continued Flashcards

(18 cards)

1
Q

young man is seen with his mother. She is concerned that he is socially withdrawn. He is bright and is doing well in his job as a engineer. During the consultation he seems emotionally cold and has little interest in either praise or criticism - PD?

A

schizoid

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2
Q

MoA of anastrozole

A

reduces peripheral synthesis of oestrogen

NOT - antagonist of oestrogen receptor

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3
Q

management of non-displaced intracapsular fracture

A

if good pre-morbid status - internal fixation

unfit - hemiarthroplasty

non-displaced

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4
Q

dose of chlordiazepoxide for alcohol withdrawals

A

tapering dose

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5
Q

hormone profile findings in PCOS

A

raised LH:FSH ratio - 11:1

testosterone normal/mildly raised

SHBG normal to low

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6
Q

drugs that cause tinnitus

A

aminoglycosides - gentamicin
loop diuretics

Aspirin
NSAIDs in high doses

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7
Q

clomipramine drug type

A

tricyclic
- can be used in OCD
- anticholinergic SE - dry mouth, blurred vision, urinary retention

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8
Q

most appropriate way to administer total parenteral nutrition

A

central line
- highly phlebitic

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9
Q

tx used to prevent further episodes in chronic sinusistis

A

intranasal corticosteroids

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10
Q

lidocaine MoA

A

blockage of sodium channels disrupting the action potential

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11
Q

management of perthes

A

<6yrs = observation
- most resolve with conservative mx

older = surgical mx

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12
Q

mx of acute haemolytic transfusion reaction

A

permanent termination
- generous fluid rests with saline
- inform lab

fever, abode pain, chest pain, agitation, hypotension

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13
Q

dose for vaginal thrush

A

oral fluconazole single dose

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14
Q

does consent for child need to be given by both parents

A

no, consent may be given by one parent for the tx that is in her best interests

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15
Q

hearing tests In newborn

A

all baby, screening = newborn otoacoustic emission test

if abnormal then = auditory brainstem response test

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16
Q

negative schizophrenia sx, effect of prognosis

A

poverty of speech
apathy
anhedonia

poorer prognosis

17
Q

how calculate likelihood ratio of a negative test result

A

(1-sensitivty) / specificity

18
Q

most appropriate study design to investigate an infectious outbreak