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Medicine Management > Medicine management > Flashcards

Medicine management Flashcards

1
Q

HTN

A

Diabetic anyone: ACEi

  1. <55ACEi/ARB, >55/black CCB
  2. ACEi/ARB + CCB (Blacks prefer ARB)
    • Thiazide
    • more thiazide/spironolactone
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2
Q

HF

A
  1. ACEi/BB
  2. ARB/Furosemide/Spironolactone/Hydralazine + nitrate (black)
  3. Digoxin
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3
Q

Angina

A
  1. Lifestyle: smoking, weight/exercise
  2. Aspirin, Clopidogrel, Statin, ACEi, BB, CCB/ARB
    - Symptoms: GTN spray
  3. Surgery: PCI/CABG
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4
Q

Asthma

A
  1. SABA -> ICS appears to be 1st line now, SABA with exacerbations
  2. ICS
  3. LRTA antagonist (montelukast)
  4. LABA (instead of SABA)
  5. OCS (pred) (CI in paeds)
  6. Hospital MART (maintanance and reliever therapy)
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5
Q

COPD

A 
SAMA/LAMAntagonists, ICS, theophylline + O2 if bad
LAMA used 1st line maintenance
SABA used 1st line rescue therapy 
Adjuncts: mucolytic
Diet: high calories
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6
Q

UTI

A
  1. Nitrofurantoin/trimethoprim

2. Amoxicillin/cefalexin

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7
Q

Anti-HER2 breast cancer

A

Trastuzumab

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8
Q

Premeno breast cancer

A

Oophrectomy + tamoxifen

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9
Q

Postmeno breast cancer

A

Aromatase inhibitor Anastrozole

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10
Q

Diabetes

A
  1. Diet/exercise
  2. Metformin
    • Sulfonylurea (gliclazide)
  4. Thiazolidinedione/Incretin/SGLT-2 inhibitor/GLP-1 agonist
  5. Insulin therapy -> can increase dose
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11
Q

Schizophrenia

A
  1. Atypical (aripiprazole)
  2. Add a/typical
  3. Clozapine
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12
Q

Generalised Anxiety

A
  1. SSRI

2. TCA/antipsychotic/benzo/pregabalin

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13
Q

Depression

A
  1. SSRI
  2. SNRI
  3. TCA/MAOI
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14
Q

C diff

A
  1. Vancomycin or metronidazole
  2. Both
  3. Faecal donor
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15
Q

RA

A
  1. DMARD + prednisolone + NSAID + PPI
    Non-pregnant: methotrexate/leflunomide
    Pregnant: sulfasalazine/hydroxychloroquine
  2. Biologics
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16
Q

H. pylori

A

Omeprazole, Amoxicillin/metronidazole, clarithromycin

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17
Q

MS

A

Acute: methylprednisolone
Ongoing: complicated

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18
Q

GORD

A
  1. Lifestyle: weight, alcohol, smoking
  2. Antacids
  3. PPI/H2-antagonist
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19
Q

OA

A
  1. Lifestyle: weight, smoking, exercise/physio
  2. NSAIDS + steroids + PPI
  3. Arthroplasty
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20
Q

Herpes simplex/zoster

A

Acyclovir

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21
Q

Dementia

A
  1. AChEi: donepezil/galantamine/rivastigmine

2. Aspartate/NMDA inhibitor: memantine

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22
Q

Gonorrhoea

A

100mg IM Ceftriaxone

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23
Q

Chlamydia

A

Doxycycline BD 7d

Pregnant: Azithromycin

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24
Q

NGU

A
  1. Doxycycline 7d, Azithromycin 2d

3. Moxifloxacin 10d

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25
Q

HPV6/11/16/18

A

Gardasil

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26
Q

PID

A
  1. Ceftriaxone + Doxycycline + Metronidazole
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27
Q

