PASSMED WRONG ANSWERS PAPER 1 Flashcards
what is recommended dose of morphine if patient is switched from oral to SC/IM/IV
half of the oral dose
also consider:
60mg bd=120mg
so 60mg would be given
what should be offered to women with a previous baby of GBS in their current pregnancy
IV antibiotics prophylactic
what NSAIDs is used in primary dysmenorrhea
mefenamic acid
what organism is the cause of pneumonia in preceding influenza
staph aureus
what is given for perturssis
<1 month - clarithromycin
>1 month - azaithromycin
pregnancy - erythromycin
conversion disorder
loss of motor/sensory function, can be caused by stress
e.g. musical player loses neuro function in arm
what is the management for inguinal hernias in infants
urgent surgery
what is the adjuvant hormonal therapy for oestrogen +Ve breast cancer in post menopausal women
anastrozole
what are features of wernicke’s encephalopathy
confusion ataxia nystagmus ophthamoplegia peripheral neuropathy
management of bradycardia
administer 6 doses of atropine
if still bradycardia, external pacing is given
what epileptic drug can increase INR levels
sodium valproate
what NSAIDS can be continued in AKI for cardio protective dose
low-dose aspirin
what is the screening and management for AAA
look at the flashcard sort
btw you got this!
what stoma can form an anastomosis of the large bowel but protect it by defunctioning the bowel and can be reversed in the future
loop ileostomy
what is happening if there is ongoing pain after cholecystectomy
gallstones present in the CBD causing jaundice and pain
what can’t be prescribed with methotrexate
trimethoprim
including co-trimoxazole
management of alcohol withdrawal
admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)
management of alcohol withdrawal
admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)
what contraceptive method commonly causes weight gain
the progesterone injection
what is seen on the ECG for hypoparathyroidism
prolong QT interval
what is a contraindication for laryngeal make airway
being non-fasted
what is the management of miscarriage if there is suspected infection
surgical management.
how should total parenteral nutrition be administered
central line
how should a patient with bipolar be managed if they present with symptoms of hypomania or mania
hypomania:
refer routinely to CMHT
mania or severe depression:
urgent referral to CMHT
what position should be used for cord prolapse
on all fours and knees
what is contraindicated in COCP
wheelchair use
what is seen on the ECG for Hypercalcaemia
shortened QT interval
what is a contraindication for circumcision
hypospadias
what are diagnostic features of miscarriage on transvaginal USS
no cardiac activity
crown-rump length >7mm
what is given for chronic sinusitis
intranasal corticosteroids
what is the management of secondary pneumothorax if <1cm
admit and give oxygen for 24hrs and review
what scans can be used to assess presence of fluid in the abdo and thorax
FAST
what type of dementia has visual hallucinations
Lewy body
how is thyrotoxic storm treated
beta blockers
propylthirouracil
hydrocortisone
management of ectopic
look at notes
KEEP GOING !!!
what management reduces the risk of still birth in intra hepatic cholestasis
elective induction from 37 weeks
drug causes of urinary retention
opioid analgesia
anti-cholingergics
what form of oxygen mask is given in a CO2 retainer patient if extremely hypoxic
15L via non breather mask
when should a second drug be added for T2DM
if HbA1c >58
which SSRI will lead to QT prolongation
citalopram
what management is given for patients with malignant distal obstructive jaundice due to unresectable pancreatic cancer
biliary stenting
what are the complications of correcting Na levels rapidly
hyponatraemia:
osmotic demyelination syndrome
hypernatraemia:
cerebral oedema
what should be given to mothers if they are having to exclude dairy from their diet due to cow’s milk protein allergy
calcium and vitamin D for mum
