wrong questions CAP Flashcards
how should this patient be managed:
19 yr old, atopic, recurrent food bolus obstruction. endoscopy shows no obstruction.
montelukast. (classic history of eosinphillic oesophagitis)
what type of gastrostomy should this patient recieve:
59, motor neurone disease, recurrent aspiration pneumonia
radiological as opposed to endoscopic. (endoscopic inc risk of aspiration)
what does this patient have:
old, haemoptysis, weight loss, smoker, recently started producing green thick sputum has a fever.
lobar pneumonia secondary to to squamous cell carcinoma. (squamous cell carcinoma can inc risk of pneumonia due to growing around hilum and potentially causing obstruction resulting in pneumonia)
list how gentamicin can be taken
only orally
pseudomonas arg… treatment
1st line gentamicin, 2nd line ciprofloxacin
why is lactic acid produced in anaerobic conditions
to generate NAD from NADH
as glycolysis purely relied on therefore much more NAD required
when chest compressions arent being performed how many breaths per minute shld u do?
10 (1 breath every 6 secs)
loop diuretic example
fursoemide (lasix)
leads v1-v3 are?
v2-v5?
v4-v6, 1 AVf?
- anteroseptal
- anterior
- lateral
when to do CTPA, D-Dimer
CTPA diagnoses, d-dimer does not, D-dimer no necessary in high/moderate risk of PE(.4 wells score).
never do CTPA for some1 w kidney failure
what neurotransmitter acts on b1 adrenoceptor and b2
adrenaline b1 and b2
noradrenaline just b1
(therefore its adrenaline that causes bronchodilation, NOT noradrenalin)
metabolite of arachdonic pathway causes bronchoconstricion inc mucous etc
Leukotrine A4.
montelukast is a lekotrine receptor antagonist -LTRA
intraperitoneal structures:
tail of pancreas, liver, gb, stomach, spleen, 1st part of duodenum, jejenum, ileum, caecum, transverse, sigmoid,
streptococcus and staphlycocci are g…
gram +
svt ecg characteristics
management for SVT
narrow QRS, inverted T waves
Stable:
1st- valsalva maneouvre, (only carpotid sinus in those low risk of stroke), 2nd- IV adenosine (dont give to asthmatics),
DC cardioversion only for haemodynamically unstable patients
squamous cell carcinoma associations:
smoking, arises around bronchus/hilar region, can cause PTH production>hypercalcaemia,
small cell lung carcinoma associations:
neuroendocrine, risk of ACTH production> cushings, agressive> chemotherapy normal treatment
adenocarcinoma associations
Non smoker, peripheral,
what borders of the heart abut what lung lobes
left heart border abuts superior left lung lobe.
right heart border abut middle right lung lobe
doc doesnt give 12 year old patience full diagnosis as it wld distress her and she does not have full capacity. what principle does this show
beneficence
what is community ethics
fair rules in the interest of the community
