Medicine

Question 1

how to divide codeine dose to morphine?

Answer 1

divide by 10

Question 2

how to divide PO morphine dose to s/cut morphine?

Answer 2

divide by 2

Question 3

in palliative, drug given for agitation?

Answer 3

haloperidol
midaz

Question 4

in palliative, drug given for hiccups?

Answer 4

chlorpromazine

Question 5

Tx for alzheimers?

Answer 5

donepezil (causes bradycardia)
memantime

Question 6

diagnosis of dementia?

Answer 6

MMSE <24/30
bloods and CTB for organic cause

Question 7

drug class of donepezil?

Answer 7

Ach inhibitors

Question 8

drug class of memantine?

Answer 8

NMDA receptor antagonist

Question 9

what rises in MTC?

Answer 9

calcitonin

Question 10

what is elevated in non seminoma testicular tumour?

Answer 10

AFP

Question 11

anaphylaxis doses?

Answer 11

adult 500mcg 1:1000
6-12yrs 300mcg
6mnths - 6yrs 150mcg

can repeat every 5 mins

Question 12

Tx for PBC?

Answer 12

ursedeoxycholic acid

Question 13

What infections occur in IgA deficiency?

Answer 13

resp
UTI
gastro

Question 14

types of HS?

Answer 14

I - immediate
II - antibody (blood transfusion)
III - immune complex
IV - contact dermatitis

Question 15

what is the bad cholesterol?

Answer 15

LDL

Question 16

blood tests in SIADH?

Answer 16

urine osmolality increased
urina Na increased
low Na

Question 17

what is pellagra? features?

Answer 17

Vit B3 def
dementia
diarrhoea
dermatitis

Question 18

who gets NIV in COPD exacerbations?

Answer 18

pH 7.25-7.35

Question 19

Tx for asthma?

Answer 19

ICS / formeterol
+ MART (fostair)

Question 20

Tx for COPD?

Answer 20

SABA/SAMA
+
LABA/LAMA
+ ICS if any asthma features

Question 21

most common lung ca?

Answer 21

adeno

Question 22

what lung ca is cavitating?

Answer 22

squamous
causes hypercalcaemia (PTH)

Question 23

features of small cell lung ca?

Answer 23

central
ADH/ACTH secretion
aggressive

Question 24

features of eGPA?

Answer 24

asthma
sinus problems
pANCA

Question 25

features of GPA?

Answer 25

renal epistaxis saddle nose cANCA

Question 26

Tx for bronchitis?

Answer 26

doxy

Question 27

red jelly sputum?

Answer 27

klebsiella

Question 28

features of kartagnerer's?

Answer 28

dextrocardia infertile bronchiectasis

Question 29

examples of transudate pleural effusion?

Answer 29

<30 HF ascites

Question 30

examples of exudate pleural effusion?

Answer 30

>30 infections cancer LDH >2/3 of normal LDH

Question 31

who cannot get buprion for smoking cessation?

Answer 31

epileptics

Question 32

what pneumonia causes hyponatraemia?

Answer 32

legionella

Question 33

does bell's palsy spare forehead?

Answer 33

NO LMN - affected

Question 34

wernicke's vs broca?

Answer 34

wernicke - cannot comprehend - temporal lobe broca - expressive (cannot speak) - frontal lobe

Question 35

prophylaxis for cluster headache?

Answer 35

verapamil

Question 36

prophylaxis for migraine?

Answer 36

propranolol

Question 37

prophylaxis for trigeminal neuralgia?

Answer 37

carbamazepine

Question 38

features of progressive SN palsy?

Answer 38

falls parkinsomism cognitive impairment

Question 39

features of normal pressure hydrocephalus?

Answer 39

incontinent dementia gait abnormalitis

Question 40

Tx for generalised epilepsy?

Answer 40

sodium valp lamotrigine

Question 41

features of MSA?

Answer 41

parkinsomism cerebellar signs autonomic issues (erectile dysfunction, postural hypotension)

Question 42

Tx for absence seizures?

Answer 42

ethosux

Question 43

Tx for focal seizures?

