Passmedicine Qs Flashcards
What’s the difference between priamry and secondary dysmenorrhea
primary dysmenorrhoea there is no underlying pelvic pathology
Secondary dysmenorrhoea typically develops many years after the menarche and is the result of an underlying pathology.
Mx of secondary dysmenorrhea
Refer to gynae for investigation
Mx of primary dysmenorrhea
NSAIDs
Mefanemic acid
2nd line - COCP
When do you surgically excise a fibroadenoma
If it is above 3cm
Tx for hepatitis A+E
Supportive care
Which genetic condtion is associated with supravalvular aortic stenosis
Williams syndrome
Difference between lambert Eaton syndrome and myasthenia gravis
Lambert Eaton usually worse affected in the legs and associated with SMALL CELL LUNG CANCER
What should be prescribed alongside SSRIs
PPI as it has gastric effects
When would you not give topiramate in migraine prophylaxis
In women of child bearing age - lead to pregnancy complications
Eron class for cellulitis
Eron I - no signs of systemic toxicity and no uncontrolled co-morbidities
Eron II - systemically unwell or systemically well but with a co-morbidity
Eron III - systemic upset such as acute confusion, tachycardia, tachypnoea, hypotension, or unstable co-morbidities
Eron IV - sepsis syndrome or a severe life-threatening infection such as necrotizing fasciitis
Samters triad
Asthma
Nasal polyps
Aspirin/ NSAID sensitivity
What are the shockable rhythm
Ventricular fibrillation
Pulse less ventricular tachycardia
Edward’s syndrome quadruple test results
Alphafeto protein - low
Oestriol - low
beta HCG - low
Inhibin A - normal
Give some medications to avoid in end stage renal failure
NSAIDS
Lithium
Metformin
Nitrofurantoin/tertracyclines
Main side effect of giving magnesium
Diarrhoea
Features of optic neuritis
CRAP
Central scotoma - blind spot in middle eye
Reduced red vision
Acuity (reduced)
Painful eye movement
When do you use each of
Ondansetron
Haloperidol
Prochlorperazine
Metoclopramide
In treating sickness
Ondansetron from you Oncologist - after chemo
Haloperidol for causes in your Head - raised ICP
Prochlorperazine for when you feel Peculiar (i.e. dizzy) - vestibular causes
Metoclopramide for things attached to the Mesentry - GI causes
Why do you give lorazepam in patients with liver cirrhosis and delirium tremens
Because chlordiazepoxide is not metabolised properly in patients with liver cirrhosis
Difference between chlamydia and gonorrhoeal conjunctivitis
Chlamydia - 5 days/ 2 weeks - later onset
Gonorrhea - from 24 hours to 5 days - earlier onset
What is the post exposure prophylaxis of HIV
Oral Antiretrovirals for 4 weeks
HSV encephalitis CT shows?
temporal lobe changes
Urea levels in upper vs lower gi bleed
High urea levels can indicate an upper GI bleed versus lower GI bleed
When is carboprost CI
Asthma
What differentiates mania from hypomania
grandiose delusions according to the DSM-5 criteria
