Management Flashcards

1
Q

Kawasaki disease.

A
Gamma globulin (IVIG)
Aspirin
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2
Q

Bed wetting.

A

Star charts, fluid restriction, alarms, desmopressin.

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3
Q

Dementia.

A

Donezipil - a cholinesterase inhibitor.

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4
Q

Scabies.

A

Scabicidal medication - permethrin. (Topical cream)

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5
Q

Menopause.

A
  • lifestyle modifications e.g., exercise weight loss sleep
  • hormone replacement therapy
  • vasomotor - SSRI e.g., fluoxetine
  • vaginal dryness - lubricant, moisturiser
  • psychological - CBT, antidepressants, self-help groups
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6
Q

Bacterial vaginosis.

A

Oral metronidazole. 

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7
Q

Trichomonas.

A

Oral metronidazole.

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8
Q

Gonorrhoea.

A

IM ceftriaxone.

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9
Q

Stress incontinence.

A

Pelvic floor exercises, duloxetine, surgical intervention.

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10
Q

Dehydration.

A

20ml/kg fluid normal saline (0.9% NaCl) bolus over 10 minutes.

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11
Q

Croup.

A

Stat dose dexamethasone 150 micrograms/kg, plus supportive measures.

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12
Q

Thrush.

A

Oral fluconazole.

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13
Q

Group B streptococcus in pregnancy.

A

Oral benzylpenicillin.

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14
Q

SSRI of choice in children.

A

Fluoxetine.

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15
Q

Management of OCD.

A
  1. Exposure and response prevention.
  2. If that is ineffective, trial SSRIs e.g., sertraline, fluoxetine
  3. If after 12 weeks there is no improvement, trial tricyclic antidepressants or an alternative SSRI.
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16
Q

Management of depression.

A

Bio: SSRI, SNRI, augmentation (lithium, mirtazapine), electroconvulsive therapy
Psycho: self-help, cognitive based therapy, individualised therapy
Social: relationships, occupation, financial, stress management

17
Q

Obstetric cholestasis.

A

Ursodeoxycholic acid.

Delivery at 37 weeks.

18
Q

Gestational trophoblastic disease.

A

Suction curettage. Chemotherapy if neoplastic.

19
Q

Eczema.

A
  1. Hydrocortisone
  2. Betamethasone
  3. Mometasone
20
Q

Impetigo.

A

Localised: topical fusidic acid
Extensive: oral flucloxacillin or clarithromycin (if penicillin allergy)

21
Q

Acne.

A
Benzoyl peroxide (dries out skin)
Adapalene (retinoid)

Consider: oral antibiotics e.g., doxycycline and COCP if not responding to the above