Revision 31/03 Flashcards

1
Q

What is the definition of ABPI?

A

The highest recorded pressure in the affected leg over the highest recorded pressure in either arm

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2
Q

How do you work out the NNT?

A

1/Absolute Risk Reduction

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3
Q

How do you work out the Absolute Risk Reduction?

A

Risk in exposed minus risk in non-exposed

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4
Q

How do you calculate the Odds Ration?

A

Cross multiply the table (OR=AD/BC)

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5
Q

How do you interpret Odds Ratio?

A

> 1- Higher odds
1= No increased odds
<1= Reduced oddsHo

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6
Q

What is the sensitivity and how do you calculate it?

A

How good a test is at detecting the disease in the affected population (A/A/C)

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7
Q

What is specificity and how do you calculate it?

A

Specificity is how good a test is at ruling out disease- if you test negative how likely it is that you do not have the disease (B/B+D)

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8
Q

What is positive predictive value and how do you calculate it?

A

If you test positive for disease how likely it is that you actually have it= A/A+D

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9
Q

What is negative predictive value and how do you calculate it?

A

If you test negative for a disease how likely it is that you actually do not have it = C/C+D

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10
Q

How do you calculate relative risk?

A

Risk in exposed group/risk in unexposed group

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11
Q

How do you interpret relative risk?

A

> 1 Increase risk
1 Equal risk
<1 Decrease risk

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12
Q

If low sperm count when should this be repeated?

A

Three months (This is how long it takes for new sperm to form)

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13
Q

What treatment is first line for restless legs?

A

Pre-gabalin / Gabapentin

Iron levels should always be checked. Alternative treatments include opiates taken as and when.

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14
Q

What diet may make co-careldopa more effective?

A

Protein re-distribution diet- most protein eaten as final meal of the day- beneficial if motor fluctuations

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15
Q

What are the guidelines for starting orlistat?

A

BMI 28-30 with risk factor, BMI >30

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16
Q

At what ACR should you follow CKD guidelines for HTN?

A

> 30mg/mmol- ACE is first line

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17
Q

At what age should you reassure parents that enuresis is normal until

A

Up to age 5

18
Q

In what way is it important to differentiate eneuresis?

A

Primary or secondary-

Secondary is new bed wetting over the last 6 months in a child who previously had control. It usually indicates pathology. It is also important to assess for daytime symtpoms as these can indicate an underlying issue.

19
Q

What may you offer to children to help with bed wetting and what age is this suitable?

A

> 5

Enuresis alarms & positvie reward system
Desmopressin

20
Q

At what age is NRT not liscenced?

A

Less than 12

21
Q

When can someone with a new cast fly?

A

After 24 hrs if <2hrs
After 48 hrs if >2hr flight

22
Q

What is a consort diagram?

A

Shows the flow through a trial. Has a 25 item checklist. Shows participant progress during trial.

23
Q

What is the minimum acceptable visual acuity for driving a car?

A

6/12 for Group 1

24
Q

What are some non-pharmacological treatment options for intractable hiccups?

A

Sipping iced water, breathing into paper bag, interupting jormal breathing, drinking from opposite side of cup and rubbing soft palate with swab

25
What are some pharamcological options for intractable hiccups?
Peppermint water Antacid containing simeticone Prokinetics- dompetidone, metoclopramide Specialist- Halloperidol, baclopfen, levomepromazine, nifedipine, chlorpomazine
26
What is the time frame for partner notification in STIs with urethritis?
Gonococcal- all parters since and in the two weeks prior to sx Non-Gonococcal- all parters since and in the four weeks prior to sx
27
How do you calculate alcohol units?
ABX x Volume (mls)/1000
28
Who is screened for AAA?
Men >65 years Men are six times more likely than women to have a AAA
29
How is an aortic aneurysm defined?
Diameter greater than 3cm- surgery is indicated when greater than 5.5cm
30
What is this initial investigation for constitutional growth delay?
Radiological assessment of bone ageo
31
How long must someone not drive after a first unprovoked siezure?
6 months minimum If increased risk of further seizures this is 12 months
32
What is a MATB1 form and when can it be issued?
It is a maternity form that allows women to claim statutory maternity pay and maternity allowance. It can not be issued more than 20 weeks before due date
33
What is used in the risk assesment of a person presenting with upper GI bleeding?
Glasgow-Blatchford Score Rockall after endoscopy
34
When should serum progeterone me measured to assess fertility?
7 days prior to expected period (mid luteral phase serum progresterone- confirms ovulation, which is related from luteinisation of the follicle)
35
At what BMI can someone be referred for bariatric surgery>
BMI >40 Or BMI >35 if co-existing condition that is worsened by the weight or likely to improve with weight loss (e.g T2DM, HTN)
36
In what window do guidelines recommend thrombolysis be given for stroke?
4.5 hrs
37
How low is too low for BP
Blood pressures below 120/70 are associated with an increased rate of cardiovascular events. As are BPs above 140/80.
38
when would test of erradication be done for H.Pylori- and how is it done?
Breath test 4 weeks after completing treatment
39
After diagnosis of DVT, how long should be advised to avoid flying or traveling
2 weeks after starting treatment
40
What is carers credit?
Financial compensation/benefit to those who care for more than 20 hrs a week that ensures pension protected
41
What contraceptive would be recommended to someone taking an enzyme inducing drug?
Mirena, Copper coil or depot