Nibbly bits

Question 1

Asthma management for >12 years

Answer 1

Low dose ICS/formoterol
Low dose MART
Mid-dose MART

Question 2

Asthma management for <12 years

Answer 2

SABA
SABA + ICS low dose
SABA + ICS low dose + LTRA
SABA + LABA + ICS low dose

Question 3

COPD management

Answer 3

SABA + SAMA PRN
If steroid responsive then then LABA + ICS
If not responsive then LABA + LAMA

Question 4

Section 2
Section 3
Section 4
Section 5(2)
Section 5(4)
Section 135
Section 136

Answer 4

2 = 28 days
3 = 6 months
4 =72 hours (GP)
5(2) = 72 hours (hospital)
5(4) = 6 hours (hospital)
135 = police break in
136 = public place

Question 5

HbC
HbS
HbSAg
Anti-HbC
Anti-HbS

Answer 5

C = caught
S = sick
HbSAg = acute disease/sick
anti-HbC - caught (previous or current)
anti-HbE - not infective
anti-HbS = anti-sick (immune)

Question 6

Premature ovarian insufficiency

Answer 6

Combined COPD or HRT until 51

Question 7

Cyclical HRT

Answer 7

Perimenopausal women

Question 8

POP MOA

Answer 8

Thickens mucus

Question 9

IUD MOA

Answer 9

Kills sperm

Question 10

IUS MOA

Answer 10

Prevents endometrial proliferation

Question 11

Gross motor milestones

Answer 11

6 months - roll front to back, pulls to sitting
7-8 months - sits without support
9 months - crawling, pulls to stand
13-15 months - walks unsupported
18 months - squats
2 years - runs
3 years - tricycle
4 years - hops on one leg

Question 12

Speech milestones

Answer 12

6 months - double syllables
9 months - mama + dada
12 months - responds to name
12-15 months - 2-6 words
2 years - combine 2 words
3 years - short sentences

Question 13

Threatened miscarriage
Missed miscarriage
Inevitable miscarriage
Incomplete miscarriage

Answer 13

T - closed os, blood minimal
T - closed os
Inevtiable - open os, blood +++
Incomplete - open os, blood +

Question 14

Treatment for BV

Answer 14

Metronidazole
Topical clindamycin if metro allergic

Question 15

Gonorrhoea treatment

Answer 15

IM ceftriaxone

Question 16

Syphillis treatment

Answer 16

IM benzylpenicillin

Question 17

Salmonella

Answer 17

Ciprofloxacin (Sipro)

Question 18

Campylobacter

Answer 18

Clarithromycin

Question 19

Gestational diabetes

Answer 19

Start insulin if BM >7

Question 20

Antenatal visits

Answer 20

8-12 weeks - booking visit
11-13+6 - down’s
10-13+6 - early scan
18-20+6 - anomaly
28 weeks - 1st anti-d
34 weeks - 2nd anti-d
36 weeks - presentation

Question 21

Live vaccines

Answer 21

BCG
MMR
Oral polio
Oral typhoid
Oral rotavirus
Yellow fever
Intranasal influenza

Question 22

Tetanus rule

Answer 22

If 5 doses with last <10 yrs ago then no Ig

Question 23

Immunisation schedule

Answer 23

2 months - 6 in 1 (polio, hiB, hep B, WC, diptheria, tetanus), oral rotavirus, menB

3 months - 6 in 1, oral rotavirus, PCV

4 months - 6 in 1

12-12 months - Hib/MenC, MMR, Men B, PCV

2-8 yrs - flu

3-4 yrs - 4 in 1

12 - 13 years - HPV

13-18 yrs - 3 in 1, Men ACWY

Question 24

SLGT2
DPP-4
GLP1

Diabetes cutoffs

Answer 24

flozin (CVD)
gliptin
glutide

HbA1c - 48%
7, 11.1
5.6, 7.8 in GDM

Question 25

C-peptide in DM

Answer 25

Type 1 - low Type 2 - normal or high

Question 26

Treatment if triple therapy not effective in DM and BMI >35

Answer 26

GLP-1 mimetic

Question 27

CAP Haemophilus influenza S. aureus Klebsiella Pseudomonas

Answer 27

COPD exacerbation Preceding influenza Alcoholics CF patients

Question 28

CURB-65

Answer 28

C - confusion U - urea >7 R - RR>30 B - SBP <90 or DBP <60 65 - age

Question 29

If ACEi not tolerated

Answer 29

ARB

Question 30

HF + HTN

Answer 30

Ramipril

Question 31

STEMI Mx

Answer 31

Aspirin P2Y12 (ticagrelor or clopi) Heparin

Question 32

Post-ACS treatment

Answer 32

DAPT ACEi B-blocker Statin

Question 33

Left ventricular free wall rupture

Answer 33

Beck's triad

Question 34

MI + HF

Answer 34

aldosterone antagonist

Question 35

AF pharmacological cardioversion

Answer 35

Flecanide if structurally fine Amiodarone if structural disease

Question 36

Psoriasis treatment

Answer 36

Potent corticosteroid + vit D analogue OD Vit D BD Steroid BD UV light PUVA

Question 37

Pemphigus vulgaris

Answer 37

Mouth/mucosal

Question 38

Pemphigus pemphigoid

Answer 38

No mucosa

Question 39

Flexural psoriasis

Answer 39

Steroid only

Question 40

Acne in pregnancy

Answer 40

Erythromycin (no retinoids or doxy)