Mocks Flashcards
What other med to add if giving SSRI + NSAID or aspirin?
PPI
Guidelines for imaging after UTI in children - for <6 months? for >6 months?
< 6 months: USS in 6/52
> 6 months: if responded to abx treatment, nil to do unless atypical (e.g. no response to abx 48 hr) or recurrent
6-year-old boy with a limp. His parents report that this has been getting steadily worse over the past few weeks. He complains of pain in the right groin/hip region. An x-ray shows widening of the right hip joint space with flattening of the femoral head.
perthes disease - avascular necrosis of femoral head
Boy, age 4-8
Oral ciprofloxacin or rifampicin is used as prophylaxis for contacts of patients with meningococcal meningitis
0
Unilateral undescended testis at 6 weeks, what to do?
re-examine at 3 months
NICE recommends referral to an appropriate paediatric surgeon if one or both testes are undescended at 3 months of age (ideally to be seen before 6 months of age).
what measures to monitor haemachromatosis tx?
Ferritin and transferrin saturation are used to monitor treatment in haemochromatosis
if eGFR 60-90, what other criteria do you need to diagnose CKD?
also need other kidney tests to be abnormal: e.g. abnormal U&E or proteinuria
otherwise NO CKD
Tx for PID?
1st: IM ceftriaxone, doxy, metronidazole
2nd: ofloxacin, metro
1st line med mx for low back pain?
NSAID
+ PPI if >45 y/o
Biochemical changes in osteomalacia - Ca, Vit D, Pi, PTH, ALP?
low Ca, vit D, low Pi, raised PTH, raised ALP
Maximum lidocaine to give? (mg/kg)
3mg/kg
= 1% = 1g/100ml
what is a likelihood ratio and how to calculate (for +ve and -ve test)?
+ve test: how much the odds of the disease increase if the result is +ve. sensitivity/ (1-specificty)
-ve test: how much the odds of the disease decrease when a test is negative. (1-sensitivity/specificity)
1st line for flexural, facial, genital psoriasis?
mild to mod steroid OD to BD, 2 /52 max
how to calculate standard error of the mean?
Standard deviation / (sq root sample size)
Viruses that cause Hand food and mouth?
coxsackie A16 and enterovirus
chickenpox exposure in pregnancy - what to do?
check varicella abs first
PEP: po aciclovir on days 7, 14 of exposure
after childbirth - when can contraceptive implant be inserted?
anytime after childbirth!
school exclusion for scarlet fever?
24hr after starting Pen V (or azithro)
Tx for croup?
Dexamethasone (0.15mg/kg) regardless of severity
Mx of GORD (w distressing sx): for formula-fed and for breast-fed infant?
formula-fed:
reduce feeds/volumes
trial thickened formula
alginate for 2/52
THEN PPI
breast-fed
DONT reduce feeds
alginate
2ww criteria for lung ca
when to req urgent cxr
have chest x-ray findings that suggest lung cancer
are aged 40 and over with unexplained haemoptysis
age >40 + 2 or more sx OR smoker + 1 sx:
weight loss
SOB
fatigue
CP
weight loss
appetite loss
2ww criteria for breast ca
> 30 y/o w unexplained breast lump w or w/o pain
50 y/o w 1 nipple sx: retraction, discharge
2ww criteria for bladder ca
> 45 y/o w unexplained visible haematuria (no UTI), or visible haematuria that persists (after UTI tx)
> 60 y/o w unexpllained microscopic haematuria + dysuria OR raised wcc
Lithium monitoring:
when to take sample post-dose? then when to monitor?
once established, monitor how often?
once stable, monitor how often?
what tests to do to monitor?
SE?
What ppt toxicity?
12 hr post sample, then sample in 1 week until stable
once established, 3 monthly
once stable, 6 monthly
tests: BMI, U&E (eGFR), TFT, Ca
SE: N&V, fine tremor, nephrotoxicity: diabetes insipidus, weight gain, intracranial HTN
toxicity ppt by: dehydration, renal failure, meds: diuretics, ACE/ARB, NSAID, metronidazole
