MLA mock Flashcards
(20 cards)
1st line mx of hodgkins lymphoma
chemo
brugada vs torsades
brugada
- AD cause of sudden death
- ECG changes become more apparent with felcainide
mx = implantable defib
torsades
- assoc with long QT
mx = IV magnesium sulphate
definitive diagnosis for small bowel obstruction
CT abdo
what Ix is always done in PE to rule out other pathology
CXR
mx of extra pyramidal SE
procyclidine
gestation where membrane sweep would be considered
40/41weeks
mx of acute confusion in hepatic encephalopathy
lactulose
- reduces amount of ammonia in blood
neuroleptic malignant sx Ix
raised creatine kinase !!
- AKI second to Rhabdo
- leukocytosis
when to use imatinib vs rituiximab
imatinib
- tyrosine kinase inhibitor
- CML !! philly chromosome
rituximab
- mx of non-hodgkins or CLL
neurogenic shock px
hypotensive but warm peripheries
(distributive shock)
what eye sight is risk factor for retinal detachment/tear
myopia (nearsightedness, trouble seeing in distance)
-> assoc with elongated eyeball, more tension on retina
also - diabetes, prev eye surg, trauma
mx of AF patient post stroke vs TIA
TIA - anticoag for AF should start immediately
acute stroke - antiplatelet for 2 weeks then anticoag
primary pathological process in guillain barre
immune mediated demyelination of peripheral nerves
A 62 year old man is brought to the operating theatre recovery room after a
laryngoscopy and vocal cord biopsy.
He appears to be conscious, but his breathing is shallow and respiratory rate
28 breaths per minute. His voice is weak and, when the recovery nurse asks
him to squeeze her fingers with his hand, the grip is not sustained.
Which drug will reverse these signs?
neostigmine
- Q suggests residual effects of neuromuscular blockade
- administration would increase grip strength, vocal cord movement + speech
serum investigation to aid diagnosis of hepatocellular carcinoma
alpha-fetoprotein
septic shock where patients BP isnt responding to fluids - next step?
vasopressors -> noradrenaline/norepinephrine
- increase systemic vascular resistance
breast histology showing discrete mass with duct like structures lined by regular columnar cells, separated by loose fibrous tissue
fibroadenoma
sickle cell disease attends the Emergency
Department with severe pain in her left leg. afebrile. - management?
subcut morphine
acute painful sickle crisis
- medical emergency
hearing testing in kids
all newborns -> otoacoustic emission test
newborns + infants -> auditory brainstem response test
- if 1st abnormal
6-9months -> distraction test
> 3 = pure tone audiometry
what is the purpose of irradiate blood products
used to avoid transfusion assoc graft vs host disease
