phase 2 sba 6 Flashcards

1
Q

give an intentional reason for non-adherence?

A

patient preference

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2
Q

treatment for primary syphillis

A
  • Benzathine penicillin
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3
Q

what is raynauds syndrome

A

colour change in fingers white, blue, red)

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4
Q

describe Hand arm vibration syndrome

A
  • raynauds syndrome
  • parasthesia
  • weak hands
  • associated with power tools
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5
Q

what to give for meningocoocal prophylaxis

A

Ciprofloxacin and rifampicin

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6
Q

most common cause of work-related ill health in the UK
workforce?

A

Stress, anxiety and depression`

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7
Q

example of secondary prevention?

A

Long term anti-platelet therapy following MI

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8
Q

4 screening programmes in uk

A

A. Abdominal aortic aneurysm programme
B. Breast screening programme
C. Cervical screening programme
D. Newborn and Infant Physical Examination screening programme

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9
Q

parkinsons cardinal triad

A

resting tremor, cogwheel rigidity and
bradykinesia

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10
Q

mode of action of Naproxen?

A
  • Non-selective inhibitor of COX 1 and COX 2 enzymes
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11
Q

what to do if:
Men with an inguinal hernia which is symptomatic and irreducible or partially irreducible

A

should be referred urgently to secondary care as it has an increased risk of strangulation

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12
Q

what does Core antibody (HBcAb) in hep b indicate

A

implies past or current infection

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13
Q

describe duputryen contracture

A

a fibroproliferative disorder affecting the palmar fascia mainly of the 4th and 5th fingers. Risk factors include alcohol abuse and liver cirrhosis

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14
Q

first line test for biloiary colic

A

Ultrasound scan of the gallbladder

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15
Q

Goserelin drug class

A

GnRH agonist - used for prostate cancer

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16
Q

who is uti complicated in

A
  • man
  • child
  • pregnant
  • immunocompromised
  • recurrent utis
  • structural abnormality
17
Q

first line therapy for hypothyroidism

A

levothyroxine

18
Q

does addisons cause hypertension or hypotension

A

hypotension

19
Q

how do long term steroids affect the skin

A

Long term steroid use causes skin thinning and easy bruising therefore

20
Q

ecg. of wolf parkinson white

A

Wide QRS, short PR, delta wave

21
Q

what score is used to caculcare risk of bleeding for patients on anticoagulants

A

HASBLED

22
Q

side effct of bendroflumethaziade

A

swollen, erythematous and tender feet

23
Q

a risk factor for sudden cardiac death

A

unexplained syncope

24
Q

what antibiotic for r Clostridium Difficile Toxin (CDT)

A

IV Metronidazole + oral Vancomycin

25
Q

is there a HIV vaccine

A

no

26
Q

What mechanism explains how most new strains of influenza emerge over time

A

Antigenic drift

27
Q

What is the mechanism of dehydration in cholera

A

Reversal of the concentration gradient of ions

28
Q

What is the mechanism of action of clindamycin?

A

Inhibits bacterial protein synthesis by binding 50S ribosomal subunit

29
Q

describe serology of polycyhtemia vera

A

Increased red cell mass, reduced serum erythropoietin and JAK2 mutation present

30
Q

adverse effect of methotrexate daily

A

) Bone marrow suppression

31
Q

which antbitpic may increase the
QT interval on the ECG?

A

clarithromycin

32
Q

is pulsatile a symptom of limb ischaemia

A

no

33
Q

what kind of prevention are vaccines

A

primary

34
Q

what conditions are screened for in newborn blood spot test

A

Congenital hypothyroidism
Cystic fibrosis
Sickle cell
Severe combined immunodeficiency

DOWNS SYNDROME IS NOT

35
Q

unilateral headaches and unable to brush her hair due
to pain and she noticed her jaw hurts when she is trying to eat

gold standard test.

A

temporal artery biopsy

36
Q

if someone is using accessory muscles to breath what asthma attack level is that

A

severe

37
Q
A