PassMed Facts Flashcards
what is the first line treatment in tonsillitis?
phenoxymethylpenicillin
what are the key features of otosclerosis?
- tinnitus
- family history
- conductive deafness
what are the key features of meineires disease?
- recurrent tinnitus; sensory hearing loss; vertigo (most prominent feature)
- aural fullness
- episodes last minutes to hour
how do you determine the features of acoustic neuroma/vetsibular schwannoma?
cranial nerve VIII = hearing loss, vertigo, tinnitus
cranial nerve V = absent corneal reflex
cranial nerve VII = facial palsy
how long does a perforated ear drum take to heal?
6 weeks
what is management of primary hyperaldosteronism?
spironolactone
what is the managemet of adrenal insufficiency?
fludricortisone
what do you use to screen for disease recurrence for medullary thyroid cancer?
calcitonin as MTC secrete calcintonin
what is cabergoline for?
dopamine agonist that lowers serum prolactin
eg pituitary adenomas
What is doxazosin for?
relxaes the smooth muscle of bladder and protate
eg benign hyperplasia of prostate
what is goserelin for?
management of prostate cancer
SE = gynaecomastia
what are key features of MODY?
patients diagnosed <25yo
family history
sensitive to sulfonylureas
MODY 3 - defect in HNF-1 alpha
MODY 2 - defect in glucokinase gene
MODY 5 - defect in HNF-1 ebeta
how much blood is classed as haematuria?
1ml blood in 1000ml urine
what drug would you use to prevent reaccumulation of asictes fluid?
aldosterone antagonist - spironolactone
What is a side effect of loop diuretic furosemide?
hyaline casts in urine