phase 2 sba 3 Flashcards
which drugs can cause hyperkalaeimia
Spironolactone is a potassium sparring diuretic and therefore leads to hyperkalaemia due to impaired excretion of potassium via the kidneys
do you need to tell DVLA about a TIA
NO
Do not notify the DVLA but no driving for 1 mont
treatment for E coli uncomplicated UTI
nitrofurantoin PO for 3 days
which mature cell is a derivative of the common myeloid progenitor
Neutrophil
ECG of someone with Conn’s syndrome
Flat T-wave, prolonged QT interval, ST depression
Conn’s syndrome (primary hypoaldosteronism) causes hypokalemia
chlamidya treatment
Doxycycline 100mg twice daily for 7 day
what is positive predictive value?
Proportion of positive results that are true positives
where does the Medulla Oblongata develop from
Myelencephalon
which meds are avoided in heart failure
Calcium channels blockers, with the exception of Amlodipine, are generally avoided in
heart failure, and verapamil in particular can worsen heart failure.
rules for dexa scan from nice
NICE states a DEXA scan should be offered without calculating the fracture risk score in people over 50 with a previous fragility fracture, or people under 40 with a major risk factor.
3 reasons when its okay to break patient confidentiality
The three reasons are:
- Risk to public safety (i.e., in situations A and D)
- They have given consent (B)
- It is required by law (i.e., situation C, a court case following situation A).
first line treatment for crohsn remission
an Aminosalicylate such as Olsalazine or Mesalazine
common side effect of CCB?
Ankle swelling is a common side effect of calcium channel blockers due to vasodilation causing the leakage of fluid into surrounding tissues.
treatment of De quervain’s thyroiditi
supportive - Aspirin and ibuprofen
are parkinsons tremors bilateral?
no typically asymmetrical, and more prominent on one side
What can be given to someone who has come to the A&E after overdosing on paracetamol 4 hours ago?
N-acetyl cysteine
where does idiopathic pulmonary fibrosis affect
Idiopathic pulmonary fibrosis usually causes lower zone fibrosis
how do Quinolones work
by disrupting DNA gyrase
Below what CD4+ cell count would the diagnosis of AIDS be made?
<200 cells/mm^3
which markers is most specific for highlighting acute liver damage?
ALT - because found almost exclusively in the liver
which factor is involved in the extrinsic pathway of apoptosis?
Fas ligand
What does stimulation of beta 1 receptors cause?
Increased inotropy
`What does Vancomycin target?
Inhibits transpeptidase so disrupts cell wall synthesis
what electrolyte abnormality does SIADH cause
hyponatraemia
describe Cullen’s sign?
Periumbilical bruising
correct CT chest finding of bronchiectasis?
tram track appearance
best investigation for urethritis
Nucleic acid amplification test
best treatment for headache with eye symptoms
Methylprednisolone
most common cause of endocarditis?
S.aureus
Which electrolyte imbalance can be seen due to ACE inhibitors
high potassium
give an anti depressant
sertraline - SSRI
components of annual diabetic review at gp
Height and weight
Blood pressure
HbA1C measurement
diabetic foot exam
contraindications of beta blockers
asthma
Hypotension
Heart failure
`Heart block
