Placement Flashcards
What is a differential for a ruptured Baker’s cyst
DVT
Check a d dimer
The mirena coil can be used as part of HRT, true or false
true
in combination with oestrogen HRT
the mirena is the progestogen part
the COCP can be used in breastfeeding, true or false
false
if someone is on citalopram, can you add amitriptyline/pregabalin/gabapentin
no
what is the first line analgesia for joint pain due to OA
paracetamol and topical ibuprofen
cautions of NSAIDs
PUD
kidney damage
CVS - hypertension, fluid retention
what is a sister mary joseph node
periumbilical node
asbestos causes upper/lower zone fibrosis
lower zone
SSRI discontinuation symptoms
diarrhoea vomiting abdo pain restlessness sweating
major SSRI side effect
GI bleeding
therefore do not prescribe with NSAIDs
best imaging for adenomyosis
MRI
labyrinthitis vs vestibular neuronitis
labyrinthitis = hearing loss, dizzy, tinnitus (L for loss)
vestibular neuronitis = dizziness only
dix hallpike is diagnostic/therapeutic for BPPV
diagnostic
why is citalopram not the first line SSRI for depression
Cardiotoxicity
QT prolongation
drug interactions
what are the first line SSRIs for depression
sertraline
fluoxetine
added benefit of sertraline
anxiolytic
systems implicated in retrosternal pain
cardiac
oesophageal
mass
tennis elbow is lateral/medial epicondylitis
lateral
tests for urinary frequency / nocturia
fasting glucose - DM
UTI dipstick
constipation
in children with respiratory symptoms such as cough, wheeze and general irritability, what should you always also check
check the ears for otitis media
What additional examination should you do in patients presenting with resp symtpoms
oxygen saturation probe
in someone with joint pain, why must you check of they are diabetic
in case of osteomyelitis
what is given first line for those who can’t sleep
zopiclone (BZD related drug)
what is vasomotor rhinitis
commonly seen in older patients
continuously runny nose, other causes have been excluded
treat with ipratroprium spray
D.Dx for someone who presents with fatigue and tiredness who has PR bleeding
CRC!!!
Causing anaemia
in someone (older patient) with SOB, what sort of questions should you ask
SOCRATES of SOB
associated symptoms of the following systems:
resp - cough, pain
CVS - palpitations, ankle oedema, orthopnoea
GI - reflux
Haem - anaemia
ID - fever
RED FLAGS!!! weight loss, night sweats, PR bleeding…
Inheritance of NF1
AD
what is croup and how is it managed
laryngotracheobronchitis caused by parainfluenza virus
dexamethasone
Features of pyelonephritis
renal angle tenderness
rigors and shivers
LUT symptoms - dysuria, haematuria, cloudy, offensive smell
Systemically unwell
features of cavernous venous sinus thrombosis
sharp severe headache around the eye swelling and bulging of the eye severe eye pain double vision (check for clotting disorders)
management of hyperhidrosis
aluminium salt powder
what is a ganglion cyst
fluid filled swelling over a joint or tendon
usually occurring with OA
management of mucoid cyst
draining with a needle
removal with surgery
Management of a ganglion cyst
conservative
surgical removal if symptomatic
describe a ganglion cyst
firm lump
found on wrist
what is Pagets disease of the bone and how is it managed
abnormal osteoclastic activity followed by abnormal osteoblastic activity - ie accelerated rate of bone turnover
^ ALP isolated
bisphosphonates
pain at CMC differential
OA!!!!
tendonitis
carpal tunnel syndrome
describe OA pain
burning, throbbing pain at joint
worse with movement
if someone presents with a problem in their hand, what should you ask
L vs R handed
if someone has dry skin and hair loss, what blood test should you do
TFT
what is important to do for a child that has epilepsy
safety net about showering alone, climbing trees etc…
what is baby colic
baby cries and brings their legs up
in an otherwise healthy baby
can be normal
what is GOR in a baby
normal in healthy babies
effortless passage of gastric contents in oesophagus ± regurgitation
common, self limiting
what is GORD in a baby
GOR that causes troublesome symptoms
what is CMA
cows milk protein allergy
adverse reaction to cows milk
can be IgE or non-IgE mediated
