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ZERO TO FINALS YEAR 4 > PASSMED WRONG ANSWERS PAPER 1 > Flashcards

PASSMED WRONG ANSWERS PAPER 1 Flashcards

1
Q

what is recommended dose of morphine if patient is switched from oral to SC/IM/IV

A

half of the oral dose

also consider:
60mg bd=120mg
so 60mg would be given

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2
Q

what should be offered to women with a previous baby of GBS in their current pregnancy

A

IV antibiotics prophylactic

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3
Q

what NSAIDs is used in primary dysmenorrhea

A

mefenamic acid

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4
Q

what organism is the cause of pneumonia in preceding influenza

A

staph aureus

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5
Q

what is given for perturssis

A

<1 month - clarithromycin
>1 month - azaithromycin
pregnancy - erythromycin

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6
Q

conversion disorder

A

loss of motor/sensory function, can be caused by stress

e.g. musical player loses neuro function in arm

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7
Q

what is the management for inguinal hernias in infants

A

urgent surgery

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8
Q

what is the adjuvant hormonal therapy for oestrogen +Ve breast cancer in post menopausal women

A

anastrozole

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9
Q

what are features of wernicke’s encephalopathy

A 
confusion
ataxia
nystagmus 
ophthamoplegia 
peripheral neuropathy
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10
Q

management of bradycardia

A

administer 6 doses of atropine

if still bradycardia, external pacing is given

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11
Q

what epileptic drug can increase INR levels

A

sodium valproate

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12
Q

what NSAIDS can be continued in AKI for cardio protective dose

A

low-dose aspirin

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13
Q

what is the screening and management for AAA

A

look at the flashcard sort

btw you got this!

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14
Q

what stoma can form an anastomosis of the large bowel but protect it by defunctioning the bowel and can be reversed in the future

A

loop ileostomy

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15
Q

what is happening if there is ongoing pain after cholecystectomy

A

gallstones present in the CBD causing jaundice and pain

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16
Q

what can’t be prescribed with methotrexate

A

trimethoprim

including co-trimoxazole

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17
Q

management of alcohol withdrawal

A

admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)

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18
Q

management of alcohol withdrawal

A

admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)

19
Q

what contraceptive method commonly causes weight gain

A

the progesterone injection

20
Q

what is seen on the ECG for hypoparathyroidism

A

prolong QT interval

21
Q

what is a contraindication for laryngeal make airway

A

being non-fasted

22
Q

what is the management of miscarriage if there is suspected infection

A

surgical management.

23
Q

how should total parenteral nutrition be administered

A

central line

24
Q

how should a patient with bipolar be managed if they present with symptoms of hypomania or mania

A

hypomania:
refer routinely to CMHT

mania or severe depression:
urgent referral to CMHT

25
Q

what position should be used for cord prolapse

A

on all fours and knees

26
Q

what is contraindicated in COCP

A

wheelchair use

27
Q

what is seen on the ECG for Hypercalcaemia

A

shortened QT interval

28
Q

what is a contraindication for circumcision

A

hypospadias

29
Q

what are diagnostic features of miscarriage on transvaginal USS

A

no cardiac activity

crown-rump length >7mm

30
Q

what is given for chronic sinusitis

A

intranasal corticosteroids

31
Q

what is the management of secondary pneumothorax if <1cm

A

admit and give oxygen for 24hrs and review

32
Q

what scans can be used to assess presence of fluid in the abdo and thorax

A

FAST

33
Q

what type of dementia has visual hallucinations

A

Lewy body

34
Q

how is thyrotoxic storm treated

A

beta blockers
propylthirouracil
hydrocortisone

35
Q

management of ectopic

A

look at notes

KEEP GOING !!!

36
Q

what management reduces the risk of still birth in intra hepatic cholestasis

A

elective induction from 37 weeks

37
Q

drug causes of urinary retention

A

opioid analgesia

anti-cholingergics

38
Q

what form of oxygen mask is given in a CO2 retainer patient if extremely hypoxic

A

15L via non breather mask

39
Q

when should a second drug be added for T2DM

A

if HbA1c >58

40
Q

which SSRI will lead to QT prolongation

A

citalopram

41
Q

what management is given for patients with malignant distal obstructive jaundice due to unresectable pancreatic cancer

A

biliary stenting

42
Q

what are the complications of correcting Na levels rapidly

A

hyponatraemia:
osmotic demyelination syndrome

hypernatraemia:
cerebral oedema

43
Q

what should be given to mothers if they are having to exclude dairy from their diet due to cow’s milk protein allergy

A

calcium and vitamin D for mum

ZERO TO FINALS YEAR 4 (11 decks)

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