Year1

Question 1

Narrow complex tachychardia tx

Answer 1

1st vagal maneouvres
2nd adenosine- (verapamil if asthma)

If haemodynamically unstable (<90mmhg systolic) then dc cardioversion first!

Question 2

CURB65- criteria and what its for

Answer 2

Decides severity of pneumonia and how to manage

Confusion +/-
Urea > 7
Resp rate >30
BP: <90s <60d
>65: +/-

0-1: 1.5% mortality
2- about 10% mortality
3 or more: 10% or more mortality

Question 3

CURB65 management: score 0-1

Answer 3

Home care
Amox 5 days

Question 4

Curb65 management: 2

Answer 4

Hospital, 7-10 days oral/IV amox + macrolide (eg. Clarithomycin)

Question 5

Curb65: score of 3 management pneumonia

Answer 5

Hospital/itu, 7-10days IV co amox/ceft/taz + macrolide

Question 6

Respiratory tract infections: principles of management

Answer 6

Avoid abx unless centor criteria met

If giving abx avoid amoxicillin as can cause the patient to break out in a rash