Weds revision Flashcards
What is the antibiotic of choice for women with mastitis that has not improved with effective milk removal within 12-24hrs?
Oral flucloxacillin
What is Syringomyelia?
a collection of cerebrospinal fluid within the spinal cord.
What neurological condition has features of the following:
a ‘cape-like’ (neck, shoulders and arms)
loss of sensation to temperature but the preservation of light touch, proprioception and vibration
classic examples are of patients who accidentally burn their hands without realising
spastic weakness (predominantly of the lower limbs)
neuropathic pain
upgoing plantars
Syringomyelia
Which of the following medications are likely to cause postural hypotension?
Atorvastatin
Doxazosin
Prednisolone
Spironolactone
Venlafaxine
Doxazosin
Which method of contraception is contraindicated in wheelchair users?
COCP due to immobility & clot risk
Which cause of an acute red eye is associated with halos around lights?
Acute closed-angle glaucoma
What is the most likely cause of an irregular broad complex tachycardia in a stable patient?
AF with BBB
What type of murmur is classically associated with a VSD?
Pansystolic
What type of murmur is classically associated with a patent ductus arteriosus?
Continuous machinery murmur
What type of murmur is classically associated with an atrial septal defect?
Ejection systolic murmur
What type of murmur is classically associated with aortic and pulmonary regurgitation?
early diastolic murmur
What is the first line treatment offered to a woman of childbearing age who presents with generalised tonic-clonic seizures?
Lamotrigine or levitericaetam
What is first line for men with tonic clonic seizures?
Sodium valproate
What is first line for focal seizures?
Lamotrigine or levitericaetam
What is second line for focal seizures?
Carbamazepine, oxycarbazepine or zenisamide
What is first line for absence (petit mal) seizures?
Ethosuximide
What is second line in males with absence (petit mal) seizures?
Sodium valproate
What is second line in females with absence (petit mal) seizures?
Lamotrigine or levitericaetam
Which medication is known to worsen absence (petit mal) seizures?
carbamazepine
What is first line for males with myoclonic seizures?
Sodium valproate
What is first line for females with myoclonic seizures?
levitericaetam
Which endocrine disorder is a common complication following a subarachnoid haemorrhage?
SIADH
What is the antibiotic of choice for prophylaxis in patients with close contacts to others with meningococcal meningitis?
Ciprofloxacin or rifampicin
What is the antibiotic of choice in the treatment of Meningococcal meningitis?
IV benzylpenicillin or cefotaxime (or ceftriaxone)
