Random facts from the MCQs - just facts not questions Flashcards

1
Q

Don’t treat gastrointestinal symptoms in children with antibiotics in the absence of positive stool cultures

A

For children with depression go for psychological therapies as first option

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2
Q

All breastfed babies need supplemental vitamin D

A

Rotator cuff tears need surgery

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3
Q

Treat hypercalcaemia with intravenous fluid resuscitation

A

Familial contacts of n. meningitidis meningitis need rifampicin (or ciprofloxacin)

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4
Q

Never biospy a testicular mass

A

Someone who has had a mastectomy might have a long thoracic nerve injury

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5
Q

Fecal occult bloods are only a screening tool for bowel cancer not an investigation

A

Provide PEP to all household contacts of a pertussis case

(erythromycin, clarithromycin, and azithromycin)

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6
Q

Magnetic resonance cholangiopancreatography or MRCP is noninvasive and for imaging only

A

Zika can be sexully transmitted and couples need to use barrier methods of contraception for three months

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7
Q

Up to 20% of patients with inferior STEMI develop either second- or third degree heart block. This may be because of ischaemia of the AV node

A

Fever, chills, rigor, hypotension, headache, tachycardia, hyperventilation, vasodilation

1–3 hours after a first dose of antibiotics

Think Jarisch–Herxheimer reaction.

Usually seen in syphilis treatment.

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8
Q

Elderly people presenting with microcytic anaemia have bowel malignancy until proven otherwise

A

Antenatal corticosteroid therapy reduces infant mortality and reduces necrotising enterocolitis risk by 60%

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9
Q

Intrahepatic chloestasis of pregnancy increases risk of neonatal prematurity and death

A

Antenatal steroids can be administered between 23 and 34 weeks

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10
Q

Endoscopy every 3 years in cirrhosis patients without known varices

A
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11
Q

Diabetics with albuminuria need ACE inhibitors

A

Give osteoporotic hip fractures calcium, Vitamin D and bisphosphonates

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12
Q

Correct chronic hyponatremia slowly to avoid osmotic demyelination syndrome

A

Abdominal x rays first investigation in suspected bowel obstruction

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13
Q

Don’t use barium enhancement for X-Rays of a ?perforated viscus or toxic megacolon

A

CT is more sensitive than MRI for acute subarachnoid haemorrhage

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14
Q

Left sided varicoceles are associated with infertility and right sided with renal pathology

A

If you think the patient has a sarcoma do an MRI before you biopsy it

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15
Q

Bleeding after thyroidectomy is life threatening-remove both the skin clips and deep layer sutures and evacuate the hematoma beneath. Do this at the bedside not in theatres.

A
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16
Q

IGF-1 levels, not growth hormone, to diagnose acromegaly

A
17
Q

Tension pneumothorax

Needle thoracostomy 2nd ICS mid clavicular line

Chest tube 5th ICS anterior axillary line

A
18
Q

Simple febrile seizures do not require investigation

A
19
Q

Failure to report children who may be in need of protection, including instances of suspected child abuse, to the appropriate child welfare authorities constitutes an offence.

A

In an emergency, when the patient (or substitute decision maker) is unable to consent, a physician has the duty to do what is immediately necessary without consent. Treatments should be limited to those necessary to prevent prolonged suffering or to deal with the imminent threats to life, limb, or health.