Weds revision Flashcards

1
Q

What is the antibiotic of choice for women with mastitis that has not improved with effective milk removal within 12-24hrs?

A

Oral flucloxacillin

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2
Q

What is Syringomyelia?

A

a collection of cerebrospinal fluid within the spinal cord.

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3
Q

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

A

Syringomyelia

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4
Q

Which of the following medications are likely to cause postural hypotension?

Atorvastatin
Doxazosin
Prednisolone
Spironolactone
Venlafaxine

A

Doxazosin

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5
Q

Which method of contraception is contraindicated in wheelchair users?

A

COCP due to immobility & clot risk

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6
Q

Which cause of an acute red eye is associated with halos around lights?

A

Acute closed-angle glaucoma

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7
Q

What is the most likely cause of an irregular broad complex tachycardia in a stable patient?

A

AF with BBB

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8
Q

What type of murmur is classically associated with a VSD?

A

Pansystolic

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9
Q

What type of murmur is classically associated with a patent ductus arteriosus?

A

Continuous machinery murmur

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10
Q

What type of murmur is classically associated with an atrial septal defect?

A

Ejection systolic murmur

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11
Q

What type of murmur is classically associated with aortic and pulmonary regurgitation?

A

early diastolic murmur

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12
Q

What is the first line treatment offered to a woman of childbearing age who presents with generalised tonic-clonic seizures?

A

Lamotrigine or levitericaetam

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13
Q

What is first line for men with tonic clonic seizures?

A

Sodium valproate

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14
Q

What is first line for focal seizures?

A

Lamotrigine or levitericaetam

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15
Q

What is second line for focal seizures?

A

Carbamazepine, oxycarbazepine or zenisamide

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16
Q

What is first line for absence (petit mal) seizures?

A

Ethosuximide

17
Q

What is second line in males with absence (petit mal) seizures?

A

Sodium valproate

18
Q

What is second line in females with absence (petit mal) seizures?

A

Lamotrigine or levitericaetam

19
Q

Which medication is known to worsen absence (petit mal) seizures?

A

carbamazepine

20
Q

What is first line for males with myoclonic seizures?

A

Sodium valproate

21
Q

What is first line for females with myoclonic seizures?

A

levitericaetam

22
Q

Which endocrine disorder is a common complication following a subarachnoid haemorrhage?

A

SIADH

23
Q

What is the antibiotic of choice for prophylaxis in patients with close contacts to others with meningococcal meningitis?

A

Ciprofloxacin or rifampicin

24
Q

What is the antibiotic of choice in the treatment of Meningococcal meningitis?

A

IV benzylpenicillin or cefotaxime (or ceftriaxone)

25
Q

What is the antibiotic of choice in the treatment of Pneumococcal meningitis?

A

IV cefotaxime (or ceftriaxone)

26
Q

What is the antibiotic of choice to treat patients with Meningitis caused by Haemophilus influenzae?

A

IV cefotaxime (or ceftriaxone)

27
Q

What is the antibiotic of choice to treat patients with Meningitis caused by Listeria?

A

IV amoxicillin (or ampicillin) + gentamicin

28
Q

What abnormal ECG finding is suggestive of cardiac tamponade?

A

Electric alternans

29
Q

Which dermatological condition is associated with linear erythematous lesions between the patients fingers?

A

Scabies

30
Q

At what gestational age should women with uncomplicated twin pregnancies refrain from air travel?

A

32 weeks

31
Q

At what gestational age should women with singleton pregnancy and no additional risk factors refrain from air travel?

A

37 weeks

32
Q

What is generally the HbA1c target in patients with T1DM?

A

48mmol/mol

33
Q

What condition is associated with recurrent episodes of vertigo, fluctuating sensorineural hearing loss, and a sensation of fullness or pressure in the affected ear?

A

Mineres disease

34
Q

What type of vertigo is triggered by specific head movements or changes in position?

A

BPPV

35
Q
A