Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

UKMLA > paper 2 > Flashcards

paper 2 Flashcards

1
Q

DVLA rules for single stroke/TIA?

A

1 month off drivingD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

DVLA rules for multiple TIAS?

A

3 month off driving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

visual field defects and DVLA?

A

no driving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

can you drive with dementia?

A

yes but must inform dvlc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

can you drive with schizophrenia?

A

not in acute schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

can you drive with mania or hypomania.

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

neurological problems and dvla?

A

first seizure = 6 months off
first seizure and no explanation = 12 month off
second seizure/known seizures = can drive if seizure free for a year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

cardiovascular problems and dvla?

A

CABG = 4 weeks
ACS = 4 weeks off
angioplasty = 1 week
pacemaker = 1 week
ICD = 6 months, preventative = 1 month
successful catheter ablation = 2 days off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

drug and alcohol and dvla

A

6 months min, dependent 1 year and hallucinagenic 6 months and hardcore 12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what SSRi is used for mania/

A

fluoxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

phq - 9 for less severe and severe depression

A

<16 and 16+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

schneiders first rank?

A

auditory hallucinations, delusions, thought disturbances, passivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

5 dam-5 criteria for depression

A

either loss of interest/pleasure or severe objective or subjective sadness
+ weight loss/gain/change of appetite
+ hyperaemia/insomnia
+ hopelessness/inappropriate feeling of guilt
+ fatigue/loss of energy
+ concentration problems and indecisiveness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

firbomyalgia treatment?

A

talking + pregabalin, duloxetine and amitriptyline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

acute agitation in elderly with no Parkinson’s?

A

haloperidol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

acute agitation in elderly with Parkinson’s?

A

lorazepam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

terminal phase of palliative care agitation treatment?

A

midazolam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

hiccups management/

A

chlorpromazine

dexamethasone can be used if hepatic lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

medical treatment for secretions

A

hyoscine hydrobromide

glycopyrronium may also be used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what drug can be used for haematuria that isn’t life threatening in palliative care?

A

etamsylate 500mg qds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is SVC obstruction/

A

oncological emergency of compression of the SVC, causes swelling of the face periorbital region (changes to eyesight), neck and arms. can cause SOB

usually treated with end-vascular stenting but can be treated using chemo to reduce tumour size

usually related to lung cancer (small cell)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is capers syndrome?

A

friend or partner replaced by imposter

23
Q

what is coward syndrome?

A

they think themselves as dead and may not eat/drink as they do not seem it a necessity

24
Q

de cleramaults syndrome?

