misc Flashcards
(117 cards)
1
Q
treatment of accidentally putting local in an IV
A
20% lipid emulsion
2
Q
contraindication to regional anaesthetics (spinal block, epidural ect)
A
anticoagulation therapy
3
Q
breakthrough morphine
A
1/6 daily dose
4
Q
oral -> subcut morphine
A
half dose
5
Q
codeine -> morphine
A
1/10 dose
6
Q
lidocain MOA
A
Na channel blocker
7
Q
amiodarone MOA
A
K channel blocker
8
Q
digoxin toxicity
A
ECG
yellow/ green vision
9
Q
side effect of metoclopramide
A
galactorrhoea
10
Q
live attenuated virus
A
MMR
11
Q
where do loop diuretics work
A
ASCENDING loop
12
Q
defib in VT/VF
A
witnessed - 3
not witnessed - 1
13
Q
antibiotic that interacts with alcohol
A
metrinodazole
14
Q
antibiotics not to give when pregnant
A
doxy
clarithromycin
15
Q
when do you have to stop drinking clear vs non clear fluids pre op
A
2 hrs before
6 hours before
16
Q
metformin/ sulphonureas + surgery
A
on morning take 1 or 2
miss one (only take 2) if you take 3
17
Q
once daily insulin + surgery
A
reduce dose by 20%
18
Q
warfarin + surgery
A
stop 5 days before
INR day before >1.5 give oral vit K
emergancy - wait 6-12hrs (if possible) and give IV vit K
19
Q
antiplatlets + surgery
A
aspirin - continue usually
clopi - stop 7 days before
20
Q
steroids and surgery
A
convert corticosteroids to IV hydrocortisone
or
double dose after surgery for 2 days
21
Q
ACEi + surgery
A
stop 24 hours before
22
Q
when should INR be checked before surgery
A
day before
23
Q
when are antiboitics given in surgery?
A
same time as anaesthetics
24
Q
burns + confusion
A
give high flow O2 (in case of carbon monoxide poisoning)
25
when to treat burns
10% kids
15% adults
26
fever, rash and tachy after penicillin
jarch-herxheimer
give anti-pyretics
27
medication that stops other stuff working as well
rifampicin
28
screening before rituximab (non hodgkins)
Hep B
29
dengue fever
headache behind eyes
fever
facial flushing
rash
thrombocytopenia
30
risk of 0.9% NaCl
hyperchoraemic metabolic acidosis
31
deficiency thats a side effect of metformin
b12
32
post op complications hrs vs days
hrs - perforation or bleeding
days - anastomotic leak
33
TCA overdose
dry mouth, retention, constipation
dilated pupils
wide QR
increased potassium
34
treatment of TCA overdose
bicarbonate
35
treatment of motion sickness
1. hyoscine
2. cyclizine
3. promethazine
36
treatment of schisto
praziquantel
37
glabdular fever + sport
avoid contact sport 4 weeks after
38
ratio for als in a neonate
3:1
39
side effect of phenytoin
folate deficiency - macrocytic aneamia
40
causes of orthostatic hypotension
SNRIs, TCs
hypertensives
benzos
opioids
diuretics
41
side effects of loop diuretics
hypoonatreamia
hypookalamia
goout
42
which vein is TPN administered in
subclavian (or any central)
43
med that might cause low magnesium
PPI
44
when should platelets be transfused?
<10 no bleeding
<30 with bleeding
<100 with bleeding in brain
45
contraindication in bowel obstruction
IV metoclopramide
46
ALS - amiodarone isnt available
lidocaine
47
mechanism of decongestants
alpha-1 agonist
48
antacid mechanism
histamine-2 antagonist
49
cell invloved in graft vs host
T cells
50
what not to give to patients with pneumothorax
nitrous oxide
51
what predisposes to digoxin toxicity
hypokalaemia
52
what is neutropenic sepsis + bacteria + treatment
patient with cancer gets sepsis
staph epidermis
piperacillin + tazobactam
53
correlation coefficient
strength and direction of a linear relationship between two variables
54
if on a opiod can you add an NSAID
sure - you can add on things lower on the ladder cause why tf no it doesnt make sense but what does
55
1a line on death certificate
disease or condition that lead to death
56
is there a hep C vaccine?
