nice Flashcards
(138 cards)
1
Q
what antibiotics should you discontinue in a achilles injury
A
fluoroquinolones eg ciprofloxacin
2
Q
what detergent should people with acne use
A
non alkaline
3
Q
what are acne treatment contraindicated in pregnancy
A
retinoids and tetracyclines
4
Q
a contraceptive that can be used for acne
A
co-cyprindiol
5
Q
retinoids in uk
A
adapalene and tretinoin
6
Q
how do apply benzoyl peroxide and topical retinoid
A
12 hours apart
7
Q
antibiotics licensed in the uk for acne
A
clindamycin and erythromycin
8
Q
topical antibiotics should not be prescribed on their own so
A
prescribe with benzoyl peroxide
9
Q
oral antibiotics for acne
A
lymecycline or doxycycline
10
Q
oral antibiotics for acne
A
lymecycline or doxycycline
11
Q
avoid what in myasthenia graves, SLE and renal impairment
A
tetracyclines
12
Q
avoid what antibiotics in acute porphyria
A
erythromycin
13
Q
what is rare in children under 3
A
transient synovitis
14
Q
most common limp in children
A
antalgic
15
Q
what drugs can increase risk of AKI
A
acei, arbs, diuretics
16
Q
what can cause a false positive in AKI
A
trimethoprim and recent pregnancy
17
Q
negative urinalysis in AKI indicates what
A
pre renal cause
18
Q
increased WBC for AKI may suggest
A
infection or interstitial nephritis
19
Q
when to admit for same day referral in AKI
A
stage 3
20
Q
what nerve roots are compressed in sciatica
A
L4-S1
21
Q
most common cause of sciatica
A
herniated intervertebral disc
22
Q
most common red flag in sciatica
A
urinary retention
23
Q
what do no title in sciatica
A
steroids
24
Q
drug if need for raynauds
A
nifedipine
25
what not to do if perforation the globe is suspected
do not palpate the eye
26
ciliary flush and limbal vessel injections suggests
anterior uveitis
27
pupil dilating drugs can precipitate what
glaucoma
28
a pupil dilating drug
phenylephrine
29
constricted or distorted pupil
anterior uveitis
30
usual symptoms of corneal ulcer
photophobia, blurred vision, discharge and pain
31
corneal ulceration can occur in what conjunctivitis
gonorrhoeal
32
what can be associated with RA and SLE
scleritis
33
what is normally a post operative infection that can rapidly cause blindness
endophthalmitis
34
which of the scleritis is painless
epi
35
main symptoms in renal or ureteric colic
severe abdo pain in the loin radiating down
36
what often accompanies renal colic
N+V and haematuria
37
what is a rf of renal colic
chronic dehydration
38
what is the management for renal colic
urgen (within 24hr) imaging
non contrast CT for adults
US for pregnancy woman , children and young people
39
what should be offered for pain relief in renal colic
NSAID
40
what should be recommended for recurrent stones that are predominantly calcium oxalate
potassium citrate
41
what can be added to water for renal colic
lemon juice
42
where do most stones originate
kidney
43
what is released in response to stone
prostaglandins
44
many describe renal colic pain as worse than
childbirth - really severe pain
45
drug that can help stone passage
alpha blocker
46
there is a high prevalence of renal stones in what kind of patients
primary hyperparathyroidism
47
most common form of retinal detachment
rhegmatogenous
48
rf for retinal detachment
myopia
49
central visual acuity may be reduced if what detaches
macula
50
white pupil reflex in kids is usually retinal detachment
51
retinal tears or breaks mx
laser or cryotherapy
52
vitrectomy used for
retinal detachment
53
increases risk of retinal tears
posterior vitreous detachment
54
what should be initial mamagement of RA
NSAID and PPU
55
what can be used while waiting for a new DMARD to take effect
steroid
56
what is feltys
large spleen with a low white blood cell count
57
ra stiffness usually lasts how long
over 1 hour
58
what is specific to RA
inability to make a fist or flex fingers
59
RA nodules occur where
extensor surfaces
60
what is the onset of RA
mostly insidious but can be rapid
61
in RA are inflammatory markers always raised
usually but not always
62
dmards require monitoring with what
blood tests
63
diagnostic features of rosacea
thickened skin or persistent erythema
64
rf for rosacea
colonisation with demoted folliculorum mites
65
rosacea treatments
brimonidine for peristent erytham , ivermcetin for papaules/pustules and if more severe then doxycycline
