Chloes Stuff

Question 0

How do you calculate systemic vascular resistance,

Answer 0

Systolic - diastolic

Question 1

How do you calculate mean arterial pressure?

Answer 1

CO x SVR

Question 2

How many marks do you get for eyes on GCS?

Answer 2

4

Question 3

How many marks do you get for verbal on GCS?

Answer 3

5

Question 4

How many marks do you get for motor on GCS?

Answer 4

6

Question 5

In anaesthetics which drug would you use to treat a low BP and low HR?

Answer 5

Phenylepherine

Meteraminol

Question 6

In anaesthetics which drug would you use to treat low BP and high HR?

Answer 6

Ephedrine

Question 7

How do you treat hyperkalaemia?

Answer 7

Calcium gluconate

Insulin and dextrose

Question 8

What is the triad seen in haemolytic uraemic syndrome?

Answer 8

Acute renal failure
Microangiopathic haemolytic anaemia
Thrombocytopenia

Question 9

What is haemolytic uraemic syndrome associated with?

Answer 9

Ecoli 157 gastroenteritis

Question 10

In sepsis of unknown origin what antibiotics are given?

Answer 10

cefuroxime and metronidazole

Question 11

In a massive PE what symptoms might the patient get?

Answer 11

Syncope 
Cyanosis
Hypotension
Cardiac arrest 
Angina

Question 12

What is the treatment for a PE?

Answer 12

Low molecular weight heparin or fondiparinux

Warfarin for 6 months

Question 13

When would you consider unfractionated heparin over LMWH in PE?

Answer 13

Renal failure
Increased risk of bleeding
Massive PE - also think thrombolysis

Question 14

When do you stop LMWH therapy after a PE?

Answer 14

After 5 days or when INR is 2-3

Question 15

What are the risk factors for post operative nausea and vomiting?

Answer 15

Female
Non smoker
Motion sickness
Post op opioids 
Previous episode

Question 16

What anti emetics can be given to prevent PONV?

Answer 16

Ondansetron
Dexamethasone
Metaclopeimide
Droperidol

Question 17

How does Ondansetron work?

Answer 17

Seretonin agonist

Question 18

What dose of Ondansetron is given?

Answer 18

4-8mg

8 hourly

Question 19

What anti emetic is best in preganacy?

Answer 19

Cyclazine

Question 20

What is the difference between the Rosier scale and ABCD2 score?

Answer 20

Rosier to assess whether they have had a stroke

ABCD2 to give the likelyhood of a subsequent stroke after TIA

Question 21

What drugs are given long term after a stroke/TIA?

Answer 21

Anti hypertensives
Aspirin 2 weeks
Clopidogrel - 4 life
Statin

Question 22

What proceedure can be done after TIA if indicated?

Answer 22

Carotid endarterectomy

Question 23

How quickly do you have to use thrombolysis in a stroke?

Answer 23

Within 4.5 hours

Question 24

What are the indications for an immediate CT head with stroke?

Answer 24

``` Indications for thrombolysis If you suspect a bleed - on anticoagulants - known bleeding tendency - reduced GCS - headache ```

Question 25

Why are clear carbonated drinks not allowed before surgery?

Answer 25

They decrease LOS tone

Question 26

How long can a pt chew gum before an operation?

Answer 26

2 hours

Question 27

How many hours before surgery are you allowed clear water/ juice?

Answer 27

2 hours

Question 28

What are the 4 catagories in the CEPOD classification?

Answer 28

Emergency Urgent Scheduled Elective

Question 29

What is the difference between scheduled surgery and elective?

Answer 29

Scheduled is decided within days, elective can be done to suit the patient and the hospital

Question 30

What ASA grade would someone be with well controlled asthma or hypertension?

Answer 30

Grade 2 | Mild/ moderate disease with no functional limitation

Question 31

What ASA grade would someone be if they had unstable angina?

Answer 31

Grade 4 | Constant threat to life

Question 32

What grade of surgery would an emergency laparotomy be?

Answer 32

4 (major)

Question 33

What grade of surgery would a knee arthroscopy be?

Answer 33

2 (intermediate)

Question 34

What grade of surgery would an #nof fixation?

Answer 34

3 (major)

Question 35

How high does the ST elevation need to be?

Answer 35

2 mm in chest leads | 1 mm in limb leads

Question 36

Where is the MI? ST elevation in V1-4

Answer 36

Anterior

Question 37

Where is the MI? ST elevation in II, III, aVF

Answer 37

Inferior

Question 38

Where is the MI? ST elevation in V5-6, I and AVL

Answer 38

Lateral

Question 39

What does a LBBB look like?

Answer 39

Widened QRS complex William in V1 and V6

Question 40

What is mydriasis?

Answer 40

Dilated pupils

Question 41

What are pathological Q waves a sign of?

Answer 41

Previous MI

Question 42

What do pathological Q waves generally look like?

Answer 42

They are either wider or deeper than normal

Question 43

Does tazocin contain penicillin?

Answer 43

YES

Question 44

Does augmentin contain penicillin? What is it also called?

Answer 44

YES Coamoxiclav

Question 45

What is the difference between a primary and a secondary pneumothorax?

Answer 45

Primary - in healthy people | Secondary - underlying lung disease

Question 46

What is a catamenial pneumothorax?

Answer 46

A spontaneous pneumothorax in women which is related to mentruation (endometriosis)

Question 47

Who are the only patients with a pneumothorax who you might consider discharging from A&E?

Answer 47

Primary pneumothroax which is less than 2 cm (before or after drainage) with no breathlessness Can see them in OPC in a few weeks

Question 48

Does a positive base excess show acidosis or alkalosis?

Answer 48

It shows alkalosis (too mush base)

Question 49

You see red cell casts in the urine, what might your diagnosis be?

Answer 49

Glomerulonephritis

Question 50

What is the only absolute contraindication to ECT?

Answer 50

Raised ICP