nope
57
definition of malnutrion
loss of 10% body weight over 3-6 months
58
raised CEA
colorectal cancer
59
which is the only opiod that might help neuropathic pain
tramadol
60
if patient remains hypotensive after fluid
give vesopressors - noradrenaline, epinephrine, dopamine
61
if a question is tummy pain + iron deficiency
just put coeliac
62
investigation into pubertal delay
bone Xray aging
63
amiodarone and thyroid
causes hyper and hypo
64
CA 15-3
breast cancer marker
65
hormones reduced during surgery
insulin
testosterone
ostrogen
66
tongue protrusion cranial nerve
towards the same side
hypoglossal
67
is atropine used in astole
no
68
antibiotic that causes photosensitivity
doxy
69
antibiotic that lowers seizure threshold and causes tendonitis
cipro
70
what type of hypersensitivity is SLE
3
71
reliability vs validity
reliable - consistent results
valid - accurate results
72
post op ileus
distention, pain, obstruction due to reduced peristalsis after a surgery
73
1st line treatment of hyperhidrosis
topical albumin
74
which rhythms can you give amiodarone in ALS
shockable - VF/ pulseless VT
75
thiazide vs loop diuretics - calcium
thiazide - hyper
loop - hypo
76
how long after an MI until you can have surgery
6 month
77
brca mutation in men =
prostate cancer
78
side effect of hydroxchloroquine (SLE treatment)
bulls eye retinopathy
79
coca cola urine
malaria
80
mumps treatment
supportive
81
HLA of:
ank spon
coeliac
T1DM
RA
ank spon - B27
coeliac - DQ2/8
T1DM, RA - DR4
82
increases INR
clarithromycin/ erythromycin
ciprofloxacin
I in RIPE
omperazole
83
decreases INR
carbemizide
phenytoin
rifampicin
st johns wart
84
med that causes metallic taste
metformin
85
side effect of alpha blockers
dry ejaculation
86
side effect of finasteride
ED
87
opioid toxicity
drowsiness
hallucinations/ vivid dreams
delirium
twitching/ myoclonus
skin sensitivity
88
which anticoagulation is an absolute contraindication to thrombolysis
DOACs
89
anticipatory box
- morphine
- midazolam
- hyoscine butylbrominde
- levomepromazine
90
when to treat for lymes
rash
symptoms no rash - check for antibodies
91
maintenance fluids (K, water and glucose)
K - 1 mmol/kg/day
25-30 ml/kg/day water
50-100 g/day glucose
92
rockall vs glasgow-blatchford score
glasgow - used before endoscopy (statifies risk of low-risk upper GI bleeds)
rockall - after endoscopy (risk of it happening again)
93
post splenectomy pneumonia
strep pneumonia
mycobacterium TB
meningococci
94
does rhye have gluten in it
yes
95
lymphoma associated with coeliac
T cell
96
osmalaity calculation
2(Na) + urea + glucose
97
ECG of hypocalcaemia
long QT
98
anaesthetic for people with low (or low ish) BP
ketamine
99
what is measured in a case control study, cohort
case - odds ratio
cohort - absolute risk reduction
100
factors adjusted for in Z score of DEXA
age
gender
ethnic factors
101
specificity calculation
TN / TN + FP
102
sensitivity calculation
TP / TP + FN
103
mechanism of aspirin
cox2 inhibitor -> inhibits production if thromboxane A2
104
sildenafi (PDE 5 inhibitor) contraindications
nitrates
nicorandil
105
complication of treating hyper vs hypo natremia
hyper (rapid decrease in NA) - cerebral oedema
hypo (rapid increase) - osmotic demylination syndrome (locked in)
106
treatment ofd mono
supportive
107
treatment of respiratory depression caused by magnesium sulphate
calcium gluconate
108
mechanism of heparin
activates antithrombin iii
109
side effect of ciclosporin
increases everything - BP, K, hair, gums
110
what shouldn't be given in aspirin allergy
sulfasalazine
111
zinc deficiency
anal/ mouth blisters
low sex hormones
112
raised ESR + osteoporosis
multiple myeloma
113
great vs small saphenous
great - behind medial malleolus
small - lateral
114
only do endoscopy whennnnn
stable!!
115
treatment of aspirin overdose
bicarbonate
116
overdose + tinitus =
aspirin overdose
117
when do you check paracetamol levels after overdose
4 hours
