sat 29 april

Question 1

secondary prevention meds in MI

Answer 1

ACEI, BB, Aspirin + clop, statin

Question 2

how to tell if myeloma is metastatic

Answer 2

normal ALP
raised in mets

Question 3

blood picture in DIC

Answer 3

↓ platelets
↓ fibrinogen
↑ PT & APTT and bleedign time
↑ fibrinogen degradation products
schistocytes due to microangiopathic haemolytic anaemia

Question 4

prednisiolone dose for COPD exacerbation and asthma exacerbation and duration

Answer 4

COPD - 30mg PO 5 days
ASTHMA - 40-50mg PO 5 days

Question 5

describe RTA 1 and 4 and potassium adn urine pH status

Answer 5

1 - failure to excrete hydrogen, low K high pH>6
4- low aldosterone - high K , low urine pH

Question 6

causes of a hyperchloraemic metablic acidosis

Answer 6

renal tubular acidois
Adddisons
GI bicarb loss - fistula, diarrhoea, uretersigmoidostomy

Question 7

what is HTN stage 1 and 2 ABPM

Answer 7

1- 135/85
2- 150/95

Question 8

tx of delirium tremens

Answer 8

CHLORDIAXOPOXIDE

Question 9

What needs monitored in a SNRI

Answer 9

HTN - BP

Question 10

if a patient taking SSRI and NSAID what should be co-prescribed

Answer 10

PPI - increased risk of peptic ulcer with both

Question 11

treatment of aspirin overdose

Answer 11

Activated charcoal <1hr
urinary alkalinsation and iv bicarb

Question 12

what drugs interay with SSRIS

Answer 12

NSAID
TRIPTAN
WARFARIN/HEPARIN
ASPIRIN

Question 13

how long post dose are dig and lithium checked

Answer 13

lithium - 12 hours
digoxin- 6 hours

Question 14

SIde effects of clozapine

Answer 14

weight gain
agranulocytosis
myocarditis
arrythmia
increased salivation

Question 15

treatment for GAD

Answer 15

sertraline

Question 16

treatmnt of autoimmune haemolytic anaemia

Answer 16

steroids (+/- rituximab)

Question 17

treatment fo extracapsular hip fractures

Answer 17

intertrochenteric - dynamic hip screw
subtrochenteric - intermedullary nail

Question 18

treatment of suspected or confirmed scaphoid fracture

managemet long term of diff type

• main blood supply of scaphiod

Answer 18

furturo splint iwth backslab see in ortho 7-10 days later in xray inconclusive

• displaced or prox pole injury -surgery
• undisplaced - cast 6-8 weeks

-dorsal carpal branch

Question 19

treatmen to fmagnesium sulphate induced resp depression

Answer 19

calcium gluconate

Question 20

most common thrombophilia ?
Thrombophilia with highest ris kof thrombophilia

Answer 20

factor V leiden
anti thrombin III