Pubic lice

A

Lyclear permethrin cream + malathion

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28
Q

Delirium

A
  1. Underlying disease
  2. Haloperidol + olanzapine/risperidone
  3. Benzodiazepine (any withdrawal)
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29
Q

Ischaemic stroke

A

<4.5h: thrombolytic alteplase + thrombectomy + aspirin 300mg for 2W/clopidogrel + atorvastatin after 48h
>4.5h/thrombolysis contraindicated: Aspirin 300mg + atorvastatin after 48h
AF: warfarin
Secondary prevention:
1. Clopidogrel, atorvastatin, HTN treatment
AF: anticoagulant

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30
Q

Epileptic fit (including monitoring)

A

Monitoring: ECG + BP
<5mins: 1st aid
>5mins: Rectal diazepam, IV lorazepam, Buccal midazolam

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31
Q

Status epilepticus

A

20-40mins: Alert anaesthetist + Levetiracetam/s valproate/Phenytoin/fosphenytoin
40-60mins: propofol/midazolam/thiopental

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32
Q

Polymorphonuclear meningitis

including contact prophylaxis

A

1200mg penicillin/Ig cefotaxime + dexamethosone

Contact: rifampicin

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33
Q

AF (stable, unstable, prophylaxis)

A 
Stable:
- Rate
1. BB/CCB (verapamil)
2. Digoxin
3. Digoxin + BB + CCB (diltiazem)
-Rhythm: defibrillation
HC: amiodarone 
No HC: sotalol, flecainide, propafenone
Unstable:
1. Defib + heparin
2. Defib + amiodarone
Prophylaxis: warfarin + dab/riv/apix
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34
Q

Osteoporosis (including vits)

A

Vitamins (calcium + vit D

  1. Alendronate
  2. Denosumab
  3. Oestrogens/testosterone
  4. PTH injection?
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35
Q

Ankylosing spondylitis/psoriatic arthritis

A
  1. Morning exercise/physio
  2. NSAIDS + PPI
  3. Methotrexate
  4. TNF-alpha
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36
Q

GCA

A

Prednisolone

- Fugax: IV pred

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37
Q

ICP

A
  1. Mannitol
  2. Sedation (propofol + morphine)
  3. Cut skull
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38
Q

Cerebral oedema

A

dexamethosone

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39
Q

Migraines (including preventon)

A

Paracetamol/NSAIDS/triptans/High dose aspirin/Metocloperamide (antiemetic)
Prevention: topiramate, propranolol, amitryptiline, botox

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40
Q

Cluster

A

O2 + topiramate/triptan

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41
Q

Trigeminal neuralgia

A

Carbemazepine

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42
Q

TB chronic meningitis

A

Pred, rifampicin, isoniazid, pyrazinamide

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43
Q

SAH

A

nimodipine

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44
Q

Myasthenia gravis

A

Neostigmine, Pred+ azathioprine, ventilation

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45
Q

Motor neuron disease

A

Riluzole

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46
Q

Parkinson’s

A

Co-careldopa (carbidopa, levodopa)

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47
Q

HIV

A

2NRTIs + 1 other

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48
Q

PEPSE (including days)

A

Tenovir + Raltegravir 28d

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49
Q

Postural hypotension

A

Fludrocortisone

Midodrine

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50
Q

Bulaemia

A

Fluoxetine

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51
Q

Anorexia

A

Fluoxetine + atypical?

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52
Q

Delirium tremens

A

Chlordiazepoxide (long acting benzo) + B1 injection

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53
Q

Alcohol relapse prevention

A

Acamprosate
Disulfiram
Naltrexone

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54
Q

Nasal polyps

A
  1. Fluticasone/mometasone spray

2. Surgery

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55
Q

Benzo OD

A

Flumazenil

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56
Q

Essential tremor

A

Propranolol/little alcohol

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57
Q

Bipolar disorder 2

A

Carbamazepine + lamotrigine

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58
Q

Otitis externa

A

Vinegar + flumetasone/clioquinol/ + suction + NSAIDS/paracetamol

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59
Q

Otitis media (including AB treatment criteria)

