last minute exams - to learn! Flashcards
side effect of tamoxifen
hot flushes
most common organism for infective exacerbation of COPD is….
H. influenza
what type of cough would you get for:
- whooping cough
- croup
whoop - PO macrolide
barking - STAT dex or INH steroid
tx of guttate psoriasis
no benefit to start abx
therefore, give reassurance and topical treatments if the lesions are symptomatic
treatment of actinitic keratosis
fluorouracil cream
topical diclofenac
topical imiquimod
cryotherapy
curretage and cautery
causes of raised prolactin
pregnancy
prolactinoma
physiological
PCOS
primary hypothyroidism
phenothiazine
metocloPramide
domPeridone
acute ACS and coccaine use - what else to give apart from ACS treatment?
benzodiazepine IV
if both vitamin B12 and folate levels are low, which one to treat first>
vitamin B12
organism for recurrent otitis externa
candida
patient who has AF and stroke at the same time - when to start anticoagulation?
2 weeks post-admission
which drug should be avoided with SSRI?
Triptans
what is the symptom found in SSRI dicontinuation syndrome?
diarrhoea
electric shock sensations
anxiety
dizzyness
which antidepressant has more sedative effect in lower dose but this disappears in higher doses?
mirtazepine
tx of panic disorder
SSRI
which HTN-drug can cause digoxin toxicity?
thiazide, loop diuretics, ciclosporin, amiodarone, calcium-channel blocker (verapamil, diltiazem), spironolactone
Heroin can cause what complication?
VTE
St John’s Wort is a CYP what?
inducer
Poisoning - what is the antidote?
Organophosphate poisoning
Iron
Antifreeze
digoxin
ecstasy
Beta-blocker
Aspirin/Salicylate
TCA
lithium
lead
cyanide
Organophosphate: atropine
Iron: dexferrioxamine
Antifreeze: fomepizole
digoxin: digibind
ecstacy: supportive, dantrolene for hyperthermia only
beta-blocker: atropine -> glucagon
ASpirin/salicylate: urine alkalinisation with IV bicarb -> haemdialysis (pul oedema, acidosis)
TCA: IV bicarb
lithium - IV fluids -> haemdialysis
lead: dimercaprol, calcium edetate
cyanide: hydroxycobalamin, also combination of amyl nitrite, sodium nitrite, and sodium thiosulfate
what symptom can you find in organophosphate poisoning?
SLUD
salivation, lacrimation, urination, defaecation
bradycardia, hypotension
small pupils (miosis)
tx: atropine
Ehtylene glycol VS methanol poisonin
EG: tx: fomepizole
Methanol: tx: fomepizole/ethanol -> HD
coccaine toxicity - ?PC
hyperthermia, psychosis, metabolic acidosis, rhabdomyolysis, seizures, hypertonic, hyperreflexic, dilated pupils, hypertension
chest pain -> MI
tx: benzodiazepine
drug causing lung fibrosis
amiodarone
bleomycin
methotrexate
sulfasalazine
nitrofurantoin
bromocriptine
cabergoline
pergolide
what drug will most likely exacerbate lithium toxicity?
thiazide
ACEi
ARB
NSAIDs
metronidazole
dehydration
renal failure
PC: blurred vision, tremor, hyperreflexia, d&v, abdo pain, seizures
Tx: IVI -> HD
which NSAID is contraindicated in any cardiovascular disease?
diclofenac
Lyme disease - how lonng treatment?
14 days doxycycline
IV ceftriaxone if disseminated
campylobacter - tx?
clarithromycin
first line for GAD
sertraline
SSRI should be avoided with warfarin/heparin due to…
increased risk of bleeding
what med to start if patinet cannot take 2 antipsychotic
clozapine
