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FINALS > PSA Medicine > Flashcards

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
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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
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3
Q

what to do if TSH result is low on levothyroxine

A
  • levothyroxine is too high so need to reduce dose
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4
Q

How to take thyroxine and monitoring

A
  • empty stomach in morning
  • check tsh 3m
  • once stable check annually
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5
Q

hyperthyroid blood results

A
  • low TSH high T3/4
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6
Q

Mx hyperthyroid

A
  • carbimazole
  • once level can either titrate or levothyroxine added
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7
Q

what can carbimazole increase risk of

A
  • pancreatitis
  • agranulocytosis
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8
Q

NSTEMI mx

A

Aspirin 300mg
Ticagrelor 180mg stat dose
Morphine
Antithrombin therapy with fondaparinux
Nitrates

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9
Q

community mx paeds meningitis

A

IM benzylpenicillin
- 1m - 11m 300mg
- age 1-9y 600mg
- age 10-17y 1.2g
Cefotaxime if allergy

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10
Q

mx meningitis hospital paeds

A
  • 1 - 3m cefotaxime and amoxicillin
  • 3m - 18y = cefotaxime
    dexamethasone
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11
Q

what causes rheumatic fever

A
  • group a strep
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12
Q

s+s rheumatic fever

A
  • fever
  • joint pain
  • rash
  • sob
  • chorea
  • nodules
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13
Q

abx for rheumatic fever

A

phenoxymethylpenicllin 10 days

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14
Q

kawasaki S+S

A
  • strawberry tongue
  • cracked lips
  • cervican ln
  • bilateral conjunctivitis
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15
Q

mx kawasaki

A
  • high dose aspirin
  • ivig
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16
Q

s+s GAS scarlet fever

A
  • sandpaper rash blanches
  • strawberry tongue
  • sore throat, fever, headache
    mx phenoxymethylpenicllin 10 days
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17
Q

croup mx

A
  • dexamethasone oral
  • oxygen
  • nebulised budenoside
  • nebulised adrenaline
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18
Q

mx epiglottitis

A
  • IV abx ceftriaxime
  • Steroids = dex
19
Q

mx whooping cough

A

macrolides
- azithromycin, erythromycin, clarithromycin

20
Q

acute asthma adults mx

A
  • Oxygen
  • Salbutamol = 5mg nebs
  • Hydrocortisone 100mg 6hrly/pred (40mg for 5 days)
  • Ipratropium
  • T
  • Magnesium sulfate
21
Q

asthma mx adult

A
  • SABA = salbutamol, terbutaline
  • ICS = beclametasone, budenoside, ciclesonide
  • LTRA = montelukast
  • LABA = salmeterol
  • MART
22
Q

asthma mx 5-16yrs

A
  • SABA
  • ICS
  • LTRA
  • LABA
  • MART
23
Q

PCI in STEMI

A
  • if within 12 hours sx onset and 2 hours of hospital
  • Prasugrel and aspirin
24
Q

NSTEMI Mx

A

BATMAN
- Base of GRACE score
- Aspirin 300mg
- Ticagrelor 180mg stat (clopi of bleed, pras if angiog)
- Morphine
- Antithrombin = fondaparinux
= Nitrates

25
Q

secondary prevention ACS

A
  • ACEi
  • BB
  • Dual antiplatelet = 12m but aspirin indefinite
  • Statin
26
Q

uninvestigated dyspepsia mx

A
  • PPI 4 weeks
  • H pylori testing
27
Q

Funcitonal dyspepsia

A
  • PPI and H P tx
28
Q

COPD initial mx

A
  • SABA
  • SAMA = ipratropium
29
Q

COPD mx no asthmatic/steroid response

30
Q

COPD mx there are asthatic/steroid response

31
Q

Acute COPD mx

A
  • Pred 30mg OD 5 days
  • Abx if infection
32
Q

T2DM mx

A
  • Metformin
  • ## If Chronic HF or cvd= SGLT-2 inhibitor (empagliflozin)
33
Q

1st line insulin in DM1

A
  • basal bolus regimens
  • twice daily insulin detemir for long acting
34
Q

Hypocalcaemia

A
  • Convulsions Arrythmias Tetany Numb
  • ECG = prolonged QT
  • Calcium gluconate 10% 10ml 10mins
35
Q

Hypercalcaemia

A
  • Stones bones moans groans
  • ECG = shortened QT
  • 0.9% NaCl 1000ml 4hrs
36
Q

Hypokalaemia

A
  • ECG = long PR and long QT
  • 0.3% KCL 1000ml 4hrs
37
Q

Hyperkalaemia

A
  • Calcium gluconate 10% 30ml 10mins
38
Q

DVT Mx

A
  • Initial = rivaroxaban (DOAC)
  • Long term = DOAC, warfarin, LMWH
39
Q

DVT prophylaxins and renal impairement

A

unfractioned heparin

40
Q

short duration constipation

A
  • bulk forming 1st
  • osmotic laxative
  • stimulant laxative
41
Q

opioid induced constipation

A
  • osmotic and stimulant 1st
42
Q

faecal impaction

A
  • oral macrogol
  • stimulant

FINALS (32 decks)

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