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4th year written > CCC > Flashcards

CCC Flashcards

1
Q

PET scans are only offered to px

A

undergoing curative tx

(determine malignant hotspots & monitor response to tx)

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2
Q

antiemetic 1st choices

A

palliative care - cyclizine (H1)

chemo/radio induced - ondansetron (5HT3)

gastric stasis - metoclopramide (D2)

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3
Q

opioid options in renal compromise

A

mild - oxycodone

severe - buprenorphine patches, alfentanil

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4
Q

breast metastases –> brain route
(most common route for distant metastasis to spread)

A

haematogenous

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5
Q

blood transfusion threshold in mormocytic anaemia

A

Hb<80
no signs ACS

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6
Q

neutropenic sepsis meds

A

tazocin (ciprofloxacin if pen. allergic)

meropenem & vancomycin 48hrs later if fever persists (MRSA cover)

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7
Q

chemotherapeutic causing haemorrhagic cystitis (dysuria, frequency, haematuria) 24-48hrs later

A

Cyclophosphamide

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8
Q

pyrimidine antagonist associated with palmar–plantar erythrodysesthesia.

A

Gemcitabine

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9
Q

chemotherapeutic causing reversible peripheral neuropathy & nephrotoxicity

A

cisplatin

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10
Q

chemo, pulm fibrosis & oedema

A

Melphalan

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11
Q

chemo nail changes

A

taxane

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12
Q

anxiolytics used

A

morphine

midazolam

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13
Q

palliative care SOB/pain control if renal impairment

A

oxycodone (not morphine)

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14
Q

hiccups in palliative care

A

chlorpromazine or haloperidol

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15
Q

N/V due to gastric stasis

A

metoclopramide

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16
Q

add this to syringe drivers for biliary colic & respiratory secretions

A

hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide

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17
Q

how might raised IC pressure present on C

A

hypodense lesions within the brain with surrounding vasogenic oedema

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18
Q

peripheral neuropathy & urinary hesitancy secondary to bladder atony are SEs of what chemo

A

Vincristine

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19
Q

bone mets often originate from

A

prostate/breast –> lung

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20
Q

1st line agitation med vs terminal care agitation med

A

PO haloperidol
SC midazolam

21
Q

cardiomyopathy chemo

A

Anthracyclines (e.g. doxorubicin)

22
Q

painful mouth that may occur at the end of life

A

Benzydamine hydrochloride mouthwash or spray

23
Q

x-ray spine fractures in MSCC

A

vertebral wedge compression fractures and focal sclerotic bony lesions

24
Q

blood test prognostic in cancers

A

FBC (anaemic –> worried)

25
Q

spasmodic pain tx in palliative care px

A

doazepam

26
Q

syndrome associated with breast cancer, osteosarcoma & soft tissue sarcomas

A

Li-Fraumeni syndrome

27
Q

confusion bloods

A

FBC, U&Es, LFTs, coag/INR, haematinics, TFTs, bone profile, glucose & blood/urine culture,

28
Q

1st line abx for animal bites

A

co-amoxiclav

29
Q

anti-emetic in renal impairment

A

haloperidol

30
Q

laxative to give when a softner required (ie no need to change number of stools, just make it easier/less painful to pass stool)

A

docusate capsules

31
Q

remember anyone with mesothelioma who dies then

A

refer to coroner

32
Q

diuretic that is common cause of hyponatraemia

A

thiazide diuretics

33
Q

normal spirometry results

A

FEV1 & FVC >80% & normal FEV1:FVC (>70%)

34
Q

when would u not use Q-risk

A

CKD

35
Q

cardioprotective anti-diabetic med

A

SGLT2 (-flozin)

36
Q

DDx 23 year old male student, constant localised pain LT anterior chest wall. Anxious, feels has to ‘catch breath’ sometimes, but able to run 5k without undue SOB. Sats 99%. HR 70. Palpation reproduces symptoms

A

costochondritis

37
Q

barthel index

A

measure performance of ADLs

38
Q

possible causes of hallucinations in elderly with cancer

A

opiate toxicity
mets
hypercalcaemia
infections

39
Q

DOAC monitoring

A

at start then annually

40
Q

statin monitoring

A

start, 3 months, annually

41
Q

med for diabetic neuropathy

A

duloxetine

42
Q

how to measure central adiposity

A

waist:height

43
Q

consideration for referral for oral tx psoriasis

A

severe // >10% // scalp psoriasis

44
Q

when to turn PRN subcut into dyringe

A

if needing repeated (>2 in 24hrs)

45
Q

stage 1-2 NSCLC tx

A

surgery (if not then radio)

46
Q

localised prostate cancer tx

A

radical prostectomy or radio or surgery then radio

47
Q

advanced prostate cancer tx

A

hormonal (goserelin/buserelin)

48
Q

prostate cancer with mets tx

A

radio

4th year written (5 decks)

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