Wrong q's on mocks Flashcards
How is DKA managed if clinically dehydrated
IV fluids (0.9% NaCl 10ml/kg) + SC insulin (0.1units/kg/hr)
-> Dehydrated needs to be corrected evenly over 48 hrs. Any faster = cerebral oedema risk.
-> Give a fixed insulin infusion
What blood abnormalities are seen in DKA before treatment
Hyperglucaemia
Acidosis
Ketosis
High potassium
Mildly raised creatinine (sign of dehydration)
Preceding fever, coryza, conjunctivitis, koplik spots
Rash starting behind the ears and spreading down the body
Measles
4 C’s : cranky, cough, coryza, conjunctivitis (+Koplik’s spots)
Koplik : small, white spots inside of the cheeks in the early course of measles
Hypothyroid
Congenital heart defects
Short stature
Webbed neck
Widely spaced nipples
Turner’s
Causes of SJS
Allopurinol
Lamotrigine
Penicillin
Phenytoin
Viral infections : mumps, flu, HSV, EBV)
4 complications of chickenpox
Bacterial superinfection
Cerebellitis
DIC
Progressive disseminated disease
Fever, sore throat, sandpaper rash
Flushed cheeks
Coated and white tongue
Scarlet fever
Painless haematuria
Aged 5-10
Abdominal mass
Willm’s tumour
Large ears
Large head
Long thin face
Prominent mandible
High-arched palate
Learning difficulties
Mitral valve prolapse
Fragile X
First rank symptoms of schizophrenia
-3rd person auditory hallucinations
-Delusional perception (including persecutory delusions)
-Somatic passivity
-Thought alienation
patient’s thoughts move from one topic to another, without any logical connection between them
Knight’s move thinking
delusion that ones own feelings/impulses/thoughts/actions are not their own
delusion of passivity
If a pt has OCD and has trialled 12 wks of an SSRI + ERP CBT what should be done ?
they should be switched to a different SSRI or switched to clomipramine
