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- Y6 PSA > Random 4 - own notes > Flashcards

Random 4 - own notes Flashcards

1
Q

When should you consider polyuric phase of retention?

A

UO >200ml/hr so consider giving extra fluids to compensate
10-15% loss for sweating

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2
Q

Meropenem in penicillin allergy?

A

10% cross reactivity

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3
Q

What is needed when you have started olanzapine?

A

ECG within 1st week for prolonged QTc

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4
Q

Sick day rules for glucocorticoids?

A

Double

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5
Q

HAP antibiotic?

A

Doxycycline
Co-trimoxazole
Piperacillin/tazobactam

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6
Q

Monitoring aminophylline response?

A

Oxygen levels

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7
Q

Antihypertensive causing facial flushing on starting?

A

Amlodipine

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8
Q

Antiemetic in HF?

A

Metoclopramide

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9
Q

NSAID vs ACEi effect on renal arteriole?

A

acEis vasoconstrict Efferent
nsAids vasoconstrict Afferent

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10
Q

Gliclazide effect on weight?

A

weight gain
Sulfonylurea

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11
Q

Hyperkalaemia drugs and doses?

A

10ml 10% calcium gluconate over2-3mins
50ml of 50% glucose with 10units of actrapid over 20mins
Salbutamol nebs 10-20mg
Zirconium/resonium TDS

Consider:
Diuretics
Sodium bicarb
IV fluids if pre-renal AKI

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12
Q

Excess alcohol in T1DM?

A

Can cause life threatening hypoglycaemia

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13
Q

Phenytoin monitoring when given IV?

A

ECG

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14
Q

BB less likely to cause bronchospasm?

A

Carvedilol (cardioselective)

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15
Q

Sertraline or COCP?
- weight gain, irritability, headaches

A

COCP

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16
Q

Tinea corporis in 7yr old?

A

Clotrimazole 1% - 1 application to the skin TDS

NB: cannot use terbinafine topical as the patient is <12yrs old

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17
Q

Diabetes on insulin monitoring in sickness?

A

BMs every 1-2hrs even throughout the night
Ketones every 3-4hrs
Meals may be replaced with sugary drinks

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18
Q

What are the classes of hyperkalaemia?

A

mild (5.5–5.9 mmol/L),
moderate (6.0–6.4 mmol/L),
severe (>6.5 mmol/L).

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19
Q

Cellulitis with penicillin allergy?

A

Clarithromycin or
Doxycycline

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20
Q

Agitation tx?

A

Lorazepam
Haloperidol
Levopromazine

PO before IM

NOT diazepam, chlordiazepoxide

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21
Q

Alcohol withdrawal with poor liver function?

A

Diazepam

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22
Q

PID tx?

A

metronidazole
doxycycline
IM ceftraxone

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23
Q

Drowsy vs non-drowsy antihistamines?

A

Drowsy = chlorphenamine (Piriton) and promethazine

Non-drowsy = cetirizine, fexofenadine and loratadine

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24
Q

POAG management?

A

Latanoprost (PG analogue)
Timolol (BB)

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25
Latanoprost eye drops SE?
Iris pigmentation
26
Prostatitis abx?
Ciprofloxacin
27
Oral treatment for thrush?
Fluconazole 150mg PO once only
28
Lithium frequency of levels monitoring when stable?
3 monthly + 6 monthly TFTs and U&Es
29
Serotonin syndrome triad of symptoms?
Neuromuscular Autonomic Psychiatric/mental state
30
Topical prescription for thrush?
10% clotrimazole cream 5g vaginal once at night
31
Fluid prescription in paediatrics?
100 ml/kg/day for the first 10 kg body weight, + 50 ml/kg/day for 10 to 20 kg and +20 ml/kg/day for each additional kilogram above 20 kg.
32
Fluids in paeds shock?
20ml/kg (DKA use 10ml/kg) over 30mins
33
Depression - first treatment not tolerated so what is next?
Another SSRI i.e. same class If 2nd not tolerated then try other classes
34
HRT transdermal patches post-hysterectomy?
35
Otitis media prescribing?
Delayed prescription of antibiotics after 3 days Usually amoxicillin If symptoms worsen then co-amoxiclav
36
RR in severe asthma?
>25 in adults >40 in 2-5yr old >30 in >5yr old
37
Example of macrolides?
Azithromycin, clarithromycin, and erythromycin
38
PMR prednisolone dose?
15mg PO OD
39
Codeine in breastfeeding?
Will enter breastmilk and cause side effects in infant
40
Ways of monitoring asthma control in a 7yr old?
Spirometry Or twice daily peak flows
41
What are the side effects of first line Alzheimer's drugs?
They are AchEs so cholinergic side effects: SLUDGE salivation, lacrimation, urination, diarrhoea, GI cramps, emesis.
42
Menorrhagia drugs?
IUS NSAID - mefenamic acid/naproxen TXA POP/COCP
43
Shingles presenting at <24hrs?
Within 72hrs you can give ACYCLOVIR to prevent post-herpetic neuralgia
44
Triptan + lithium risk?
Serotonin syndrome
45
Reasons to stop HRT?
-?PE/?MI - chest pain or breathlessness -swelling/pain in calf -severe stomach pain -serious neurological effects -hepatitis, jaundice, hepatomegaly -systolic >160 or diastolic >95 -prolonged immobility -detection of risk factor which contra-indicates treatment
46
Epiglottitis tx?
Cefotaxime/ceftraxone If pen allergic: chloramphenicol
47
Dysmenorrhoea tx?
1. NSAID 2. Paracetamol 3. COCP +/- NSAID Conservative: TENS, heated bottle Refer to gynae in 3-6 months if no change.
48
MMR vaccine side effects?
Rash 1 week post-dose Febrile seizures 6-11 days post-dose Parotid swelling at 3 weeks ITP (rare) at 6 weeks
49
Hyperemesis tx?
1st line: Cyclizine or promethazine (antihistamines) Prochlorperazine or chlorpromazine (phenothiazines) 2nd line: Ondansetron (cleft lip) Metoclopramide or domperidone (EPSEs; <5days) IV hydration with normal saline + K
50
Eczema tx?
Emollient e.g. Double base Hydrocortisone 1% - 1 application OD Help Every Budding Dermatologist = Hydrocortisone 1%, Eumovate (clobetasone butyrate 0.05%) Betnovate (betamethasone valerate 0.025%) Dermovate (clobetasol proprionate 0.05%)
51
When to offer VTE prophylaxis in pregnancy if history of previous VTE?
From beginning of pregnancy and throughout until 6 weeks post-partum If intermediate risk then offer from 28 weeks until post-partum
52
Treatment of threadworm?
Mebendazole once only with intensive hygiene measures for 2 weeks
53
How many days of LMWH when starting warfarin ?
5 days or until INR is >2 on 2 separate occasions Overcomes the long half life of pro-thrombin
54
2 abx classes that cross react with penicillin allergy?
Cephalosporins Carbapenems
55
Migraleve components?
PARACETAMOL, buclizine and codeine
56
What is the fastest onset laxative?
Senna
57
Which of these medications are constipating? Antacids Anticholinergics Muscle relaxants Antidepressants Iron
All
58
Which opioid may have unreliable metabolism?
codeine
59
How to prescribe pabrinex?
Pabrinex I + II 2 PAIRS IV TDS
60
What do the Pabrinex ampoules contain?
Ampoule 1 = thiamine (B1), riboflavin (B2), pyridoxine (B6) Ampoule 2 = ascorbic acid (C), nicotinamide (B3), glucose 1g

- Y6 PSA (8 decks)

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