Random question bank mix 3 Flashcards
what is the management of a recurrent episode of c.diff within 12 weeks of symptom resolution?
oral fidaxomin
symptoms suggestive of cauda equina, what is next step?
urgent MRI
what condition is occasionally associated with a bisferins pulse
hypertrophic cardiomyopathy
painful bleeding gums with halitosis and punched out ulcers in the gums?
acute necrotising ulcerative gingivitis
what is the management of acute necrotising ulcerative gingivitis?
paracetamol + oral metronidazole + chlorhexidine mouthwash
what can happen if you give insulin in HHS?
central pontine myelinolysis
what are the contraindications to inserting a chest drain?
- INR >1.3
- platelets <75
what drug class when coupled with NSAIDs increase the GI bleeding risk?
SSRIs
what is the most approproate initial imaging in acute pancreatitis?
USS
what drugs cause ototoxicity?
gentamicin, furosemide, aspirin
what side effects are seen in SSRI discontinuation syndrome?
GI symptoms
which TB drug causes drug induced lupus?
isonizid
what is the first and second line treatments for endometriosis in someone who does not want to be pregnant?
- paracetamol + NSAIDs
2. COC
what is the most common place where you get bone mets? (within the MSK system)
spine
what is ischemic hepatitis
hepatic ischemia following hypoperfusion such as in spetic shock. Causes elevated liver enzymes (AST 50x normal) and is associated with AKI or other end organ disease
what bacteria is associated with spontaneous bacterial peritonitis?
ecoli
what is the management of mobitz type 1 heart block in an athlete?
reassure and safety net
what electrolyte imbalances can prolong the QT?
hypocalcaemia
hypokalaemia
when would a chronic UC be considered severe? and what is the management?
If get a severe relapse or 2 or more exacerbations in a year then its severe UC and needs oral azathioprine
what can be used to treat the symptoms of carcinoid syndrome?
octrectide
abdo pain + early satiety + bilateral flank masses
ADPKD
what is the management of cellulitis which presents near the nose or eye
co-amoxiclav
what drug is required in the management of hyperemesis gravida with neurological signs
pabrinex
what is the management of acute prostatitis
ciprofloxacin
what should you think if you see an x linked recessive condition in a girl
turners syndrome (due to only one X)
what could you use in AF rate control in an asthmatic patient
calcium channel blockers
what is mesenteric adenitis
inflamed mesenteric lymph nodes often proceeding a viral infection (abdo pain post viral illness)
what is the management of acute cholecystitis?
IV antibiotics + early laparoscopic cholecystectomy within 1 week of diagnosis
what is a common cause of vena cava syndrome
malignancy
where is brocas area
left inferior frontal gyrus (frontal lobe)
where is wernickes area
superior temporal gyrus (temporal lobe)
what is an alternative management to symptomatic brady when atropine is contraindicated (ie in allergy)
adrenaline infusion
what is the most approproate non pharmacological intervention for schizophrenia? ( to be used alongside pharmacological)
CBT
what is the first and second line treatments for endometriosis in someone who wants to be pregnant?
- NSAIDs + paracetamol
- GnRH analogues (gosarelin acetate)
- Surgery (laparoscopic excision)
