Hard bits Flashcards

1
Q

name of IDA tablets

A

ferrous sulphate

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2
Q

lymphoma

A

chemo/ radio

usually chemo for Hodgkins

non-Hodgkins often surveillance

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3
Q

Macrocytic anaemia

A

B12 and folate injections

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4
Q

Gout acute

A

high dose NSAIDs e.g. indomethacin

OR

Colchicine

OR steroids

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5
Q

what is colchicine used to treat

A

gout acutely

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6
Q

what is indomethacin used to treat

A

gout acutely

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7
Q

one seizure which doesn’t follow the rule

A

focal-> lamotrigine/ carbamazepine then sodium valproate

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8
Q

Meningitis

A

IV ceftriaxone, consider adding IV amoxicillin to cover listeria

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9
Q

what is cerftriaxone used to treat and which org

A

meningitis

treats neiserria

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10
Q

which organism do you add IV amoxicillin in meningitis to fight

A

listeria

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11
Q

which steroid do you give in meningitis and why

A

dexamethasone

to reduce hearing loss and neurological damage

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12
Q

prophylaxis of migraines

A

propanolol

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13
Q

CI of triptans

A

IHD

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14
Q

MS acute

A

IV Methylpred

gabapentin if neuropathic pain

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15
Q

how do you treat spasticity in MS

A

qbaclofen

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16
Q

how do you treat bladder dysfunction in MS

A

anticholinergics

17
Q

how do you treat pain in MS

A

gabapentin

18
Q

Parkinson

A

Co-benyldopa

Levodopa plus bensarazide

19
Q

what is bensarazide used to treat

A

parkinsons with levodopa -> co-benyldopa

20
Q

when can you give TPA in stroke

A

less than 4.5. hours after onset

21
Q

stroke secondary prevention

A

clopidogrel 75mg lifelong

high dose statin

ace inhibitor

anticoagulation

22
Q

2 BPH drugs

A

alpha 1 blockers e.g. tamsulosin (relaxes SM)

5 alpha reductase inhibitors e.g. finasteride (lowers testosterone)

23
Q

when do you remove a bladder

A

T2 or higher

muscle invasion

24
Q

2 hormones in prostate cancer

A

GnRH analogues e..g goserelin

Androgen receptor blockers e.g. bicalutamide

25
Q

what is goserelin used to treat

A

prostate cancer

GnRH analogue

26
Q

what is bicalutamide used to treat

A

prostate cancer

androgen receptor blocker

27
Q

which Abx for pyelonephritis

A

cefalexin IV

28
Q

when do you do AAA repair

A

if >5.5 cm

or

rapid expansion

29
Q

treatment of intermittent claudication (PVD)

A
Atorvastatin
Clopidogrel
Naftidrofuryl oxalate (Vasodilation)
Endovascular clipping
30
Q

what is naftidrofuryl oxalate used to treat

A

intermittent claudication (PVD)

31
Q

UC treatment

A

remission: mesalazine can add oral pred
acute: IV hydrocortisone can add IV ciclosporin

32
Q

Crohn’s treatment

A

remission: azathioprine (methotrexate if CI)
flare: oral pred or IV HC, can add azathioprine

33
Q

what do you add in stage 3/4 NYHA HF

A

aldosterone antagonist e.g. spironolactone

ARB e.g. losartan