TRC SAMPs Flashcards
A)
C)
B)
D)
Right breast ultrasound
Urgent referral to breast clinic or breast surgeon or general surgeon
A
B
C
Levodopa challenge or levodopa trial
A
30-60min pre-prandial
B
protein
C
Orthostatic hypotension
Nausea
Hallucinations
Confusion
D
A
B
8ml/min per decade
C
Kidney Failure Risk Equation
D
<120/80
A
Febrile neutropenia
B
C
D
Spinal corp compression
Superior vena cava obstruction
Pericardial effusion
Tumour lysis syndrome
Hypercalcemia
(Syndrome of inappropriate anti-diuretic hormone)
A
B
posterior midline
C
treatment for anal fissures:
topical calcium channels blockers
topical vitamin E
topical nitrates
D
2nd line treatment anal fissure:
botulotoxin injections
surgery
A
streptococcal pharyngitis
viral pharyngitis
infectious mononucleosis
meningitis
peritonsillar abscess or quinsy or cellulitis
B
Monospot
C
severe complications
airway obstruction
autoimmune complications
D
blood, saliva, semen
A
Alt, ast (not LFTs)
serum crest
vitb12
folate
vitD
CK
B
MoCA (montreal cognitive assessment), MMSE (mini-mental state exam)
C
malnutrition/malnourishment
A
dysfunctional uterine bleeding
B
I would have personally put von Willebrand factor, BHCG and TSH for CAUSES but what do I know.
A
infratentorial brain tumours
B
ataxia
papilledema
vision changes
weakness
pain
behavioural symptoms
C
4 weeks of persistent symptoms
D
Brain MRI
A
Alcohol use
Hypertension
Sleep apnea
B
<130/80
C
sotalol
propafenone
amiodarone
dronedarone
D
none
A
CT chest with contrast
B
50%
C
weight loss
bone pain
neurologic symptoms
cough
dyspnea
D
small cell lung cancer
per cfp, GLP-1 or SGLT2i can be started as first line even without metformin, mostly in conditions of cardiovascular risk (GLP-1 preferred in hypertension and SGLT2i in CKD/CHF). You can also start them with metformin, dual therapy should be considered from the get go if HbA1C is >=7.5
C) halitosis, salivary gland hypertrophy
D) height, weight, temperature, postural vital signs, EKG, regular blood work
A) pyogenic granuloma
a) pre-existing cognitive impairment, delirium, sepsis, acute respiratory distress syndrom (ARDS), shock
Explanation for C: any drug that reduces saliva :
* anticholinergic drugs reduces saliva production by inhibiting parasympathetic activitiy: antihistamines, anticholinergics, TCAs, antipsychotics
* CNS depression contributing to reduced salivary flow : benzodiazepines
* Vasoconstriction, less blood flow to salivary glands causing stasis: beta-blockers
D) massage, antibiotics, sialogogues, heat, hydration
a) hand dominance or handedness, occupation, last tetanus booster, timing of event, location of event, mechanism of injury
c) anastomosis leakage, infx, myocardial infarction
a) None
b) ezetimibe, PKSC9 inhibitors, fibrates
a) insufficient response despite adequate trial of at least 2 antidepressants
b) increase dose of sertraline, continue tx for 12 weeks, add another antidepressant, change antidepressant
C) neck mass, dysphagia, dysphonia, weight loss, odynophagia, dyspnea
b) add daily ICS (budesonide or fluticasone) OR change SABA PRN for ICS-LABA (budesonide-formoterol) PRN
c) daily ICS with SABA PRN or ICS-LABA (budesonide-formoterol) as needed
d) ICS-LABA (budesonide-formoterol/symbicort) as needed
a) respiratory syncytial virus, asthma, foreign object aspiration, pneumonia, croup, laryngomalacia
D)
- topical therapy or clindamycin or resorcinol
- oral antibiotics or tetracyclines or clindamycines
- Anti-androgenic therapy or metformin or contraceptive pill or finasteride or spironolactone
a) systemic toxicity to local anesthetic
b) seizures, cardiac arrhythmias, cardiac arrest, respiratory arrest, hypotension
c) pregnancy, elderly, cognitive impairment
d) consume 15g carb orally
D) gabapentinoids, tricyclic depressants, selective norepinephrine receptors inhibitors (SNRIs), sodium channel blockers, anticonvulsivants
in D they are referring to the diuretic started by the other doctor that cause side effects like urinary incontinence and hypokalemia to which they could have receive oxybutinin (urinary anticholinergic for overactive bladder) and oral potassium replacement.
