mock Flashcards
what drug reduces forced vital capacity
BB
severe acne rosacea how do we treat
doxy and ivermectin
coeliac disease how long can you not eat gluten for before test
6 weeks
gluten containing stuff includes - rye, oat, barley, wheat
first seizure isolated how long off driving
6months
established epilepsy how long off driving
12months
valvular replacement when do you go for mechanical or prosthetic
prostehtics deterioriate only over 65 for aortic and 75 for mitral - low dose aspirin given long term
mechnaical most common , low failure rate, need warfarin
aortic valve warfarin inr if mechnaical
3
mitral valve inr if repair neededwarfarin
3.5
vascular dementia do you need MRI to confirm
yes
how long does finasteride take to work
6 months
fever on alternating days what tropical disease
malaria
anoxeria, nause and vomiting and RUQ pain what disease tropical considered
hep b
cerebral oedema with brain mass what treatment is indicated
dexamethasone
delayed pe scan what do you do
treatment dose apixaban and scan next day
if someone has a TIA with a bleeding disorder or on anticoag what do you do
admit and arrnage CT head
vt tx
iv loading dose of amiodarone before longerterm infusion post this
MRSA positive what do you treat with
vancomycin
aki what do you treat with
fluid bolus if signs of aki
what do you need to test for in tia
glucose rule out hypo
asx lymes what do you do
nothing
pancreatic ca diagnostic test
high resolution CT abdo
severe alcoholic hepatitis seen with raised transaminases what do you give
corticosteriods
uti asx
do not treat
prevention of vasopspams in SAH what do you give
nimodipine
Organisms causing post splenectomy sepsis:
Streptococcus pneumoniae
Haemophilus influenzae
Meningococci
what is cushing triad
widened pulse pressure, bradycardia and irregular breathing
minimum amount of time waiting between salbutmaol puffs
30mins
delirium vs dementia
what things might favour delirium
acute onset
impairment of consciousness
fluctuation of symptoms: worse at night, periods of normality
abnormal perception (e.g. illusions and hallucinations)
agitation, fear
delusions
men who have sex with men what vaccine do they need
hep a
glandular fever how do you test for it
monospot test
diarrhoea abg
met acidosis high chlorine as compensates for loss of bicarb
low potassium
ed what do you test
mornign testosterone
sick day rules of cortio and mineral steriods
double hydrocortisone leave fludrocortisone the same
high ca treat
iv saline
on anticaog for ct head
ct head 8hr
orichodexpy
fixation bilaterl needed fro torsion
gram negative diplocci
gons
ssri electrolyte side effect
low soidum
under estimates blood sugar level
sickle cell
prophylactic abx tx to SBP
ciprofloxacin
drug sensitivies in tb
sputum culture
speech fluent, but repetition poor. Comprehension is relatively intact
conduction aphasia
Hot compress and mechanical removal of debris
belpharitis tx
plauqe pasoarisi tx
Topical potent corticosteroid + vitamin D analogue is first-line for chronic plaque psoriasis
Painful third nerve palsy
posterior communicating artery aneruysm
post ictal weakness known as and what seizure palce
todds paresis and frontal lobe
1st lien tx copd
saba or sama
tests for screening for hiv
Combination tests (HIV p24 antigen and HIV antibody) are now standard for the diagnosis and screening of HIV
SAH can present with signs of meningeal irritation what is best ix
non contrast ct head
what prostate cancer tx causes a tumour flare consisting of bone pain, bladder obstruction
Prostate cancer: GnRH agonists may cause ‘tumour flare’ when started, resulting in bone pain, bladder obstruction and other symptoms
women haemutria and uti sx what should be sent
Send an MSU for all women with a suspected UTI if associated with visible or non-visible haematuria
a large pe can presetn as what on ecg
RBBB
Following panretinal laser photocoagulation up to 50% of patients have a noticeable reduction in
vsual filed
confuson asthma attack
life threatneing feature
