Other Flashcards

1
Q

Features of beta-blocker overdose

A

bradycardia, hypotension, heart failure, syncope

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2
Q

Treatment of beta-blocker overdose

A

If bradycardic then atropine
If resistant then glucagon
Then pacing if unresponsive to pharmacological therapy

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3
Q

How is Marfans inherited

A

Autosomal dominant

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4
Q

Contraindications to insulin stress test

A

Epilepsy, IHD, adrenal insufficiency

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5
Q

What do you do if poor response to 2nd line treatment

A

Upper GI endoscopy

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6
Q

How long to wait before retesting for h.pylori

A

4 weeks

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7
Q

Result of Vitamin B6 deficiency

A

peripheral neuropathy

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8
Q

Result of vitamin b2 (riboflavin) deficiency

A

angular cheilitis. 3-4 months of inadequate intake of riboflavin is sufficient to lead to depletion and becoming symptomatic

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9
Q

Result of Vitamin B6 deficiency

A

peripheral neuropathy

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10
Q

How do steroids affect WCC

A

Neutrophilia

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11
Q

Diet recommendation for Cystic Fibrosis

A

High calorie, high fat + pancreatic enzyme supplementation at every meal

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12
Q

Tetanus with wounds recommendations

A

High risk wounds (compound #, delayed surgical intervention, signif degree of devitalised tissue) give IM human tetanus immunoglobulin
- also give tetanus vaccine if vaccination hx is incomplete or unknown

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13
Q

Antibiotic therapy recommended for animal bite

A

Co-amoxiclav

Doxy and metronidazole if patient is pen allergic

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14
Q

HIV post-exposure prophylaxis

A

Oral antiretroviral for 4 weeks

Serological testing at 12 weeks following completion of PEP

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15
Q

What is Familial Mediterranean Fever

A

autosomal recessive - typically presents by 2nd decade - common in Mediterranean.
1-3 days attacks of pyrexia, abdo pain, pleurisy, pericarditis, arthritis and rash
- Colchicine may help

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16
Q

Vitamin B1 deficiency

A

Thiamine - Beriberi - polyneuropathy, wernicke-korsakoff & heart failure

17
Q

Vitamin B3 deficiency

A

niacin/nicotinic acid, pellegra - dementia, dermatitis, diarrhoea

18
Q

Vitamin B6 deficiency

A

Pyridoxine - anaemia, irritability, seizures

19
Q

Vitamin B7 deficiency

A

Biotin -dermatitis and seborrhoea

20
Q

Vitamin B9 deficiency

A

Folic acid, megaloblastic anaemia, neural tube defects

21
Q

Vitamin B12 deficiency

A

Cyanocobalamin - megaloblastic anaemia, peripheral neuropathy

22
Q

Vitamin E deficiency

A

Tocopherol, tocotrienol - mild haemolytic anaemia in newborn infants, ataxia, peripheral neuropathy

23
Q

Vitamin K deficiency

A

Naphthoquinone - haemorrhagic disease of newborn, bleeding diathesis

24
Q

Side effects of isoniazid

A

Drug-induced lupus and peripheral neuropathy

25
Q

Methanol poisoning- presentation and management

A

Visual changes - reduced vision and poorly reactive pupils + metabolic acidosis with raised anion gap. fomepizole or ethanol & haemodialysis to treat