Mock Test A Flashcards
Adrenaline dose in Anaphylactic shock <6 months old
100 - 150 micrograms
0.1 - 0.15 ml in 1,000
Adrenaline dose in Anaphylactic shock for adults and > 12 years old
500 micrograms IM every 5 mins
(0.5ml 1 in 1,000)
Flank discolouration in acute pancreatitis is called
Grey-Turner’s sign
Caused by blood vessel auto-digestion by pancreatic enzymes, resulting in retroperitoneal haemoorhage => low Hb
GRACE score (global Registry of Acute Coronary Events)
Predicted 6-month mortality:
1.5% or below - lowest
1.5 to 3.0% - Low
3.0 to 6.0% - Intermediate
6.0% to 9.0% - High
over 9.0% - Highest
Scars seen over metacarpophalangeal joints due to fingers scraping front teeth
Russell sign seen in Bulimia nervosa during episodes of induced vomiting
Remember: Bulimia nervosa has normal BMI
Kleine-Levin syndrome
Irregularly recurring hyPERsomnia
Associated with binge-eating, sexual behaviour disinhibition and mood disorders
Often seen in young males
Transmission of Hepatitis A
Faecal oral
Incubation period for Hepatitis A
(RNA picornavirus)
2-4 weeks
Benign, self limiting disease
WIth flu-like prodrome
Type of antibiotic class for Clarithromycin
Macrolides
Can cause long QT
Macrolides are inhibitor / inductor of cytochrome P450
Inhibits
CYP450 enzyme metabolises statins - which means statins concentration rises if we don’t hold statins whilst on macrolides, significantly increases the risk of rhabdomyolysis and myopathy
When should cervical smear be repeated as Test of Cure after CIN treatment
6 months
When should referral for colposcopy be made
If inadequate smear result
2 consecutive inadequate smears 3 months apart
If routine cervical smear is inadequate, what’s next step
Repeat next smear in 3 months time
M rule in primary biliary cholangitis
IgM
anti-Mitochondrial antibodies, M2 subtype
Middle aged females
- pruritus
- fatigue
- raised ALP on routine LFT
- hyperpigmentation
- RUQ pain
- xanthelasmas, xanthomata
- cholestatic jaundice
Above are early symptoms of
Primary biliary cholangitis (previously biliary cirrhosis)
most probably auto-immune cause
9:1 females to males ratio
Primary Biliary Cholangitis usually associated with what conditions
Sjogren’s syndrome (80% of patients)
Rheumatoid arthritis
Systemic sclerosis
Thyroid disease
Pneumothorax can be classed as secondary when there is
Some underlying lung disease such as COPD
PTX patient can be considered for discharge if the rim of air is how big in cm
< 1cm in secondary pneumothorax (or aspirated and subsequently)
Or <2cm in primary pneumothorax
NAFLD (non-alcoholic fatty liver disease) has LFTs like:
Raised ALT > AST
(now most common cause of liver disease in the developed world)
usually seen in fat people
Hepatic manifestation of metabolic syndrome = insulin resistance is key leading to steatosis
Indapamide is what type of diuretic
Thiazide diuretic
- causes reduced clearance of lithium
What prophylactic antibiotic should you give to families of meningococcal meningitis
Oral ciprofloxacin (single dose)
or oral rifampicin (BD for 2 days)
Routine recall ages for cervical smear screening >50 years old
Every 5 years
IM methylprednisolone is indicated for
NICE guidelines for acute flare of rheumatoid arthritis
corticosteroids (methylprednisolone) have primarily glucocorticoid effect and result in inhibition of pro-inflammatory cytokine production
Treatment for flare of ulcerative colitis (mild -> systematically well)
Topical (rectal) mesalazine -> Oral aminosalicylate -> oral steroids
