PSA Medicine Flashcards
1
Q
TSH results in hypothyroidism
A
- TSH high = because T4/3 are low thyroid being stimulated to produce
- T3/4 are low
- no negative feedback therefore increased TSH production
2
Q
what to do if TSH result is high in hypo
A
- If TSH too high this means the levothyroxine is too low
- T3/4 still too low so no negative feedback so still increased TSH production
- Increase the dose
3
Q
what to do if TSH result is low on levothyroxine
A
- levothyroxine is too high so need to reduce dose
4
Q
How to take thyroxine and monitoring
A
- empty stomach in morning
- check tsh 3m
- once stable check annually
5
Q
hyperthyroid blood results
A
- low TSH high T3/4
6
Q
Mx hyperthyroid
A
- carbimazole
- once level can either titrate or levothyroxine added
7
Q
what can carbimazole increase risk of
A
- pancreatitis
- agranulocytosis
8
Q
NSTEMI mx
A
Aspirin 300mg
Ticagrelor 180mg stat dose
Morphine
Antithrombin therapy with fondaparinux
Nitrates
9
Q
community mx paeds meningitis
A
IM benzylpenicillin
- 1m - 11m 300mg
- age 1-9y 600mg
- age 10-17y 1.2g
Cefotaxime if allergy
10
Q
mx meningitis hospital paeds
A
- 1 - 3m cefotaxime and amoxicillin
- 3m - 18y = cefotaxime
dexamethasone
11
Q
what causes rheumatic fever
A
- group a strep
12
Q
s+s rheumatic fever
A
- fever
- joint pain
- rash
- sob
- chorea
- nodules
13
Q
abx for rheumatic fever
A
phenoxymethylpenicllin 10 days
14
Q
kawasaki S+S
A
- strawberry tongue
- cracked lips
- cervican ln
- bilateral conjunctivitis
15
Q
mx kawasaki
A
- high dose aspirin
- ivig
16
Q
s+s GAS scarlet fever
A
- sandpaper rash blanches
- strawberry tongue
- sore throat, fever, headache
mx phenoxymethylpenicllin 10 days
17
Q
croup mx
A
- dexamethasone oral
- oxygen
- nebulised budenoside
- nebulised adrenaline