A

paracetamol +NSAIDS +/- amoxicillin

- Amox if really bad or bilateral, or <2Y/O

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60
Q

Cholesteatoma (surgery, no drugs)

A

Mastoid sac debris removal

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61
Q

Tonsillitis (including course length)

A

Salt water + pred + 10d ABs

  1. Amoxicillin/methylpenicillin + pred
  2. Erythromycin + pred
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62
Q

Wet macular degeneration

A

Anti-VEGF

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63
Q

Gonococcal conjunctivitis

A

Penicillin

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64
Q

Non-gonococcal conjunctivitis

A

Chloramphenicol

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65
Q

Chlamydial conjunctivitis

A

erythromycin

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66
Q

Viral conjunctivitis

A

Corneal involvement: steroid eyedrops

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67
Q

Herpes simplex conjunctivitis

A

Acyclovir

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68
Q

Allergic conjunctivitis

A

Olopatadine

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69
Q

Darycocystitis

A

Cefalexin

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70
Q

Blepharitis

A

Chloramphenicol

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71
Q

Trachoma

A

Azithromycin

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72
Q

Open angle glaucoma

A

timolol, latanoprost, acetazolamide

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73
Q

Closed angle glaucoma

A

pilocarpine + acetazolamide

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74
Q

CRAO

A

aspirin + acetazolamide

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75
Q

Amaurosis fugax

A

Aspirin

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76
Q

CRVO

A

Glaucoma treatment

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77
Q

Hyperprolactinaemia

A

Dopamine agonist/surgery

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78
Q

Acromegaly

A

somatostatin/dopamine agonist/surgery

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79
Q

Pruritus eczema

A

Antihistamine

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80
Q

Eczema

A

Emolient: creams -> ointments
Corticosteroid: hydrocortisone -> eumovate -> betnovate -> dermovate

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81
Q

Anaemia

A
  1. Diet/underlying cause
  2. Ferrous sulphate
  3. Ferrous GLuconate
    Pernicious anaemia: B12
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82
Q

Acne vulgaris

A

General: anticomedonal + antikeratolytic + antibiotic
Mild: Adapaline, Benzoyl peroxide, topical erythromycin
Moderate: COC (females) + oral doxycycline/lymecycline
Severe: Isotretinoin (anticomedonal)

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83
Q

Cellulitis (including patient position)

A

Flucloxacillin/benzylpenicillin + leg raise

Pen allergy: clarithromycin

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84
Q

Impetigo (including MRSA)

A
  1. Fusicid cream 3x 7d
  2. Oral flucloxicillin/erythromycin/clarithromycin
    MRSA: mupirocin
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85
Q

Yeast infection

A

Miconazole

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86
Q

Non-yeast fungal infection (including infection location determining route)

A

Terbinafine

  • Skin: topical
  • Widespread/nails: oral
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87
Q

Asthma exacerbation

Status asthmaticus

A

O2 + salbutamol (SABA) + prednisolone (IV)
- ABs if infection signs
- MgSO4 life-threatening
“ and ipratroprium bromide (SAMA)

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88
Q

COPD exacerbation (including ABs regime + prophylaxis)

A

O2 + SAMA/SABA + pred + ABs + ventilation + LMWH
Theophylline: if SAMA fails
ABS:
1. Amoxicillin + doxycycline 5d -> doxycycline 4d more
2. Clarithromycin 5d
Doxapram: if no ventilator
Prophylaxis: pneumococcal vaccine + flu jab

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89
Q

Ulcerative colitis/Crohn’s

A 
UC flare suppression: Crohn's Budesonide instead of mesalazine 
1. Mesalazine
2. Corticosteroid
3. Azathioprine
4. Infliximab
5. Vedolizumab
6. Colectomy 
UC maintenance: mesalazine
Crohn's maintenance: methotrexate/azathioprine
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90
Q

