Qs from Passmed

Question 1

Drugs that Cause Gynecomastia:

Answer 1

–> Mnemonic: SACKED

S: Spironolactone
A: Alcohol
C: Cimetidine
K: Ketocanazole
E: Estrogen
D: Digitalis
–> Mnemonic: DISCO MTV
D: Digoxin
I: Isoniazid
S: Spironolactone
C: Cimetidine
O: Oestrogens

M: Methyldopa/metronidazole
T: Triple combination antiviral drug (TCAD)
V: Verapamil

Question 2

Management of Bullous Pemphigoid?

Answer 2

• Referral to dermatologist for biopsy and confirmation of diagnosis
• Oral corticosteroids are the mainstay of treatment
• Topical corticosteroids, immunosuppressants and antibiotics are also used

Question 3

Pyoderma gangrenosum management?

Answer 3

The potential for rapid progression is high in most patients and most doctors advocate oral steroids as first-line treatment

other immunosuppressive therapy, for example ciclosporin and infliximab, have a role in difficult cases