Moodle quizes Flashcards
Just given birth 2 months back and is breast feeding and plans to continue breast feeding for the next 6 months. What contraception would you advise
Minipill
Lisa recently started a relationship and does not know details of partners past. What contracpetion would you advise
Barrier methods
What investigation for a patient presenting with 2 week history of lateral elbow pain
Tennis elbow, clinical diagnosis.
40yo, 6 month menorrhagia with intermenstrual bleedig. Pap smear normal for the past 3 years and hysteroscopy done was normal
Mirena (hormonal IUD)
> 35 relative contraindication for OCP
28 yo with ID, memory problems, forgetful. Mother wants to know what option is best
Depo injections
consent problems for invasive procedures and IUD not advised for nuliparous
Sara 48, ex IVDU, presents with history of jaundice, abdo pain, N/V.
Hep C (more common for IVDU)
Jane 16 yo flu like symptoms, then rash presenting in crops, first in the upper limbs, body and then lower limbs
Varicella zoster
vaccine not 100% effective
Ali, 38 yo, 38 degrees fever, headache, retro-orbital pain. Hx of myalgia and severe bodyache. once the fever sibsided he started developing a rash all over the body.
Dengue
8yo bitten by dog, dog is vaccined and stays at home. Superficial laceration with no active bleed.
Augmentin 5-7 days - prophylaxis
Rabies is not common in Australia. Rabies vaccine only for bat bites
Dysuria and urethral discharge after having casual unprotected intercourse 13 days ago
Azithroymicin + IM ceftriaxone
Itchy, erythematous margin
Ringworm
Nina, 1/52 pain over the left lower 1st molar, now neck swelling, trismus, odynophagia and rooling. On exam, dental hygiene is poor and floor of mouth si raised, first lower leftmolar surrounded with gingival infection. No stridoer.
IV penicillin
? Lutwig’s angina
Discharging right ear after swimming in 3yo boy. Painful when touching his right ear
Sofradex - antibacterial and steroid topical ear drops
fungal should not be part of first line treatment
30yo return from trip to SEA, weak, shivery and cold, sore throat, dry cough, 39.8, normal ear canals, mild lympahdenopathy, mildly red throat, clear lung fields. Took his prophylactic antimalarial therapy religiously through the trip
Influenza (most common traveller’s infection)
Symptomatic tx
55yo M, 6 month progressive dyspnea on exertion, dry cough, clubing tachycardia and bilatearl basal inspiratory crepitations
Idiopathic pulmonary fibrosis
85yo had a fall 2 days after increasing her thiazide diuretic to improve long-standing hypertension,
also on perindopril, amlodipine, paracetamol, risedronate
Postural hypotension
Metallic taste in patient with CKD. What electrolyte?
urea build up
83yo 5 days post surg when he was started on venlafaxine.
Hyponatremia
45 yo on tamoxifen, heavy bleeding
Endometrial hyperplasia
13 yo with irregular periods
Anovulatory dysfunctional uterine bleeding
Stung by a bee, eye movements and visual acuity are normal, swollen lid
Preseptal cellulitis
33yo non-smoker, unwell for a day, sorethroat, painful muscle
URTI- symptomatic treatment
4yo boy, sudden fever, pale, drooling and soft stridor
epiglotitis –> hospital
4 month old infant, 3 days of nasal congestion two days cough which sounded slightly hoarse. Fully immunized. Alert, audible expriatory wheeze. afebrile, HR 120/min, RR 60/min, hyperexpanded chest, diffuse crackles, prolonged expiratory phase
Symptomatic tx OR refer to A and E
55yo complains of dizziness over months, lasts for 2 hours, hearing loss, tinnitus
Meniere’s disease - sensorineural hearing loss, tinnitus, vertigo. +/-N/V
50yo, topshelf, few seconds vertigo
BPPV
75yo diabetic, gradually noticed increased blurring of vision, dazzling at nights when oncoming headlights.
Cataracts
20yo F, convergent squint of left eye, corrected 10 years ago, best visual acuity achieved is 6/18
Amblyopia
24yo swimmer return from bali, mild discharge, feels blocked, hasnt improved with two different abx
Ketacon (fungal drops)
KOH prep to confirm