Hep B (serious)

A

Tenovir

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91
Q

DVT (including prophylaxis + cancer patients)

A

Acute:
1. LMWH/UFH (5d) + NOAC (rivaroxaban) (6M)
- Cancer: LMWH/UFH (3M)
Prophylaxis: LMWH/warfarin

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92
Q

PE

A 
DVT + O2 + morphine
DVT:
Acute:
1. LMWH/UFH (5d) + NOAC (rivaroxaban) (6M)
- Cancer: LMWH/UFH (3M) 
Prophylaxis: LMWH/warfarin 
- Pregnant prophylaxis: LMWH only 
Haemodynamic instability: thrombolytic alteplase
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93
Q

Epididymo-orchitis (STI, UTI, dunno)

A

STI: cef + doxycycline
UTI: trimethoprim/nitrofurantoin
Dunno: ofloxacin

94
Q

Hyperemesis gravidarum

A
  1. Pyridoxine (B6) +/- Doxylamine (antihistamine) + Thiamine (B1)
  2. Metocloperamide/ondansetron
  3. Hydrocortisone -> pred when better -> gradual dose decrease
95
Q

Postnatal depression

A

Sertraline

96
Q

Gestational diabetes

A
  1. Lifestyle: diet + exercise
  2. Metformin
  3. Glibenclamide
  4. Insulin
97
Q

Erectile dysfunction

A

Sildenafil, vacuum, prosthesis

98
Q

Ectopic pregnancy

A

Methotrexate

99
Q

Miscarriage

A

Misoprostol +/- Anti-D -> maybe vacuum

100
Q

Minimise PPH from placental delivery

A

Oxytocin

101
Q

Uterine atony -> PPH

A
  1. Massage
  2. Oxytocin
  3. Carboprost
  4. Misoprostol
102
Q

Labour induction (Bishop’s score) ARNOP

A
  1. Ripen cervix -> prostaglandin pessarie
  2. INduction: antiprogesterone, relaxin, NO, oxytocin, prostaglandin
    Failed ripening: C-section
103
Q

<34W delivery

A

OCS + nifedipine + atosiban + MgSO4

104
Q

PROM

A

OCS + antibiotics

105
Q

Female subfertility

A

Clomiphene/GnRH/Donor/IVF

106
Q

Menorrhagia

A
  1. Minera coil/COC/NSAIDS
  2. Progesterone (norethisterone)
  3. Hysterectomy
107
Q

Endometriosis

A

Contraception: COC + NSAIDS
Surgery: removal/organ removal

108
Q

Endometrial hyperplasia

A

Mirena coil

109
Q

CO poisoning

A

High flow O2

110
Q

Paracetamol OD

A

Acetylcysteine

111
Q

Opioids OD

A

Naloxone + ventilation

112
Q

Batteries swallowed

A

Endoscopic removal

113
Q

Methymoglobulinaemia

A

O2 + methylene blue

114
Q

Salicylates OD

A

electrolyte rebalance (K), urine alkalinisation, haemodialysis

115
Q

TCA OD

A

Tachycardia: sodium bicarbonate

Decreased cardiac output/arrhythmia: amiodarone + ventilation

116
Q

Digoxin OD

A

Arrhythmia: atropine

Decreased cardiac output: digoxin-fab

117
Q

Antifreeze (ethylene glycol)

A

Fomepizole + haemodialysis

118
Q

Cocaine OD

A

Cooling + diazepam
HTN: CCB
Angina: GTN

119
Q

Alcohol

A

Correct GLU + ventilation

120
Q

Delayed puberty (boys + girls)

A

Boys: oxandrolon
Girls: estradiol

121
Q

Paeds asthma <5y/o

A
  1. SABA
  2. ICS
  3. LRTA montelukast
122
Q

Pre-eclampsia prophylaxis (high risk)

