MSRA 11 Flashcards
Can you tell the difference between leimyoma from a leimyosarcoma on imaging?
No
Although imaging cannot definitively distinguish between a leiomyoma and a leiomyosarcoma, hypervascularity within a solitary heterogeneous uterine mass should raise suspicion for a leiomyosarcoma.
How do you treat a 2weeks old, irritable, reduced eating with an inflamed ear drum?
They are under 3 months therefore low threshold to treat with broad spectrum abx (Cefotaxime) and await results, refer to paeds
Which antibiotic would you give in a septic patient with acute otitis media?
IV amoxicillinW
What is Danazol?
GnRH blocker used to treat endometriosis
What can you always give in an poisoning/over dose within 1hour?
Activated charcoal
When is repeated doses of activated charcoal given?
Carbamazepine, Dapsone, Phenobarbital, Quinine, Theophylline
What is Dapsone?
An anti-folate drug, used in leprosy, dermatitis herpetiform, toxoplasmosis, and chloroquine-resistant malaria. Also used for Pneumocystis jiroveci prophylaxis.
When is gastric lavage considered?
Lithium or iron overdose
When is haemodialysis used in poisoning?
Ethylene, Methanol, Lithium, Phenobarbital, Salicylates, Sodium valproate
What is commoner RCC or TCC?
RCC
What is the antidote to CCB overdose?
Glucagon
Name 2 genetic causes for RCC
Tuberous sclerosis
Von Hippel disease
What are the paraneoplastic features of RCC?
EPO, Renin, PTHrP, ACTH
What are the targets for rate control in AF?
Strict ventricular rate targets are less than 80 beats per minute at rest, and less than 110 beats per minute during moderate exercise.
What are the 4 reasons not to start rate control for af
A potentially reversible cause.
Heart failure thought to be primarily caused by AF.
New-onset AF within the past 48 hours.
A rhythm-control strategy is felt to be more suitable clinically
