Learning points Flashcards
Can you give oral antifungals in pregnancy?
No
What is first line for C-diff?
Metronidazole (or vanc??)
Rx for repeated cases of C-diff
Vancomycin
Test to be done before starting azathioprine
TPMT
Opioids safe in renal impairment
Fentanyl
Methadone
Bupranorphine
Caution: hydromorphone, oxycodone, oxymorphone
Opioids to avoid in renal impairment
Morphine and codeine
What do you do if a patient on amiodarone gets thyrotoxicosis?
Withhold the amiodarone
1% solution=?
10mg/ml = 1g/100ml
Which oral hypoglycaemic causes weight loss
GLP-1 agonist e.g. liraglutide
Common SE of GLP-1 agonists?
N+V
What should happen to metformin in renal impairment?
Stop if eGFR <30
Reduce dose in moderate
Which oral hypoglycaemics risk hypo?
Sulfonylureas (gliclazide, glimepiride)
Glinides
Which oral hypoglycaemics cause weight gain?
Sulfonylureas
Glitazones
Which oral hypoglycaemic increases frequency of UTI/thrush?
SGLT2 inhibitors e.g. canagliflozin (wee out sugar)
Which oral hypoglycaemic takes up to 12w to work?
Pioglitazone (glitazones)
Which non-insulin hypoglycaemic is an injection?
GLP-1 agonist (liraglutide)
Window to take COCP?
24h
Action if missed POP?
If >12h late then use condoms for 48h
When do you do a test of cure for chlamydia?
Pregnancy only
When do you do a test of cure in gonorrhoea?
3 weeks post Rx
Strawberry cervix indicates what?
Trichomonas
What cause of vaginal discharge has ‘clue cells’
BV
What cause of vaginal discharge has characteristic fishy discharge?
BV
Does BV have soreness/itching?
No
Medical management of ectopic
MTX
Medical management of miscarriage
Mifepristone and misoprostol 2 days later
Medical/active management of third stage of labour?
Syntometrine (ergometrine plus oxytocin)
What is the difference between chorioamnionitis and endometritis
Chorioamnionitis is when baby still in
Endometritis when baby out