A

Aspirin +/- Ca2+ 12W -> delivery

123
Q

Pregnancy HTN

A

Nifedipine/labetalol/methyldopa

124
Q

Labour convulsion

A

Lorazepam + CTG

125
Q

Pre-eclampsia

A

Nifedipine/labetalol/methyldopa + hydralazine

Severe pre/eclampsia: MgSO4 +/- emergency c-section

126
Q

Tall stature

A

sex steroids -> fuse bone plates

127
Q

Pertussis whooping cough

A

erythromycin

128
Q

Abortion prep antibiotics

A

Metronidazole + Doxy/azithromycin + NSAIDS

129
Q

Medical abortion

A

mifepristone + misoprostol

130
Q

Surgical

A

<16W vacuum

<24W dilate + evacuate

131
Q

Morning sickness

A

Ginger/antiemetic/antihistamine

132
Q

PCOS

A

COC/minera coil
Clomiphene
Obesity/diabetic treatment

133
Q

BD acute mania

A

Lorazepam, antipsychotic, Li/S. valproate

134
Q

Bipolar disorder type 1

A

Lithium, valproate, olanzapine

135
Q

Allergic reaction

A

Antihistamine +/- corticosteroid

136
Q

Anaphylactic shock

A

500ug adrenaline IM + O2 + antihistamine + corticosteroid

137
Q

Fluid resus

A

ABCDE

  1. 500ml NaCl/15mins
  2. ABCDE
  3. 250ml-500ml
  4. > 2L -> seek help
138
Q

Diabetes insipidus

A

Desmopressin

139
Q

Endocarditis ABs (including prophylaxis)

A

Acute: Vancomycin +/- gentamicin +/- antifungal
Prophylaxis: amoxicillin

140
Q

Cystic fibrosis

A

Tobramycin + Dornase alpha + Creon

141
Q

High QRISK: (lower cholesterol)

A
  1. Atorvastatin
  2. Try 2 other statins
  3. Ezetimibe
142
Q

Acute lower limb infarction (embolus + thrombus)

A

Embolus: anticoagulation (warfarin/heparin) + percutaneous catheter-directed thrombolysis
Thrombus: antiplatelet (aspirin/clopidogrel) + embolectomy/catheter angioplasty/bypass)

143
Q

Paediatrics constipation

A
  1. Movicol
  2. Senna + lactulose/docusate
    Maintenance: docusate
144
Q

Bone pain/metastasis

A

Bisphosphonates

145
Q

Neuropathic pain

A
  1. Amitriptyline (X heart problem)
  2. Gabapentin (pregabalin if intolerated)
  3. Amitriptyline + gabapentin
  4. SPCT referral
146
Q

Croup

A

Adrenaline + steroids

147
Q

Hemochromatosis

A

Deferoxamine

148
Q

Pompholyx

A

Betamethosone + Burow’s solution

149
Q

Urticaria

A

Non-sedating antihistamine

150
Q

Acne rosacea

A
  1. Metronidazole

2. Doxycycline/lymecycline

151
Q

Colocky pain (GI, urinary)

A

Hycoscine butylbromide

152
Q

Muscle cramp/spasm pain

A

Baclofen, benzos

153
Q

Opioid side effect management

A

Senna +/- docusate regularly, PRN metoclopramide

154
Q

Constipation (soft + hard + neurological)

A

Soft: senna (stimulator)
Hard: docusate (softner)
Neurogenic: docusate -> senna

155
Q

Metastatic spinal cord compression

A

dexamethasone + PPI + analgesia

156
Q

Distress/agitation (Just-in case-meds)

A

midazolam

157
Q

Sedation risk/psychosis/delirium (just-in case-meds)

A

haloperidol

158
Q

Malignant hypercalcaemia

A

IV fluid rehydration -> bisphosphonate

159
Q

Breathlessness (Just-in case-meds)

A

morphine/midazolam + O2

160
Q

respiratory secretions (including HF)

