random Flashcards

1
Q

Why does ethanol cause polyuria

A

inhibits ADH secretion

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2
Q

Live vaccines

A

MMR
Influenza (intranasal)
BCG
Oral polio
Oral rotavirus
Typhoid
Yellow Fever

MI BOOTY

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3
Q

What can cause a false low hba1c

A

Reduced RBC lifespan
Sickle-cell anaemia
GP6D deficiency
Hereditary spherocytosis
Haemodialysis

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4
Q

What can cause a false high hba1c

A

Increased RBC lifespan
Vitamin B12/folic acid deficiency
Iron-deficiency anaemia
Splenectomy

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5
Q

Hypoglycaemia treatment

A

in the community
- oral glucose 10-20g should be given in liquid, gel or tablet form
- GlucoGel or Dextrogel.
- A ‘HypoKit’

in a hospital setting:
- If the patient is alert, a quick-acting carbohydrate may be given (as above)
- if the patient is unconscious or unable to swallow, subcutaneous or intramuscular injection glucagon may be given.
- intravenous 20% glucose solution may be given through a large vein

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6
Q

pellagra symptoms

A

‘three Ds’: dermatitis, dementia, and diarrhoea

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7
Q

grey coating is seen surrounding the tonsils and there is extensive cervical lymphadenopathy. What is the most likely diagnosis?

A

diptheria

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8
Q

parkland formula for burns

A

Volume of fluid = total body surface area of the burn % x weight (Kg) x 4ml

1/2 in first 8 hours, 1/2 in next 16 hours

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9
Q

drugs that cause gynecomastia

A

spironolactone
cimetidine
digoxin
cannabis
finasteride
GnRH agonists e.g. goserelin, buserelin
oestrogens, anabolic steroids

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10
Q

risk of excess NaCL infusion

A

hyperchloraemic acidosis

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11
Q

drug induced urinary retention

A

tricyclic antidepressants e.g. amitriptyline
anticholinergics e.g. antipsychotics, antihistamines
opioids
NSAIDs
disopyramide

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12
Q

SE of magnesium salts

A

diarrhoea

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13
Q

max rate of potassium infusion

A

10mmol/hour

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14
Q

what is a normal anion gap

A

10-18 mmol/L.

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15
Q

gentamicin SE

A

Ototoxicity + nephrotoxicity

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16
Q

disulfiram reaction following alcohol

A

metronidazole