Answer 43

lamotrigine leveteracitam

Question 44

features of parietal seizures?

Answer 44

parasthesia

Question 45

features of temporal seizures?

Answer 45

aura automatisms

Question 46

features of frontal seizures?

Answer 46

head/leg movements

Question 47

TACI stroke?

Answer 47

hemiparesis/numbness hom hemianopia higher cognitive dysfunction

Question 48

PACI stroke?

Answer 48

2/3 of hemiparesis/numbness hom hemianopia higher cognitive dysfunction

Question 49

POC stroke?

Answer 49

1 of cerebellar signs LOC hom hemianopia

Question 50

when does carotid intervention get offered post stroke?

Answer 50

>50% stenosis

Question 51

windows for stroke Tx?

Answer 51

thrombolysis 4.5 hrs thrombectomy 6 hrs

Question 52

Lacunar stroke features?

Answer 52

isolated hemiparesis/hemisensory disturbance

Question 53

how to tell if ACA or MCA stroke?

Answer 53

ACA lower limbs worse than UL (MCA opposite)

Question 54

features of 3rd nerve palsy?

Answer 54

down and out ptosis

Question 55

features of AIN?

Answer 55

sterile pyuria white castas

Question 56

HUS vs IgA vs post strep GN?

Answer 56

HUS E coli thrombocytopenia AKI IgA haematuria URTI (days after) post strep weeks after proteinuria

Question 57

what abg does diarrhoea cause?

Answer 57

met acidosis normal anion gap

Question 58

what abg does vomiting cause?

Answer 58

metabolic alkalosis

Question 59

how much glucose should we get per day?

Answer 59

50-100g

Question 60

Tx for nephrogenic DI?

Answer 60

thiazides

Question 61

what causes kaposi's sarcoma?

Answer 61

HHV8

Question 62

Tx for BV?

Answer 62

metro

Question 63

Tx for chlamydia?

Answer 63

doxy/azithro

Question 64

Tx for gonorrhoea?

Answer 64

ceftriaxone

Question 65

what HSV causes oral vs genital ulcers?

Answer 65

1 - oral 2 - genital

Question 66

which HPV causes warts vs cancer?

Answer 66

warts 6+11 cancer 16+18

Question 67

TB drug side effects?

Answer 67

R - red yellow tears I - Peripheral neuropathy, hepatits P - gout, athralgia E - optic neuritis

Question 68

live vaccines?

Answer 68

BCG MMR Polio Yellow fever typhoid flu

Question 69

Tx for meningitis contacts?

Answer 69

PO cipro

Question 70

blood results in addisons?

Answer 70

low Na, glucose low cortisol and aldosterone high K met acidosis

Question 71

Ix for addisons?

Answer 71

short synacthen

Question 72

Blood result for cushings?

Answer 72

met alkalosis

Question 73

LH and FSH in kallman vs kleinfelter?

Answer 73

kallman - low kleinfelter - high

Question 74

blood results in Conn's?

Answer 74

low K met alkalosis hypertensive

Question 75

blood results in sick euthyroid?

Answer 75

low TSH and T4

Question 76

blood results in de quervains?

Answer 76

low TSH high Tv tender goitre

Question 77

treatment for polycythaemia vera?

Answer 77

aspirin venesections

Question 78

Tx for VTE?

Answer 78

provoked 3 months unprovoked 6 months

Question 79

factors affected in haemophilia?

Answer 79

A - VIII B - IX (christmas)

Question 80

Tx for tumour lysis?

Answer 80

allopurinol

Question 81

Blood results in haemophilia A?

Answer 81

prolonged APTT normal pT

Question 82

features of behcets?

Answer 82

vasculitis ulcers increased VTE risk

Question 83

common cause of meningitis?

Answer 83

S pneumonia

Question 84

meningitis Tx?

Answer 84

cefotaxime/ceftriaxone + amox if >50yrs

Question 85

AKI staging?

Answer 85

1 - creat 1.5-1.9 x baseline 2 - 2-2.9 3 - 3.0 / 0.3ml/kg/hr of urine in 24hrs