66
what to avoid if taking metronidazole
strong sunlights
67
what to avoid if taking metronidazole
strong sunlights
68
why don't give do doxyxclien (tetracycline) to pregnant woman or breastfeeding woman
discolouration of teeth
69
what rash is behind ears
measles and rubella
70
does scabies classically have a high or low number of mites
low
71
itch is scabies is usually worse at
night
72
burrow in scabies
think brown-grey line
73
close contact scabies need to be
treated
74
itch can continue for how long after tratement in scabies
4 weeks
75
scabies tunnels through the
stratum corneum
76
hydrocele can have increased risk of what
testicualar cancer
77
if acute epididmo orchitis do what
refer to sexual health clinic due to STI
78
high riding or transverse in
testicualr tumour
79
cremasteric reflex can be absent in
testicualr torsion
80
prehn sign
relief of pain with elevation of the testes
81
transillumination o the testes indicates a
hydrocele
82
supraclavicular lymphadenopathy or abode mass may be associated with
testicualr cancer
83
urethral discharge may indicate
epididmyo orchitis
84
blue dot sign
iscahemic appendage
85
tenderness over superior pole of testis
torsion of appendix- blue dot sign
86
mumps orchitis can have
parotid swelling
87
cradle cap
seaborrhoeci dermatitis
88
scale that is white or yellow
seaborrheoic dermatitis
89
seaborrhoeic dermatitis in adults
ketoconazole
90
malassexia yeast
seaborrheic dermatitis
91
complication of shingles
post herpetic neuralgia
92
most common dermatome in shingles
T1-L2
93
cross arm test
acromioclavicular joint
94
differences between pharyngitis and tonsillitis
pharyngitis is associated with pharyngeal exudate whereas tonsillitis is associated with tonsils exudate
95
what is common in tonsillitis and pharyngitis
fever
96
what confirms glandular fever
serum monospot test
97
sore throat from carbimazole or DMARDs should do what
FBC and withhold drug
98
hypermetropia increases risk of
squint
99
turning eye
squint
100
cycloplegic meaning
paralysis of the ciliary muscle
101
cycloplegia
loss of accommodation
102
atropine is a
cycloplegic
103
strong gripping and repetitive wrist movements
tennis elbow
104
first lien for tennis elbow
ibuprofen or paracetamol
105
ototoxic drugs
aspirin, NSAIDs, loop diuretics
106
hissing sound, humming sound tinnitus
otosclerosis
107
urethritis is usually caused by
STI
108
urethritis should be suspected if there is
urethral discharge, dysuria, penile discomfort
109
first void urine sample tests positive for leukocyte esterase or urinary reads
urethritis
110
if suspect uretrhitisi do what testing
NAAT - nucleic acid amplification testing
111
mx for urethritis
if chlamydial - doxycycline
112
what test for infection in urinary incontience
dipstick
113
drug for females stress incontience
duloxetine
114
constant leakage of urine suggest
fistula
115
dysuria and non visible haematuria
bladder cancer
116
diagnosis of bladder cancer is by
cystoscopy with biopsy
117
confirm diagnosis of penile cancer
excision biopsy
118
NSAIDs can cause
urticaria
119
symptoms of urticaria what mx
antihistamine
120
pain or dull ache in eye
uveitis
121
unreactive or distored pupil
uveitis
122
mx of uveitis
steroids to reduce inflammation and prevent adhesions in the eye. cyclopenotale is also given to paralyse the ciliary body
123
discharge is absent in
uveitis
124
pain that is dully or achy and worse when contracting ciliary muscle eg reading
uveitis
125
varicocele is lotion of veins of the
pampniform plexus
126
90% of varicoceles occur on what side
left
127
dizziness is different from vertigo as in dizziness there os mo
false sense of motion
128
veruccas and warts
hpv
129
what has a rough surface that resembles a cauliflower
wart
130
wart on palms and soles are
verrucas- have central dark spot
131
differences between labyrinths and vestibular neuritis
hearing loss is a feature of labyrinthitis
132
sign of vestibular neuritis
nystagmus
133
prolonged vertigo
vestibular neuronitis
134
what can alleviates N+V and vertigo in vestibular neuronitis
prochlorperazine or antihistamine
135
vitamin d regulates
calcium and phosphate
136
check what levels for vitamin d deficiency
serum 25 hydroxvitmain D levels
137
mx for vit d deficiency
vit d3 - cholecalciferol
138
if pt request treatment for vitiligo
steroid
