim
Intubate ASAP. Can use Sux for RSI first 72 hours but not after that because of risk of hyperkalaemia
Why is it important to intubate a burns victim ASAP
before oedema blocks airways
What airway to use if airway obstructed by oedema in burns victim?
tracheostomy
Consultant attempting to get an ET tube in, is unsuccessful as he can only partially see vocal cords - what is the next step in getting a definitive airway for this patient?
bougie
dx tracheo-oesophageal fistula
barium swallow
polyhydramnios, and after birth the infant is bubbly because saliva cannot be swallowed
oesophageal atresia
anaemia associated with renal failure/EPO issues
Normocytic normochromic anaemia
common causes of absent red reflex
congenital cataracts, retinal detachment, vitreous haemorrhage and retinoblastoma.
most common tx for SCLC
chemotherapy
Patient had a stoke 30years ago - what would you expect their gait to be like?
hemiplegic
In surgical correction of TGA, are the coronary arteries swapped around as well
yes
90% pregnancy DVTs happen in
Left leg (& above the knee)
feeling more sedated on venlafaxine, how to overcome that
increase dose as it gets less sedative with higher doses
Girl has diarrhoea and vomiting, recently been on a camping trip. What has she most likely caught
hep A
long acting LA agent
bupivacaine
