past questions 1 Flashcards

1
Q

What is anticoag prescription after dvt?

A

-3 month DOAC provoked
-6 month doac if unprovoked
-Cancer u give 6 months

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2
Q

What to co-prescrige in non-hodgkins lymphoma for better outcomes?

A

Rituximab

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3
Q

What type of cells are characteristic for hodgkins lymphoma?

A

Reed-sternberg cells

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4
Q

Pain in lymph nodes after drinking alcohol? diagnosis

A

Hodgkin’s lymphoma

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5
Q

Risk factor for MALT lymphoma

A

H pylori

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6
Q

What to give if vacomycin didn’t work first time in C.diff?

A

ORAL vancomycin and IV metronidazole

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7
Q

outbreak of vommiting what organism is this caused by?

A

Nora virus

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8
Q

main bug that causes vommiting outbreaks

A

norovirus and rotavirus in under 5’s

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9
Q

what malignancy is linked to mysthethenia gravis linked to?

A

Thymoma

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10
Q

When should a lumbar puncture be performed in a suspected SAH?

A

12 hours

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11
Q

Treatment of dystonia in antipsychotic drugs?

A

Stop drug immediately and give procyclidine

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12
Q

How can you prevent contrast induced nephropathy in patients requiring diagnostic imagining with CKD to prevent AKI?

A

1L of sodium chloride before and after the scan

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13
Q

Isolated elevated ALP?

A

Bone disease

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14
Q

Diahorrea, fatigue, low vitamin D, low calcium, low phosphate?

A

Coeliac disease

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15
Q

Labyrinthitis vs vestibular neuronitis

A

Lab- hearing loss

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16
Q

Treatment of Bells Palsy?

A

Predisolone if presenting within 72 hours of symptoms developing.

Lubricating eye drops to prevent eye from drying out and being damaged

17
Q

Prevention of motion sickness

A

Hycosine>cyclizine

18
Q

Test for autoimmune haemolytic anemia

A

Coombs test

19
Q

What to do in expected dvt but proximal leg vein ultrasound comes back negative but d dimer is positive.

A

Stop anticoagulation and repeat scan in 1 week

20
Q

Which valve is most commonly affected in infective endocarditis?

A

Tricuspid valve

21
Q

What is the most common cause of pool related diahorrhea and how is it treated?

A

Crypto and self limiting

22
Q

Treatment for urticaria?

A

1st - a non-sedating antihistamine
2nd line - oral corticosteroids

23
Q

What muscle groups does trandelenburgs test check the stability of?

A

Abductors/ gluteal muscles?

24
Q

Mania vs hypomania

A

Delusions or hallucinations in mania

25
Q

Management of neonatal hypoglycaemia:

A

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

26
Q

When to refer for colposcopy?

A

3x hpv positive only
2x inconclusive
Abnormal cytology

27
Q

Treatment for urge and stress incontinence

A

Urge- Oxybutynin
Stress- Duloxetine

28
Q

Which is the bad cholesterol?

A

LDL

29
Q

What is the inheritance pattern and signs of familial hypercolestrolaemia?

A

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

30
Q

Apart from lifestyle advice what should be offered to all patients with peripheral vascular disease. And then if this fails?

A

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

31
Q

Prostaglandins (which type?) vs indomethacin

A

Indomethacin is indicated from patent ductus arterious closure (onset of action)

Prostaglandins especially E tyoe maintain the patency of the ducts

32
Q
A