Last Minute Toughies part 2

Question 1

Drugs that can cause seizures

Answer 1

Lithium
Tramadol 
Antipsychotics (Clozapine)
Antibiotics (Cephalosporins and Penecillins)
Tricyclics
Fentanyl 
Ketamine
Lidocaine
Antihistamines

Question 2

When in women are bisphosphonates contraindicated (other than an eGFR <35)

Answer 2

Breastfeeding or pregnant

Question 3

Hirschsprungs Disease vs Meconium Ileus

Answer 3

Meconium ileus has no fluid levels with distended bowels

Hisrchsprung disease has fluid levels with distended bowels

Question 4

How are NSAIDs given in osteoarthritis

Answer 4

Topically

Question 5

What is the main cause of revision for a Total Hip Replcamenet

Answer 5

Aseptic loosening of th eimpant

Question 6

Signs of common perineal nerve palsy

Answer 6

Foot Drop

Question 7

What should be prescribed alongside allopurinol for gout

Answer 7

Colchicine or an NSAID

Question 8

What painkiller should be avoided in elderly patient staking warfarin

Answer 8

NSAIDs

Question 9

What is the first line treatment of angina

Answer 9

Bisoprolol over anything else

Question 10

Sign of atrial flutter on an ECG

Answer 10

Sawtooth pattern

Question 11

Clinical features of common perineal nerve

Answer 11

1. Foot drop
2. Weak ankle dorsiflexion/eversion
3. Sensory loss over dorsal foot

Question 12

First Line management of PIMSTS

Answer 12

Empirical antibiotics should be started following a normal sepsis protocol

Then consider IvIg + Aspirin if symptoms are similar to Kawasaki

Or IvIG if similar to toxic shock syndrome

Question 13

Risk Ratio vs Odds Ratio

Answer 13

Risk Ratio: Absolute risk in unexposed / exposed

Question 14

What stage cervical cancer involves the lymph nodes

Answer 14

IIIc

Question 15

What stage cervical cancer involves the lower third of th evagina

Answer 15

IIIa

Question 16

What stage cervical cancer involves the pelvic wall and uretes

Answer 16

IIIb

Question 17

At what age are all ovarian masses = urgent referral

Answer 17

Over 50

Question 18

What guidelines is used to provide contraception for children

Answer 18

Fraiser guidelines

Question 19

Assessment using Gillick Competence

Answer 19

1. Age, maturity and mental capacity
2. Understanding of the issue
3. Understand the consequences
4. Understand alternative options
5. Explain a rationale around their thinking

Question 20

What are the Frasier guidelines

Answer 20

He/she has sufficient maturity and intelligence to understand the nature and implications of the proposed treatment

He/she cannot be persuaded to tell her parents or to allow the doctor to tell them

He/she is very likely to begin or continue having sexual intercourse with or without contraceptive treatment

His/her physical or mental health is likely to suffer unless he/she received the advice or treatment

The advice or treatment is in the young person’s best interests.

Question 21

What methods can be used to bridge the Intention-Behaviour Gap

Answer 21

1. Percieved control
2. Anticipated Regret
3. Preparatory Actions (dividing tasks into subgroups)
4. Implementation Intentions
5. Relevance to Self

Question 22

How often does Heroin need to be used

Answer 22

Every 8 hours

Question 23

When should Nicotine Replacement Therapy be started

Answer 23

First day you quit

Question 24

Role of Varenicline

Answer 24

Partial Nictonic ACh receptor agonist

Question 25

When is Buproprion started

Answer 25

7-14 days before the quit date

Question 26

Are e-cigs first line management of quitting smoking?

Answer 26

No

Question 27

With what medication is NRT contraindicated

Answer 27

If Bupriorion or Varenicline have already been started