A

HF: furosemide

  1. Hyoscine butyl/hydrobromide
  2. Glycopyrronium
161
Q

Prostate cancer

A

GnRH agonist goserelin, leuprorelin

162
Q

Lymphoma

A

steroids + chemo + radio

163
Q

Ascites diuretics

A
  1. Spironolactone

2. Furosemide

164
Q

Post-MI (COBRA)

A 
Clopidogrel
O?
Beta blocker 
Ramipril
Atorvastatin + aspirin
165
Q

Ectopic beat

A

Adenosine

166
Q

Septic arthritis + osteomyelitis

A

ABs: flucloxacillin + fusidic acid

167
Q

Renal anaemia

A

EPO

168
Q

Reactive arthritis (including chronic)

A
  1. NSAIDS
  2. Cortcosteroids
    Chronic: sulfasalazine
    Current infection: ABs
169
Q

Gout (acute and prophylaxis)

A
  1. NSAIDS + prednisolone
  2. Colchicine
    Preventative
  3. Allopurinol
  4. Febuxostat
170
Q

Carpal tunnel syndrome

A

Triamcinolone

171
Q

Fibromyalgia

A

Pregabalin/duloxetine/ibuprofen

172
Q

Breakthrough pain

A

1/6 dose oromorph (max dose 6 times/day)

173
Q

Frozen shoulder

A

NSAIDS + steroid injection + local anaesthetic

174
Q

Vasculitis/connective tissue disease (induction, maintenance + end-organ failure)

A

Induction remission: Prednisolone + PPI
Maintenance therapy: methotrexate
End-organ failure: cyclophosphamide

175
Q

HSP (self-limiting unless glomerulonephritis)

- Glomerulonephritis management is same as vasculitis :)

A

WOOO

176
Q

BPH

A
  1. Lifestyle + monitor
  2. Tamsulosin/Finasteride/Sildenafil
  3. Doxazosin + Finasteride
  4. Surgery
177
Q

Bad prostate cancer

A

Bicalutamide + goserelin

178
Q

Renal stones (including prophylaxis and UTI from stones)

A

Tamsulosin
Prophylaxis: water + potassium citrate
UTI: gentamicin

179
Q

Postnatal depression

A

Sertraline

180
Q

Post-partum psychosis

A

Olanzepine +/- lorazepam

181
Q

HRT (womb and wombless)

A

Womb: progesterone + oestrogen

No womb: oestrogen

182
Q

Hot flush menopause

A

Paroxetine (SSRI)

183
Q

Fibroid (wants/doesn’t want pregnancy)

A

Wants: COC/minera -> shrinks fibroid

Doesn’t want: hysterectomy/polyp removal

184
Q

Stillbirth

A

prostaglandins/misoprostol

185
Q

Bacterial sinusitis in immunocompromised

A

co-amoxiclav

186
Q

Bad sinusitis

A

Decongestants + corticosteroid spray

187
Q

Vertigo

A

prochlorperazine

188
Q

Fibroadenosis

A

Evening primrose, bromocriptine, tamoxifen

189
Q

Mastitis

A

Flucloxacillin

190
Q

Gynaecomastia

A

Danazol/clomiphene/tamoxifen/surgical

191
Q

Gall stones -> acute cholecystitis (1 drug, 2 surgical options)

A

Hycoscine, shockwaves, cholecystectomy

192
Q

Acute cholangitis

A

IV antibiotics

193
Q

Acute pancreatitis

A

Resus, NG tube/nil-by-mouth, sepsis 6, surgery

194
Q

Cholangiocarcinoma

A

Palliative

195
Q

Cirrhosis ascites diuretic

A

Spironolactone

196
Q

Hepatic encephalopathy

A

Lactulose + rifaximin -> liver transplant

197
Q

Acute abdominal pain

A

Fluids + analgesia + underlying cause

198
Q

Acute GI bleed

including something to help endoscopy visualisation

A

ABCDE + NG tube + fluids/O2/coagulation

- Metoclopramide (prokinetic)

