Revision 19/04 Flashcards
What are the doses for anaphylaxis? Remember age cut offs
Less than 6- 150 mcg
6-12- 300 mcg
>12- 500 mcg
Of 1 in 1:000 Adrenaline
What virus causes hand foot and mouth?
Cox Sackie
What advice should be given for coeliac testing?
Must have at least two gluten containing meals in the 6 weeks prior- if removed it may cause false negative
What is tested on the new born blood spot test?
Sickle Cell
Cystic Fibrosis
Congenital Hypothyroidism
Inherited metabolic diseases including: MCAD, PKU, Maple Syrup Urine Disease, GA1, HCU
What is the maximal duration a potent steroid shiuld be applied for to the trunk?
8 weeks, alternate with Vitamin D cream. For more delicate ares it is two weeks- face genitals etc. Scalp 8 weeks.
When would a tetanus booster be due if travelling to high risk area?
If last dose was more than 10 years ago
What does the p value need to be for it to be significant ?
<0.05- 95% chance can reject the null hypothesis
What are the first line treatments for PID?
Ceftriaxone 1000 mg as a single intramuscular (IM) dose, followed by oral doxycycline 100 mg twice daily plus oral metronidazole 400 mg twice daily for 14 days
Oral ofloxacin 400 mg twice daily plus oral metronidazole 400 mg twice daily for 14 days
Oral moxifloxacin 400mg once daily for 14 days
When are clue cells present?
What is the treatment?
Bacterial Vaginosis
Treatment is metronidazole 400mg BD for 7 days
When is breast cancer screening an how often?
Every 3 years from 50-70
When is cervical cancer screening?
Every three years from 25-50 then every 5 years from 50-65 cervical cancer
65 and older if recent test was abnormal
When is bowel cancer screening?
FIT test from 55-75 every two years
What percentage of men with a normal PSA are subsequently found to have prostate cancer?
15%
How should women take folic acid in pregnancy if low/high risk? Who is high risk?
Low risk- 400mcg OD for 12 weeks
High risk- 5mg OD for 12 weeks
Hx of neural tube defects
Anti-epileptic medication
Coeliac disease or malabsorption
BMI >30
What are the learning disability IQ classications?
<20- Profound
20-35- Severe
35-50- Moderate
50-70- Mild
At what age are people give a one off pneumococcal vaccine?
65 and over
How many bronchiectasis exacerbations for prophylaxis to be offered?
3 in a year
What are the requirements for partner notification?
Gonococcal- All partners since and in two weeks prior
Non-Gonococcal- All partners since and in four weeks prior
What are the doses of ben pen for age?
Less than 1 - 300mg
1 to 9 years- 600mg
>9 years - 1.2g
