Passmed Questions 2.0 Flashcards
when should you give prophylactic abx for spontaneous bacterial peritonitis? what antibiotic would this be?
oral ciprofloxacin
if previous SPB infection
ascitic tap protein 15 or less
child pugh 9 or more
hepatorenal syndrome
what condition would over estimate HbA1c?
splenectomy due to long half life of RBC
treatment for hiccups in palliative care
chlorpromazine or haloperidol
pathophysiology of primary biliary cholangitis
interlobula bile ducts become inflammed –> cholangitis –> cirrhosis
ovarian tumour associated with Meig’s syndrome
fibroma
(benign tumour)
most common ovarian tumour found in women of reproductive age?
follicular cyst
most common ovarian tumour found in young women < 25 years
dermoid cyst (teratoma)
precipitating factors for digoxin toxicity
hypokalaemia, hypomagnaesaemia
hypercalcaemia, hypernatraemia
low albumin
hypothermia, hypothyroidism
amiodarone, verapamil, diltiazem, ciclosporin, spironolactone, thiazide and loop diuretics
increasing age, renal failure,
HF medications which may precipitate digoxin toxicity
spironolactone
loop diuretics
thiazide like diuretics
verapapmil, diltizem
electrolyte abnormalities which could precipitate digoxin toxicity
low K, Mg, temp, albumin, thyroid
high Na, Ca
at what fasting glucose should insulin be started immediately in pregnant patients
if fast glucose 7 or higher then start insulin
if > 5.6 but < 7 - lifestyle advice + metformin
cancer with raised AFP and bHCG
non-seminoma testicular cancer
cancer with raised 15-3
breast cancer
bombesin tumour marker
gatsric cancer, neuroblastoma, small cell lung cancer
S-100 tumour marker
schwannoma, melanoma
