phase 2 sba 3 Flashcards

1
Q

which drugs can cause hyperkalaeimia

A

Spironolactone is a potassium sparring diuretic and therefore leads to hyperkalaemia due to impaired excretion of potassium via the kidneys

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2
Q

do you need to tell DVLA about a TIA

A

NO

Do not notify the DVLA but no driving for 1 mont

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3
Q

treatment for E coli uncomplicated UTI

A

nitrofurantoin PO for 3 days

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4
Q

which mature cell is a derivative of the common myeloid progenitor

A

Neutrophil

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5
Q

ECG of someone with Conn’s syndrome

A

Flat T-wave, prolonged QT interval, ST depression

Conn’s syndrome (primary hypoaldosteronism) causes hypokalemia

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6
Q

chlamidya treatment

A

Doxycycline 100mg twice daily for 7 day

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7
Q

what is positive predictive value?

A

Proportion of positive results that are true positives

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8
Q

where does the Medulla Oblongata develop from

A

Myelencephalon

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9
Q

which meds are avoided in heart failure

A

Calcium channels blockers, with the exception of Amlodipine, are generally avoided in
heart failure, and verapamil in particular can worsen heart failure.

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10
Q

rules for dexa scan from nice

A

NICE states a DEXA scan should be offered without calculating the fracture risk score in people over 50 with a previous fragility fracture, or people under 40 with a major risk factor.

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11
Q

3 reasons when its okay to break patient confidentiality

A

The three reasons are:
- Risk to public safety (i.e., in situations A and D)
- They have given consent (B)
- It is required by law (i.e., situation C, a court case following situation A).

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12
Q

first line treatment for crohsn remission

A

an Aminosalicylate such as Olsalazine or Mesalazine

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13
Q

common side effect of CCB?

A

Ankle swelling is a common side effect of calcium channel blockers due to vasodilation causing the leakage of fluid into surrounding tissues.

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14
Q

treatment of De quervain’s thyroiditi

A

supportive - Aspirin and ibuprofen

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15
Q

are parkinsons tremors bilateral?

A

no typically asymmetrical, and more prominent on one side

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16
Q

What can be given to someone who has come to the A&E after overdosing on paracetamol 4 hours ago?

A

N-acetyl cysteine

17
Q

where does idiopathic pulmonary fibrosis affect

A

Idiopathic pulmonary fibrosis usually causes lower zone fibrosis

18
Q

how do Quinolones work

A

by disrupting DNA gyrase

19
Q

Below what CD4+ cell count would the diagnosis of AIDS be made?

A

<200 cells/mm^3

20
Q

which markers is most specific for highlighting acute liver damage?

A

ALT - because found almost exclusively in the liver

21
Q

which factor is involved in the extrinsic pathway of apoptosis?

A

Fas ligand

22
Q

What does stimulation of beta 1 receptors cause?

A

Increased inotropy

23
Q

`What does Vancomycin target?

A

Inhibits transpeptidase so disrupts cell wall synthesis

24
Q

what electrolyte abnormality does SIADH cause

A

hyponatraemia

25
Q

describe Cullen’s sign?

A

Periumbilical bruising

26
Q

correct CT chest finding of bronchiectasis?

A

tram track appearance

27
Q

best investigation for urethritis

A

Nucleic acid amplification test

28
Q

best treatment for headache with eye symptoms

A

Methylprednisolone

29
Q

most common cause of endocarditis?

A

S.aureus

30
Q

Which electrolyte imbalance can be seen due to ACE inhibitors

A

high potassium

31
Q

give an anti depressant

A

sertraline - SSRI

32
Q

components of annual diabetic review at gp

A

Height and weight
Blood pressure
HbA1C measurement
diabetic foot exam

33
Q

contraindications of beta blockers

A

asthma
Hypotension
Heart failure
`Heart block

34
Q
A