MFE Flashcards

1
Q

If someone cant tolerate Alendronate what is second line?

A

Risendronate or etidronate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

If someone cant tolerate bisphosphonates what can be used?

A

Denosumab - preferred in most cases

Strontium Ranelate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What laxatives are used in Hard Stool Constipation

A

Osmotic

Softeners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List some osmotic laxatives

A

Laxido - up to 6 sachets a day

Lactulose - 2x daily - takes 48 hours to work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Stool softener laxative

A

Docusate - very gentle on the bowels - used a lot in palliative care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

List some stimulant laxatives

A

Senna 15mg

Biscodyl - can cause cramping and urgency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If constipation is resistant to pharmacological and lifestyle measures what can be tried?

A

PR manual excavation
Glycerine Suppository
Phosphate Enemas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Managment of someone undergoing end of life care with hiccups?

A

Chlorpromazine

Haloperidol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Grade 1 pressure ulcer

A

Non blanching erythema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Grade 2 pressure ulcer

A

Partial thickness - epidermis or dermis lost

Abrasion or a blister

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Grade 3 pressure ulcer

A

Extends down to the fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Grade 3 pressure ulcer

A

Extends down to the fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Grade 4 pressure ulcer

A

Muscle or bone involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Management of pressure ulcers

A

Most wound healing is best
Avoid antibiotics unless clinical signs of infection
Don’t routinely wound swab
Surgery is required for more severe ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What bloods should be taken as part of a confusion screen?

A

Vit B12 and folate
TFTs
Glucose
Bone profile - Hypercalcaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What can be used to control Nausea and vomiting caused by gastric stasis and dysmotility.

A

Metoclopramide

17
Q

What is the Z score adjusted for?

A

Age Ethnicity Gender

18
Q

How is restlessness or agitation managed in a terminally ill patient?

A

Midazolam