PASSMED PAPER WRONG ANSWERS 2 Flashcards
what antibiotic can cause torsades de pointes
macrolides
what murmur is heard in turner’s syndrome
systolic over aortic valve
what is the most common side effect of the progestogen only pill
irregular bleeding
what does an advance directive indicate
it refers to a specific treatment in a specific circumstance
what is the management for an overactive bladder
antimuscarinics
when is lactational amernorrhoeic a a reliable form of contraception
<6 month old baby
amenorrhoeic
breastfeeding exclusively
where a stone going to be blocked and it doesnt cause jaundice
cystic duct
what is a complication of mastoiditis
meningitis
what corticosteroid is administered to mothers to reduce risk of RDS
dexamethasone
description of colostomy and ileostomy
colostomy - flush to skin
ileostomy - spouted
what is important to rule out and think about before doing a LP
raised ICP
mass in brain
what is the most common cause of bilious vomiting in the first few days of life
duodenal atresia
what is the criteria for orthostatic hypotension
- drop in systolic BP of 20
- drop below 90 on standing
- drop in 10 with symptoms
what does irregular breathing in a child indicate in an acute situation
agonal breathing, can occur in first few mins after cardiac arrest
what is the investigation of choice for reflux nephropathy
micturating cystography
what is the medical management of abortion
mifepristone and prostaglandins
what is the investigation for SAH if CT is normal and what is the timescale for doing this
LP, 12 hrs after onset of symptoms
what is a side effect of dopamine agonist
inhibition disorder
how do you reverse lidocaine toxicity
lipid emulsion
how do you reverse heparin overdose
protamine sulfate
how do you reverse opioid overdose
naloxone
what drug overdose can cause a respiratory alkalosis
aspirin
what drug can cause thrombocytopenia
heparin
what are signs of digoxin toxicity and what can precipitate it
yellow vision, bradycardia, nausea, vomiting
thiazide diuretics
what ophthalmic condition can cause sudden visual loss in diabetics
vitreous haemorrhage
what eGFR level is metformin contraindicated
eGR<30
how long does the merena coil last
5 years
where will pain be experienced the most for medial and lateral epicondylitis
medial - resisted pronation, flexion
lateral - resisted supination, extension
what does the time out stage refer to
surgical safety checklist before the first skin incision is made
what should not be routinely offered in acute pancreatitis
antibiotics
what should be done for patients with long saphenous vein superficial thrombophlebitis
USS to exclude DVT
what are the doses for adrenaline depending on ages
0-6 yrs - 150mg
6-12 yrs - 300mg
13+ yrs - 500mg
would you give IM benzylpenicillin in meningococcal sepsis if px has a penicillin allergy
yes
what is needed for a diagnosis of CKD in terms of staging
stages 1+2 - eGFR + evidence
stage 3-5 - eGFR
what is the first line investigations for suspected prostate cancer
MRI
how can you tell the difference between lewy body dementia and parkinson’s disease dementia
lewy body - parkinson’s signs develop after dementia
parkinson’s - parkinson’s signs develop before
how should malignant otitis externa in diabetics be managed
ciprofloxacin
what drug can cause galctorrhoea
metoclopramide
how is hydrocortisone given in addison’s
majority given in the first half of the day
