ACC must knows

Question 1

Malignant hyperthermia has what raised in the blood?

Answer 1

CK

Question 2

What do we give in malignant hyperthermia?

Answer 2

Dantrolene

Question 3

chromosome …. encoding the ryanodine receptor?

Answer 3

19 Malignant hyperthermia

Question 4

malignant hyperthermia can be caused by what anaesthetic?

Answer 4

Sux

Question 5

Fastest onset and shortest duration of action of all muscle relaxants?

Answer 5

Sux

Question 6

Pain on IV injection anae/

Answer 6

Propofol

Question 7

Tx of cluster?

Answer 7

Sumatriptan + O2

Question 8

Prophlyaxis of cluster?

Answer 8

verapamil

Question 9

how much potassium per day

Answer 9

1mmol/24hrs

Question 10

1st line for spasmodic back pain

Answer 10

Diazepam

Question 11

metaraminol mechanism

Answer 11

a1 agonist

Question 12

What can ondasetron cause for heart?

Answer 12

QTC prolongation

Question 13

Metoclorpramide mechanism?

Answer 13

Dopamine ANTAgONIST => acute dystonia reaction care

Question 14

Glasgow-blatchford before or after endoscopy?

Answer 14

Before

Rockall after endoscopy

Question 15

hyper or hypocalcaemia causing TOP?

Answer 15

Hypocalcaemia

Question 16

What gas can cause malignant hyperthermia/

Answer 16

-flurane gases

=> Autosomal dominant inheritance of ryanodine => muscle ridigity

Question 17

Modified glasgow used for what?

Answer 17

Acute pancreatitis

Question 18

what age is CI for thrombolysis/

Answer 18

> 75

Question 19

What is a good prognostic marker for OD of paracetamol on liver?

Answer 19

Prothrombin time

Question 20

Cardiac tamponade causes what type of shock?

Answer 20

Obstructive

Question 21

After MI what type of shock occurs?

Answer 21

Cardiogenic

Question 22

Sepsis can cause what type of shock?

Answer 22

Distributive

Question 23

If patient is symptomatic regardless of size of pneumothorax, what do we do in secondary pneumo?

Answer 23

Chest drain

Question 24

What can happen to urine in malignant hyperthermia?

Answer 24

Brown

Question 25

No end tidal CO2 post intubation?

Answer 25

In oesopha

Question 26

If pain not sufficient, how to increase pain opioid morhpoine/

Answer 26

inc. 1/3

Question 27

cerebral oedema mx in DKA

Answer 27

SLow fluids iV manitol

Question 28

40mg furosemide unresponsive?

Answer 28

80mg furo

Question 29

aminophyilline / theophylline in COPD exacerbation?

Answer 29

no => NIV

Question 30

ST depression with bradycardia?

Answer 30

Atropine ST depression found in bradycardia

Question 31

if opioids not working for fracture of bones (having to use pcA way too many times) what to do/

Answer 31

Epidural

Question 32

good combo for dealing with N+V in theatre?

Answer 32

Propofol + Ondasetron

Question 33

if 3rd degree heart block found what to do

Answer 33

Atropine first for bradycardia (if relevant) Perm. pacemaker

Question 34

Warfarin / anti-coag CT scan?

Answer 34

8hrs

Question 35

how to know if intubation good

Answer 35

End tidal co2

Question 36

When should aspirin and clopidogril be stopped prior to sx?

Answer 36

1 week

Question 37

When should ACE inhibitors be stopped prior to surgery?

Answer 37

Day before

Question 38

When should LMWH be stopped prior to surgery?

Answer 38

night before

Question 39

having a reaction to NAC?

Answer 39

Stop the infusion and give IV chlorphenamine

Question 40

if we can identify a potential cuase of a PE (provoked) how long do we do treatment for it?

Answer 40

3M DOAC

Question 41

well score <4?

Answer 41

D-dimer indicated

Question 42

vasovagal syncopy incontinence?

Answer 42

Yes => standing long periods sudden drop of BP relaxes all muscles

Question 43

which diabetic drug must be omitted prior to sx

Answer 43

SGLT-2 inhibitors => Omit the day of surgery due to the risk of DKA

Question 44

GCS less than 15 more than two hours after his injury

Answer 44

CT within 1hour

Question 45

battle sign / panda eyes

Answer 45

basal skull fx

Question 46

sudden decrease in limb perfusion causing a potential threat to limb viability

Answer 46

acute limb ischaemia

Question 47

if bp not improving despite fluid , what do we give (not addison)

Answer 47

inotropic suppot

Question 48

potassium levels in DKA?

Answer 48

hyperkalaemia

Question 49

hyper / hypothyrodism in turners?

Answer 49

hypo

Question 50

personality changes occur in wjhat type of stroke?

Answer 50

anterior cerebral artery strokes

Question 51

osteoporoosis score for DEXA scan?

Answer 51

-2.5

Question 52

AMT4 =>

Answer 52

Delirium

Question 53

AMTS =>

Answer 53

Cognitive => alzehi

Question 54

repeat ABG when after doing intervention COPD

Answer 54

1hour after

Question 55

Drug that can precipitate Serotonin (illegal)

Answer 55

LSD

Question 56

10-30mg 5-10mg Opioid withdrawwal

Answer 56

Methadone Buprenorphine

Question 57

Multiple sclerosis investigation?

Answer 57

MRI

Question 58

Suxamethonium mechanism

Answer 58

Dolparising mimics AcH hencve has initial twitching

Question 59

Rocuronium mechanism

Answer 59

non-depolarizing => competes for cholinergic receptors meaning no action potential and thus relaxation of muscle

Question 60

drugs that cause hypoglycaemia diabetic

Answer 60

Flozins (SGLT2) Sulphonynurea => omit prior to surgery morning dose

Question 61

30 minutes' retrograde amnesia of events immediately before the head injury.

Answer 61

ct 8 head

Question 62

Cushings Triad When do you get it?

Answer 62

Increased BP bradycardia irregular breathing Raised ICP

Question 63

if on carbimazole be aware of

Answer 63

sepsis (BM suppression)

Question 64

biochemical picture of hyperaldosteronism (Conn’s syndrome)

Answer 64

Hypernatraemia + hypokalaemia => spiro

Question 65

biochemical of SIADH

Answer 65

Hyponatraemia

Question 66

Which antihypertensive drug should be avoided with an Epipen?

Answer 66

labetalol

Question 67

class of atropine

Answer 67

anti-cholinergic

Question 68

analphylaxis BP?

Answer 68

hypotension