Surg, Opthal + Psych Flashcards

1
Q

first line Tx for acute psychosis?

A

lorazepam

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2
Q

what med can cause a tremor?

A

lithium

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3
Q

what cardiac drug can cause lithium toxicity?

A

ACE

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4
Q

features of schizoid personality disorder?

A

withdrawn
no weird/magical thoughts (schizotypal)
no psychotic symptoms

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5
Q

medical Tx for PTSD?

A

venlaflaxine

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6
Q

blood test in anorexia?

A

hypercholesterolaemia
hypercarotinaemia
high cortisol and GH

low K, FHS, LH, oesto/testo

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7
Q

drugs that interact with SSRi?

A

NSAID
triptans
warfarin
heparin
aspirin
MAOIs

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8
Q

what can giving too much saline cause?

A

hyperchloremic acidosis

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9
Q

stages of shock classifiation?

A

I - compensate
II - tachy
III - tachy, low BP, confused
IV - LOC and low BP

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10
Q

medical Tx for PAD? range?

A

ABPI <0.9
atorvastatin
clopidogrel

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11
Q

Tx for epididomo-orchtis?

A

IM cef
10 days PO doxy

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12
Q

level of PSA after a prostatectomy?

A

undetectable

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13
Q

if lidocaine in 2%, what is the conc?

A

2g in 100mls

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14
Q

Tx for bilateral hydrocele in a newborn?

A

watch and wait

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15
Q

how should OD insulin dose be modified on the day of surgery?

A

reduce by 20%

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16
Q

how should BD insulin dose be modified on the day of surgery?

A

half AM dose

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17
Q

Tx for ureteric stone?

A

shockwave

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18
Q

Tx for a <5mm renal stone?

A

monitor

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19
Q

Tx for a 5-10mm renal stone?

A

shockwave

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20
Q

Tx for a >20mm renal stone?

A

percutaneous removal

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21
Q

what hernia protrudes through hesselbach area?

A

direct inguinal

22
Q

what hernia is medial to the inferior epigastric artery?

A

direct inguinal

23
Q

when does pyloric stenosis present?

A

2-12 weeks
PROJECTILE vomit

24
Q

who gets necrotising enterocolitis?

A

prem babies
2nd week of life

25
Q

when does a meconium ileus present?

A

24-48hrs

26
Q

when does jejunal atresia present?

A

24hrs

27
Q

what does malrotation present? Tx?

A

2-7 days
bilious vomits
Ladd’s procedure

28
Q

when does duodenal atresia present?

A

hrs post birth

29
Q

features of a carotid artery TIA?

A

contralateral limb weakness
ipsilateral headache
visual symptoms

30
Q

what drug causes iris to become brown?

A

latanoprost

31
Q

what eye drug should be avoided if pt taking MAOIs?

A

briminodine

32
Q

terms for squints?

A

ESOtropia (nose)
Exo
Hypertropia
Hypo

33
Q

what is a miotic eye drop?

A

pilocarpine

34
Q

what sort of scotoma does pathology to the macula cause?

A

central

35
Q

what sort of scotoma does glaucoma cause?

A

arcuate

36
Q

what sort of scotoma does pathology to the retinitis pig cause?

A

ring

37
Q

What medication can be given in acute hypertension?

A

IV labetolol

38
Q

what sight has a higher risk of retinal detachment?

A

myopia (near sighted)

39
Q

Tx for orbital cellulitis?

A

IV cef + met
or clinda + cipro (pen allergy)

40
Q

Tx for acute angle closure glaucoma?

A

Pilocarpine
timolol
apriclonidine

Laser peripheral irodotomy

41
Q

Tx for primary open angle glaucoma?

A

Timolol
dorzolamide
brimodine

42
Q

stages of hypertensive retinopathy?

A

I silver wiring, tortuous vessels
II AV nipping
III cotton wool, flame, blot haem
IV papilloedema

43
Q

stages of diabetic retinopathy?

A

mild - microaneurysm
mod - Mild + blot haem, hard exudate
severe - in all 4 quadrants

44
Q

Tx for bac conjunctivitis when pregnant?

A

fusidic acid

45
Q

tx for scleritis?

A

NSAIDs

46
Q

what is an argyll robertson pupul?

A

small pupils that constrict when focusing on a nearby object
but do not constrict when exposed to bright light

47
Q

lesion at site of R optic nerve causes?

A

R blindness

48
Q

lesion at site of optic chiasm causes?

A

bitemporal hemianopia

49
Q

lesion at site of R optic tract causes?

A

L homo hemianopia

50
Q

lesion at site of R visual cortex causes?

A

L hom hem with macular sparing

51
Q
A