Mock Flashcards
Common SE of tamoxifen
Hot flushes
Dose for croup
0.15mg /kg
Most common SE of POP
Irregular bleeding
Mx of guttae psoriasis
Reassure and mx if symptoms
Diagnosing stage 1 and 2 CKD
eGFR >90
60-90
AND
either proteinuria or abnormal renal US
Abx RF for c diff
Clinda
Cephalosporin
Cipro
NOT CLARI
When to start alendronic acid
Start alendronate in patients >= 75 years following a fragility fracture, without waiting for a DEXA scan
Increasing metformin doses
Metformin should be titrated slowly, leave at least 1 week before increasing dose
Cavitating lesion in diabetic patient
Klebsiella
IIH sx
The presentation of headaches and bilateral papilloedema (blurred optic discs) without focal neurological signs, normal blood pressure, and absence of fever in an obese young woman
Triptan MOA
Specific 5-HT1 agonist
Red flags for back pain
Thoracic pain
Age <20 or >55 years
Non-mechanical pain
Pain worse when supine
Night pain
Weight loss
Pain associated with systemic illness
Presence of neurological signs
Past medical history of cancer or HIV
Immunosuppression or steroid use
IV drug use
Structural deformit
HIV +ve wanting to breastfeed
Not recommended
When to start on NAC immediately
patients who present 8-24 hours after ingestion of an acute overdose of more than 150 mg/kg of paracetamol even if the plasma-paracetamol concentration is not yet available
patients who present > 24 hours if they are clearly jaundiced or have hepatic tenderness, their ALT is above the upper limit of normal
A staggered overdose is defined as ‘ingestion of a potentially toxic dose of paracetamol over more than one hour’
Bloody diarrhoea , RIF pain
Campylobacter
Recurrent otitis externa following numerous antibiotic treatment
Candida infection
topical clotrimazole
Patient >= 60 years old with new iron-deficiency anaemia
FIT test
Anticoagulation for new AF causing stroke
Anticoagulated 2w after event
Pneumothorax mx
no or minimal symptoms → conservative care, regardless of pneumothorax size
symptomatic → assess for high-risk characteristics
high-risk characteristics are defined as follows:
haemodynamic compromise (suggesting a tension pneumothorax)
significant hypoxia
bilateral pneumothorax
underlying lung disease
≥ 50 years of age with significant smoking history
haemothorax
if no high-risk characteristics are present, and it is safe to intervene, then there is a choice of intervention:
conservative care
ambulatory device
needle aspiration
if high-risk characteristics are present, and it is safe to intervene → chest drain
Inadequate smear
if smear inadequate then repeat in 3 months
If again- colposcopy
How often do you repeat adrenaline in anaphylaxis
5 mins
When to give prophylaxis azithromycin in COPD
COPD who have had >3 exacerbations requiring steroid therapy and at least one exacerbation requiring hospital admission in the previous year.
When can you not take COCP after pregnancy
6 weeks if BF
Aspirin in BF
CI