A

delusion that a celebrity is in love with them

25
wat differentiates type 1 and type 2 bipolar?
psychosis
26
management of mania/hypomania?
psychological interventions and consider stopping antidepressant/antipsychotic therapy if they take one
27
when is a CMHT referral routine or urgent
urgent if severe depression or mania, routine if hypomania
28
mania length?
7 days or more, hypomania is 4 days
29
advanced decisions is it refusal or demanding of treatment?
refuse only, verbal refusal can occur but if it is life changing tretament it out be written witnessed and signed
30
describe the different types of psychosis/depression related to pregnancy baby blue etc
baby blues - most common, irritability/mood swings/tearfulness 3-7 days post partum, usually in first time mums. reassurance and support from health visitor helps post natal depression - 1-3 months after birth, typical depression symptoms, CBT and SSRIs used alongside reassurance and her (sertraline and paroxetine used) puerperal psychosis - 2-4 weeks post partum, depression and psychotic symptoms admitted to mother and baby unit. relapse can occur in future pregnancies.
31
overdose and poisoning management for 1. paracetamol 2. salicylate 3 opioid 4. benzo 5. TCAs 6.lithium 7. warfarin 8 heparin 9 beta blocker 10 ethylene glycol 11. methanol 12. organophosphate insecticide 13. digoxin 14. iron 15. lead 16 carbon monoxide 17. cyanide
1. activate charcoal <1hr, NAC or liver transplant 2. IV sodium bicarb 3. naloxone 4. flumazenil 5. IV bicarb 6. mild = IV saline, severe = haemodialysis 7. VIT K 8. protamine sulphate 9. atropine or glucagon if resistant 10. fomepizole 11. fomepizole 12. atropine 13. digoxin specific antibody 14. desfrrioxamine 15. dimercaprol 16. 100% oxygen and hyperbaric oxygen 17. tydroxycobalamin
32
cocaine toxicity causes what main consequences? and treatment
1. MI due to coronary artery spasm 2. seizures and mydriasis 3. psychosis/hallucinations 4. ischaemic colitis chest pain = benzodiazepine + GTN MI = PCI HTN = benzo + sodium nitroprusside
33
what metabolic complication can occur as a result of MDMA txcitiy? and management
hyponatraemia due to lots of water intake supportive treatment usually or dantrolene for hyperthermia in severe cases
34
how long should opioid detox take and what with/
4 weeks in an inpatient institute with methadone or buprenorphine 12 week sin community
35
what are the 2 types of age-related macular degeneration, signs to differentiate and treatment?
wet and dry dry = yellow spots(druses), slower prognosis, gradual vision loss, difficulty adapting to dark and potential flickering lights zinc and antioxidants can slow progression wet = neovascularisation, subacute vision loss slit lamp is gold standard. fluorescein angio used if deemed wet to aid anti-VEF treatment laser can also be used but risk t peripheral visual field vision.
36
charle-bonnet is what?
visual hallucinations by people usually elderly int he dark with ARMD
37
what treatment is used for lewybody dementia and what differentiates it from parkinson's?
neuro first then motor symptoms donepazil/rivistigmine used neuroleptics avoided as can worsen parkinsonism
38
Acute stress vs ptsd main differential?
Acute stress is up to 4 weeks post incident, PTSD s past 4 weeks
39
Alcoholic liver disease identification tip on blood test and first line management?
Increased gamma gt AST:ALT >2x ratio, 3x ratio is strongly suggestive if alcoholic hepatitis Glucocorticoids used
40
ADHD diagnosis & treatment?
<16 need 6 of the criteria, >17 need 5 Methylphenidate for kids Methylphenidate or lisdexamfetamine for adults Cardiotoxic so ecg needed before starting Meds should be last resort family therpay and talking therpay first
41
Non-pharmaceutical therapy for autism>
Applied behavioural analysis, ASD preschool programme, family support and counselling
42
When checking lithium levels when should the sample be taken>
12 hours post-dose Levels should be performed weekly and after each dose change until concentration is stable Once stable, needs checking every 3 months Can cause parathyroid/high calcium, hypothyroid and kidney problems and diabetes Insipidous
43
12 hours post-dose Levels should be performed weekly and after each dose change until concentration is stable Once stable, needs checking every 3 months Can cause parathyroid/high calcium, hypothyroid and kidney problems and diabetes Insipidous
44
What treatment is used for Alzheimer’s?
Donepaizl, galantamne, rivastigmine Memantine second line or as an adjunct
45
When is donepazil contraindicated?
Bradycardia and insomnia
46
Fluoxetine to another SSRI?
4-7day gap
47
SSRI - TCA?
Cross tapering, reduce slowly whilst increasing other drug slowly
48
Fluoxetine to anything else?
Withdrawn
49
what is the ph have to be to necessitate a liver transplant after paracetamol overdose?
Ph <7.3
50
Serotonin syndrome vs neuroleptic syndrome
Ss = increased reflexes, clonus, dilated pupils NS, lead pipe rigidity, decreased reflex, normal pupils
51
QT rolongation is associated with what SSRI?
Citalopram
52
Widening of WRS is associated with what?
TCA
53
Drug choice for GAD?
Sertraline
54

UKMLA (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions