MSCAA papers Flashcards
mx of renal stones with hydronephrosis?
decompress with nephrostomy
mx of asystole/PEA?
adrenaline 1mg
difference between pupils in uveitis and glaucoma?
uveitis= small pupil glaucoma= semi-dilated pupil
what parameter needs to be measured in a house fire?
carboxyhaemoglobin
dx for mechanical heart valves?
warfarin and aspirin
features of oesophageal rupture?
Suspect in patients with severe chest pain without cardiac diagnosis and signs suggestive of pneumonia without convincing history, where there is history of vomiting
feature of fibrocystic disease?
pain associated with menstrual cycle
tx of prolactinomas?
cabergoline (dopamine agonist)
what is haemochromatosis?
AD disorder of iron metabolism resulting in iron accumulation
high transferrin, high ferritin and iron, low TIBC
causes DM, fatigue, stigmata of chronic liver disease
tx= venesection
heart problem from cocaine?
coronary artery spasm
mx of paralytic ileus?
make NBM and insert NG tube
what is lymphogranuloma venereum?
proctitis and lymphadenopathy in MSM
cause of IgA nephropathy?
visible haematuria a few days after URTI
drug to give when confused and agitated when dying?
midazolam
which lobe sees the first changes in Alzheimer’s disease?
temporal lobe
what to give in TCA overdose?
IV sodium bicarb
antihypertensive to give in T1DM?
ACEi
evidence of renal function protection
side effects of ACE inhibitors?
cough: Thought to be due to increased bradykinin levels
angioedema: may occur up to a year after starting treatment
hyperkalaemia
first-dose hypotension: more common in patients taking diuretics
what drug can cause pulmonary fibrosis?
amiodarone
features of SIADH?
hyponatraemia- dilutional concentrated urine confusion hypertension overload
maintenance fluids in an adult (with and w/o cardiac disease)
without cardiac disease- 30-40ml/kg
with cardiac disease- 20-25ml/kg
features of myasthenia gravis?
double vision
limb weakness
slurred speech when tired
what to measure for resp function in myasthenic crisis?
FVC <1L
what is ADPKD associated with?
SAH (need LP)
1st line for delirium?
haloperidol (unless parkinsons then lorazepam)
what electrolyte abnormality needs to be ruled out in polydipsia and polyuria?
hypercalcaemia
what to give before giving IV contrast to a patient with CKD?
volume expand with 0.9% saline to prevent contrast nephropathy
diagnostic investigation for primary sclerosing cholangitis?
MRCP
