Pass med Flashcards
How is intrahepatic cholestasis of pregnancy treated first line?
Ursdeoxycholic acid
How is cholestatic pruritus treated first line?
Colystyramine
What are the symptoms of menieres disease?
Recurrent episodes of vertigo with hearing loss, and a sense of ‘fullness’ in the ear
What is the strongest risk factor for the development of bells palsy?
Pregnancy (3 times more likely)
What is the most common type of congenital heart defect?
VSD
What kind of murmur is a VSD?
Pan-systolic
How is all post menopausal bleeding managed?
Urgent 2ww referral to gynae to rule out endometrial cancer.
What is CA-125 a marker of?
Ovarian cancer
How is bells palsy treated?
Prednisolone (with lubricating eye drops)
Do not prescribe acyclovir without specialist advice
What ECG changes could be considered normal in athletes?
- Bradycardia
- Incomplete RBBB
- First degree A/V block *(and mobitz type 1)
- Tall QRS (LVH)
LBBB is always pathological
What worm commonly causes perianal itching and is very contagious?
Enterobius vermicularis (threadworm)
How is enterobius vermicularis (and other worm infections) treated?
Mebendazole
What is the long term anticoagulants given in provoked vs unprovoked PE?
- Provoked = 3 months treatment
- Unprovoked = 6 months
What electrolyte imbalance does MDMA put you at risk of?
Hyponatraemia (due to SIADH and excessive water consumption)
What HbA1c level should a second drug be added to metformin to control T2DM?
> 58
