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4th Year Written > ACC must knows > Flashcards

ACC must knows Flashcards

1
Q

Malignant hyperthermia has what raised in the blood?

A

CK

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2
Q

What do we give in malignant hyperthermia?

A

Dantrolene

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3
Q

chromosome …. encoding the ryanodine receptor?

A

19 Malignant hyperthermia

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4
Q

malignant hyperthermia can be caused by what anaesthetic?

A

Sux

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5
Q

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

A

Sux

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6
Q

Pain on IV injection anae/

A

Propofol

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7
Q

Tx of cluster?

A

Sumatriptan + O2

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8
Q

Prophlyaxis of cluster?

A

verapamil

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9
Q

how much potassium per day

A

1mmol/24hrs

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10
Q

1st line for spasmodic back pain

A

Diazepam

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11
Q

metaraminol mechanism

A

a1 agonist

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12
Q

What can ondasetron cause for heart?

A

QTC prolongation

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13
Q

Metoclorpramide mechanism?

A

Dopamine ANTAgONIST => acute dystonia reaction care

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14
Q

Glasgow-blatchford before or after endoscopy?

A

Before

Rockall after endoscopy

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15
Q

hyper or hypocalcaemia causing TOP?

A

Hypocalcaemia

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16
Q

What gas can cause malignant hyperthermia/

A

-flurane gases

=> Autosomal dominant inheritance of ryanodine => muscle ridigity

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17
Q

Modified glasgow used for what?

A

Acute pancreatitis

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18
Q

what age is CI for thrombolysis/

A

> 75

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19
Q

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

A

Prothrombin time

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20
Q

Cardiac tamponade causes what type of shock?

A

Obstructive

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21
Q

After MI what type of shock occurs?

A

Cardiogenic

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22
Q

Sepsis can cause what type of shock?

A

Distributive

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23
Q

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

A

Chest drain

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24
Q

What can happen to urine in malignant hyperthermia?

A

Brown

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25
Q

No end tidal CO2 post intubation?

A

In oesopha

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26
Q

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

A

inc. 1/3

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27
Q

cerebral oedema mx in DKA

A

SLow fluids

iV manitol

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28
Q

40mg furosemide unresponsive?

A

80mg furo

29
Q

aminophyilline / theophylline in COPD exacerbation?

A

no => NIV

30
Q

ST depression with bradycardia?

A

Atropine

ST depression found in bradycardia

31
Q

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

A

Epidural

32
Q

good combo for dealing with N+V in theatre?

A

Propofol + Ondasetron

33
Q

if 3rd degree heart block found what to do

A

Atropine first for bradycardia (if relevant)

Perm. pacemaker

34
Q

Warfarin / anti-coag CT scan?

A

8hrs

35
Q

how to know if intubation good

A

End tidal co2

36
Q

When should aspirin and clopidogril be stopped prior to sx?

A

1 week

37
Q

When should ACE inhibitors be stopped prior to surgery?

A

Day before

38
Q

When should LMWH be stopped prior to surgery?

A

night before

39
Q

having a reaction to NAC?

A

Stop the infusion and give IV chlorphenamine

40
Q

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

A

3M DOAC

41
Q

well score <4?

A

D-dimer indicated

42
Q

vasovagal syncopy incontinence?

A

Yes

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

43
Q

which diabetic drug must be omitted prior to sx

A

SGLT-2 inhibitors

=> Omit the day of surgery due to the risk of DKA

44
Q

GCS less than 15 more than two hours after his injury

A

CT within 1hour

45
Q

battle sign / panda eyes

A

basal skull fx

46
Q

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

A

acute limb ischaemia

47
Q

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

A

inotropic suppot

48
Q

potassium levels in DKA?

A

hyperkalaemia

49
Q

hyper / hypothyrodism in turners?

A

hypo

50
Q

personality changes occur in wjhat type of stroke?

A

anterior cerebral artery strokes

51
Q

osteoporoosis score for DEXA scan?

A

-2.5

52
Q

AMT4 =>

A

Delirium

53
Q

AMTS =>

A

Cognitive => alzehi

54
Q

repeat ABG when after doing intervention COPD

A

1hour after

55
Q

Drug that can precipitate Serotonin (illegal)

A

LSD

56
Q

10-30mg

5-10mg

Opioid withdrawwal

A

Methadone

Buprenorphine

57
Q

Multiple sclerosis investigation?

A

MRI

58
Q

Suxamethonium mechanism

A

Dolparising

mimics AcH hencve has initial twitching

59
Q

Rocuronium mechanism

A

non-depolarizing

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

60
Q

drugs that cause hypoglycaemia diabetic

A

Flozins (SGLT2)
Sulphonynurea

=> omit prior to surgery morning dose

61
Q

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

A

ct 8 head

62
Q

Cushings Triad

When do you get it?

A

Increased BP
bradycardia
irregular breathing

Raised ICP

63
Q

if on carbimazole be aware of

A

sepsis (BM suppression)

64
Q

biochemical picture of hyperaldosteronism (Conn’s syndrome)

A

Hypernatraemia + hypokalaemia

=> spiro

65
Q

biochemical of SIADH

A

Hyponatraemia

66
Q

Which antihypertensive drug should be avoided with an Epipen?

A

labetalol

67
Q

class of atropine

A

anti-cholinergic

68
Q

analphylaxis BP?

A

hypotension

4th Year Written (29 decks)

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