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MSRA > Small extra specialities > Flashcards

Small extra specialities Flashcards

1
Q

Pall care hiccups rx

A

Chlorpromazine or haloperidol

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2
Q

Treatment for nausea due to raised ICP (in addition to dex)

A

cyclizine

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3
Q

antiemetic for reduced gastric mobility (eg due to opioids)

A

metoclopramide and domperidone

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4
Q

Visceral/serosal cause antiemetic (eg constipation or oral thush)

A

Cyclizine and levomepromazine

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5
Q

antiemetic for vestibular cause

A

cyclizine
metoclopramide or prochlorperazine second line or antipsychotic

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6
Q

rx for nausea due to anticipating chemo

A

lorazepam

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7
Q

Opioids of choice in kidney impairment?

A

Alfentanil, buprenorphine and fentanyl

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8
Q

PO codeine/tramadol to PO morphine conversion

A

divide by 10

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9
Q

palliative rx of confusion (with no reversible cause found)

A

haloperidol

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10
Q

Alpha-feto protein tumour marker

A

hepatocellular carcinoma
teratoma

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11
Q

bHCG tumour marker

A

testicular - if AFP also raised this excludes seminoma

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12
Q

Ca15-3

A

breast

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13
Q

CEA tumour marker

A

colorectal

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14
Q

S-100 tumour marker

A

Melanoma, schwannomas

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15
Q

Bombesin tumour marker

A

Small cell lung carcinoma, gastric cancer, neuroblastoma

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16
Q

Chemo associated with hypomagnesaemia

A

cisplatin (kidneys are responsible for Mg excretion)

17
Q

When is skin prick vs skin patch test used

A

patch test is for contact dermatitis

18
Q

When is RAST test used

A

Allergy testing RAST is an alternative for skin prick if there is an extensive erythema or taking antihistamines actively, or anaphylaxis.

Specific level of IgE reaction

19
Q

Should you treat for gout prophylaxis if asymptomatic high urea in bloods?

A

No

20
Q

SIADH is associated with what type of cancer

A

Small cell lung

21
Q

What is Chvostek’s sign in hypocalcaemia?

A

percussion over the facial nerve triggers facial muscle spasm

22
Q

What is Trousseau’s sign in hypocalcaemia?

A

carpopedal spasm on inflation of a blood pressure cuff

23
Q

Does hypocalcaemia cause hyper or hyporeflexia?

A

Hyper

24
Q

which AED can cause hypocalcaemia

A

phenytoin

25
Q

tendon xanthomas suggest what

A

familial hypercholesterolaemia

26
Q

In familial hypercholesterolaemia what is the characteristically raised part of the lipid profile

A

LDL raised (trigs probably normal)

27
Q

When to suspect a familial hypercholesterolaemia

A

a total cholesterol level greater than 7.5 mmol/l

and/or

a personal or family history of premature coronary heart disease (an event before 60 years in an index individual or first-degree relative)

28
Q

oral ulcers, genital ulcers and uveitis

A

Behcets

MSRA (21 decks)

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