Oct 2021 Flashcards
chlamydia
pregnancy
Rx ?
Azithro
(doxy - C/I)
leptospira
Rx ?
Penicillin G
SIADH
Rx ?
fluid restriction
if not helpful - demeclocycline
next option - tolvaptan
resorption of terminal phalanges, high Ca++, RFTs (N).
Dx ?
primary hyperparathyroidism
(Psoriasis possible with Normal Ca++)
Pneumonia
hospital admission 6days
cause ?
pseudomonas
E.coli
Klebsiella
staph
(not strep = CAP)
LTOT Duration at home daily?
15 hrs
solitary, hot thyroid nodule, no features of malignancy
Rx ?
Radio-iodine
(surgery - if above failed or C/I)
test before starting zolendronate ?
dental exam
seminoma with metastasis -
Rx cisplatin.
Prognosis ?
> 80% 5ys
Rx parkinson’s pt having psychotic features ?
olanzapine/quetiapine (atypical anti-psychotic)
resperidone - same class still C/I
GBS Syn Rx ?
FVC 2.8
IVIG
(I/V - if FVC < 1.2 which is equal to 20ml/kg in a 70kg man)
Normal FVC 5.
pt vanco dose in blood - 44.
eGFR 40
what next step ?
required dose 20 - 25
PLAN: omit dose pending and repeat vanco in blood
pain on palliative Rx
having back pain
CKD
next step ?
repeat radiotherapy (rather increase morphine dose)
if pt not wishes to get blood, still need it. what to do?
give only N/S
primary biliary dyskinesia
Dx ?
low nasal nitric oxide < 250
recurrent upper/lower RTI, ear infection, conjunctivitis, age 22
bronchiectasis
CF Dx ?
age < 18
normal Nasal nitric oxide
bronchiectasis
pt Parkinson’s well controlled with levodopa. having rest-less leg syn
Rx ?
gabica (not ropinarole)
recurrent cystine stone
Rx ?
penicillamine
nitrofurantoin use at 35weeks gestation. ?
no increase risk
wernicke’s enceph
Rx ?
B1
marfan syn
aortic root diameter 58
paln ?
elective AV sparing - aortic root replacement
ley body dementia
having agitation
Rx ?
Donapezil
insulin abuse
SU abuse
Dx ?
Insulin abuse:
high insulin
low c-peptide
…………………
SU abuse
high insulin
high c-peptide
insulinoma
Dx ?
over-night fast and exercise provocation test
(random insulin, glucose, c-peptide level - wrong answer)
