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Flashcards in Other Deck (25)
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1

Features of beta-blocker overdose

bradycardia, hypotension, heart failure, syncope

2

Treatment of beta-blocker overdose

If bradycardic then atropine
If resistant then glucagon
Then pacing if unresponsive to pharmacological therapy

3

How is Marfans inherited

Autosomal dominant

4

Contraindications to insulin stress test

Epilepsy, IHD, adrenal insufficiency

5

What do you do if poor response to 2nd line treatment

Upper GI endoscopy

6

How long to wait before retesting for h.pylori

4 weeks

7

Result of Vitamin B6 deficiency

peripheral neuropathy

8

Result of vitamin b2 (riboflavin) deficiency

angular cheilitis. 3-4 months of inadequate intake of riboflavin is sufficient to lead to depletion and becoming symptomatic

9

Result of Vitamin B6 deficiency

peripheral neuropathy

10

How do steroids affect WCC

Neutrophilia

11

Diet recommendation for Cystic Fibrosis

High calorie, high fat + pancreatic enzyme supplementation at every meal

12

Tetanus with wounds recommendations

High risk wounds (compound #, delayed surgical intervention, signif degree of devitalised tissue) give IM human tetanus immunoglobulin
- also give tetanus vaccine if vaccination hx is incomplete or unknown

13

Antibiotic therapy recommended for animal bite

Co-amoxiclav
Doxy and metronidazole if patient is pen allergic

14

HIV post-exposure prophylaxis

Oral antiretroviral for 4 weeks
Serological testing at 12 weeks following completion of PEP

15

What is Familial Mediterranean Fever

autosomal recessive - typically presents by 2nd decade - common in Mediterranean.
1-3 days attacks of pyrexia, abdo pain, pleurisy, pericarditis, arthritis and rash
- Colchicine may help

16

Vitamin B1 deficiency

Thiamine - Beriberi - polyneuropathy, wernicke-korsakoff & heart failure

17

Vitamin B3 deficiency

niacin/nicotinic acid, pellegra - dementia, dermatitis, diarrhoea

18

Vitamin B6 deficiency

Pyridoxine - anaemia, irritability, seizures

19

Vitamin B7 deficiency

Biotin -dermatitis and seborrhoea

20

Vitamin B9 deficiency

Folic acid, megaloblastic anaemia, neural tube defects

21

Vitamin B12 deficiency

Cyanocobalamin - megaloblastic anaemia, peripheral neuropathy

22

Vitamin E deficiency

Tocopherol, tocotrienol - mild haemolytic anaemia in newborn infants, ataxia, peripheral neuropathy

23

Vitamin K deficiency

Naphthoquinone - haemorrhagic disease of newborn, bleeding diathesis

24

Side effects of isoniazid

Drug-induced lupus and peripheral neuropathy

25

Methanol poisoning- presentation and management

Visual changes - reduced vision and poorly reactive pupils + metabolic acidosis with raised anion gap. fomepizole or ethanol & haemodialysis to treat