NDH - Cas

Question 1

Leads involved in septal infarct:

Answer 1

V1, V2

Question 2

Leads involved in anterior wall infarct:

Answer 2

V3, V4

Question 3

Leads involved in lateral wall infarct:

Answer 3

V5, V6, AvL, I

Question 4

Leads involved in inferior wall infarct:

Answer 4

II, III, AvF

Question 5

Rx of SVT:

Answer 5

1. Vasovagal manoeuvres
2. Chemical cardioversion: Adenosine IVI: 6 mg, 12 mg, 12 mg
3. Electrical cardioversion: shock 50J

Question 6

CI to streptokinase thrombolysis:

Answer 6

Received streptokinase in previous year - pt has antibodies

Question 7

MI timeline

1. Within 6 hrs:
2. Between 6 - 12 hrs:
3. > 12 hours:

Answer 7

1. Thrombolyse
2. Phone Greys before thrombolysing
3. No thrombolysis

Question 8

Mx of septic arthritis:

Answer 8

1. XR - R/V - send OOPD
2. Bloods: FBC/ U&E/ CRP/ BC
3. Augmentin 1.2 g IVI stat
4. Voltaren 75 mg IMI stat

Question 9

What medication is CI in dysentery?

Answer 9

Loperamide

Question 10

ABx Rx of dysentery:

Answer 10

1. Ciprobay 500 mg BD PO

2. Bactrim 2T Dly PO (if RVD +)

Question 11

Eradication Rx for PUD:

Answer 11

1. Lansaloc 30 mg BD PO x 1/12
2. Amoxil 1 g BD PO x 2/52
3. Flagyl 400 mg BD PO x 2/52

Question 12

ABx Rx of PID: (stage 1)

Answer 12

1. Azithromycin 1 g PO stat
2. Ceftriaxone 250 mg IMI stat
3. Flagyl 400 mg BD PO x 7/7

Question 13

Mx facial/ submandibular abscess

Answer 13

1. Bloods: FBC/ U&E/ CRP
2. IVL
3. Augmentin 1.2 g IVI stat
4. XR skull
5. Refer to surgeons