Miscellaneous Questions Flashcards
(29 cards)
Potential SE of ondansetron if used in pregnancy?
There is an association with a small increased risk of cleft lip/palate in the newborn if used in the first trimester.
Cervical screening in HIV patients timeframe?
Annual
Where are inguinal and femoral hernias located?
Femoral-> inferolateral to the pubic tubercle
Inguinal-> superior and medial to the pubic tubercle
What is the main benefit of prescribing albumin when treating large volume ascites following paracentesis?
reduces paracentesis-induced circulatory dysfunction and mortality
Which abx is associated with C. diff?
Clindamycin
Treatment and prevention of seizures in pre-eclampsia?
Magnesium sulphate
Complications of APKD?
Hepatic cysts
CVD- CHD, stroke, MI
Intracranial aneurysms and subarachnoid haemorrhages
Gestational HTN and pre-eclampsia
Long-term management drug for SLE?
Hydroxychloroquine
HbA1c monitoring timeframes in T1DM?
Every 3-6 months
When to test for developmental dysplasia of the hip (DDH) in breech babies?
USS screen 6 weeks after birth
Proliferative retinopathy management?
Panretinal laser photocoagulation
Abx for neutropenic sepsis?
Piperacillin with tazobactam (Tazocin) immediately
Menorrhagia contraception management?
Menorrhagia - intrauterine system (Mirena) is first-line
Which contraception can exacerbate bleeding?
Copper coil
2nd-line drug management in AF?
Digoxin
Most aggressive type of melanoma?
Nodular
Management of polycythaemia vera?
Management:
aspirin-> reduces the risk of thrombotic events
venesection-> first-line treatment to keep the haemoglobin in the normal range
chemotherapy -> hydroxyurea - slight increased risk of secondary leukaemia
phosphorus-32 therapy
Chronic pancreatitis features?
Investigations?
Management?
-epigastric pain-> radiates to the back, typically worse 15 to 30 minutes following a meal, may be relieved by sitting forward
-steatorrhoea
-diabetes mellitus
Investigations:
CT abdomen
faecal elastase -> assess exocrine function
Management:
pancreatic enzyme supplements
analgesia
antioxidants: limited evidence base - one study suggests benefit in early disease
Target HbA1c for a patient on sulfonylurea (gliptin)?
53mmol/mol
The Hba1c target for patients on metformin monotherapy?
48mmol.mol
GDM diagnosis criteria?
Gestational diabetes can be diagnosed by either a:
-fasting glucose is >= 5.6 mmol/L, or
-2-hour glucose level of >= 7.8 mmol/L
‘5678’
Complications of seborrheic dermatitis?
Otitis externa and blepharitis are common complications of seborrhoeic dermatitis
Risk factor for pseudo-gout?
XR findings?
Haemochromatosis-> excess iron deposits in various tissues which can lead to calcium pyrophosphate crystal deposition.
Hyperparathyroidism
Low magnesium or phosphate
Acromegaly/ Wilson’s disease
XR-> chondrocalcinosis
Which anti-emetic can have extra-pyramidal SE?
Metaclopramide
