past questions 1 Flashcards
What is anticoag prescription after dvt?
-3 month DOAC provoked
-6 month doac if unprovoked
-Cancer u give 6 months
What to co-prescrige in non-hodgkins lymphoma for better outcomes?
Rituximab
What type of cells are characteristic for hodgkins lymphoma?
Reed-sternberg cells
Pain in lymph nodes after drinking alcohol? diagnosis
Hodgkin’s lymphoma
Risk factor for MALT lymphoma
H pylori
What to give if vacomycin didn’t work first time in C.diff?
ORAL vancomycin and IV metronidazole
outbreak of vommiting what organism is this caused by?
Nora virus
main bug that causes vommiting outbreaks
norovirus and rotavirus in under 5’s
what malignancy is linked to mysthethenia gravis linked to?
Thymoma
When should a lumbar puncture be performed in a suspected SAH?
12 hours
Treatment of dystonia in antipsychotic drugs?
Stop drug immediately and give procyclidine
How can you prevent contrast induced nephropathy in patients requiring diagnostic imagining with CKD to prevent AKI?
1L of sodium chloride before and after the scan
Isolated elevated ALP?
Bone disease
Diahorrea, fatigue, low vitamin D, low calcium, low phosphate?
Coeliac disease
Labyrinthitis vs vestibular neuronitis
Lab- hearing loss
Treatment of Bells Palsy?
Predisolone if presenting within 72 hours of symptoms developing.
Lubricating eye drops to prevent eye from drying out and being damaged
Prevention of motion sickness
Hycosine>cyclizine
Test for autoimmune haemolytic anemia
Coombs test
What to do in expected dvt but proximal leg vein ultrasound comes back negative but d dimer is positive.
Stop anticoagulation and repeat scan in 1 week
Which valve is most commonly affected in infective endocarditis?
Tricuspid valve
What is the most common cause of pool related diahorrhea and how is it treated?
Crypto and self limiting
Treatment for urticaria?
1st - a non-sedating antihistamine
2nd line - oral corticosteroids
What muscle groups does trandelenburgs test check the stability of?
Abductors/ gluteal muscles?
Mania vs hypomania
Delusions or hallucinations in mania
Management of neonatal hypoglycaemia:
Asymptomatic:
* encourage normal feeding (breast or bottle)
* monitor blood glucose
symptomatic or very low blood glucose:
* admit to the neonatal unit
* intravenous infusion of 10% dextrose
When to refer for colposcopy?
3x hpv positive only
2x inconclusive
Abnormal cytology
Treatment for urge and stress incontinence
Urge- Oxybutynin
Stress- Duloxetine
Which is the bad cholesterol?
LDL
What is the inheritance pattern and signs of familial hypercolestrolaemia?
Autosomal dominant
Heterozygous version much more common.
-V high cholesterol (over 7.5 in adults)
-FHx of premature CVD (mi under 60 in 1st degree relative
-Tendon xanthomata (hard nodules in the tendons contain cholesterol, often on the back of the hand and Achilies
Apart from lifestyle advice what should be offered to all patients with peripheral vascular disease. And then if this fails?
1.A supervised exercise programme.
Revascularisation procedures may be offered if all measures fail (bypass/ angioplasty surgery).
If they dont want this offer vasodilator medication e.g. naftidrofuryl oxalate
Prostaglandins (which type?) vs indomethacin
Indomethacin is indicated from patent ductus arterious closure (onset of action)
Prostaglandins especially E tyoe maintain the patency of the ducts