199
Q

Acute GI bleed clotting management

A

prothrombin complex (1972)

200
Q

Oesophageal varices bleed

A

ceftriaxone, terlipressin, ligation/surgery

201
Q

Achalasia

A

nifedipine/nitrates

202
Q

Oesophageal stricture

A

PPI + endoscopic dilation + surgery

203
Q

Chronic pancreatitis

A

Creon + omeprazole

204
Q

CAP (1/6, 2/6, 3/6, s. aureus)

A
  • 1/6: outpatient treatment -> amoxicillin 5d (pen allergic -> doxy)
  • 2/6: hospital admission -> amoxicillin + clarithromycin (all 5d)
  • 3/6: severe -> ITU (co-amoxiclav + clarithromycin)
    Staph aureus: fluclox IV
205
Q

HAP (non/severe + MRSA)

A
  • 1/6: co-amoxiclav
  • 3/6: piperacillin/tazobactam
  • MRSA: vancomycin
206
Q

Aspiration pneumonia/Mendelson’s syndrome

A

Metronidazole

207
Q

TB

A

Latent: isoniazid
Active: see chronic TB meningitis

208
Q

Pulmonary HTN

A

CCB + warfarin + furosemide

209
Q

IBS (general + C+ D + M)

A

IBS: Fibre + decrease stress, caffeine, lactose, fructose

  • C: ispaghula + citalopram + hyoscine
  • D: loperamide
  • M: both prescribed
210
Q

Coeliac

A

gluten free + vit supplements + pneumococcal vaccine

211
Q

Whipple’s disease

A

ceftriaxone

212
Q

Bacterial overgrowth

A

Rifaximin

213
Q

Diverticulitis

A

High fibre, hydration, co-amoxiclav

214
Q

Severe dehydration

A

IV Ringer’s lactate solution rapid infusion

215
Q

Anal fissure

A

laxatives + GTN ointment

216
Q

Haemorrhoids

A

ligation/sclerotherapy/electrotherapy

External - surgery

217
Q

Ascites

A

spironolactone, restriction (Na + H2O), drainage, ciprofloxacin

218
Q

Infected eczema

A

Treat as cellulitis (flucloxacillin)

219
Q

Shingles pain (including post-herpatic neuralgia)

A

amitriptyline/pregabalin -> carbamazepine

220
Q

Paronychia

A

Mupirocin

221
Q

Hyperkalaemia

A
  1. Ca2+ 2. Insulin 3. Glucose
222
Q

Pregnancy herpes

A

Acyclovir last 6W gestation + elective C-section

223
Q

Sciatica

A

6W physio + normal activity -> unresolved -> MRI -> steroid injection + neuro pain management

224
Q

Scarlet fever

A

penicillin

225
Q

Pain control on MAX breakthrough

A

30% increase regular morphine

226
Q

Bronchoscopy

A

midazolam + lidocaine + atropine

227
Q

Smoking cessation (lifestyle + meds)

A

Lifestyle: self-help, group support, smoking clinic, behavioural therapy
Meds: nicotine, bupropion, varenicline

228
Q

Flu (general, ABs criteria, at-risk prophylaxis)

A

General: flu jab, paracetamol, rest, fluids
ABs: chronic bronchitis, heart/renal disease
At risk prophylaxis: oseltamivir (Tamiflu)

229
Q

Acute bronchitis (incl. asthmatics)

A

Self-limiting

Asthmatics (SABA)

230
Q

OSA (lifestyle + intervention)

A

Lifestyle: weight loss, alcohol, driving
Intervention: CPAP

231
Q

Bronchiectasis

A

Sputum physio + ABs + SABA/SAMA + ICS/OCS + flu/pneumococcal vaccine

232
Q

Pneumothorax

A
  1. Air needle aspiration
  2. Intercostal tube drain
  3. Surgery

Medicine Management (1 decks)

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