passmed B mock 2 Flashcards
(21 cards)
mx of otitis externa
topical antibiotics with or with out steroids
- topical gentamicin + hydrocortisone drops
only treat for fungal if unresponsive to initial mx
mx of whooping cough
azithromycin or clarithromycin if onset of cough is within previous 21 days (3weeks)
stridor - croup / bronchiolitis
croup!
don’t really get stridor in bronch - more wheezy
mx of metastatic bone pain
analgesia
bisphosphonates
radiotherapy
“morphine no longer controlling bone pain … next steps?
mx of N+V in palliative if due to gastric stasis/dysmotility
metoclopromide
DIC on blood film
schistocytes
- due to microangiopathic haemolytic anaemia
immune thrombocytopenia (ITP)
px = petechiae, purpura, epistaxis
ix = FBC - isolated thrombocytopenia, blood film
mx = oral prednisolone
- if active bleeding - IV Ig, raises platelets quicker than steroid
mx of polycythaemia to reduce risk
aspirin
- reduces risk of thrombotic events
venesection =first-line treatment to keep the haemoglobin in the normal range
chemotherapy = hydroxyurea - slight increased risk of secondary leukaemia
part of brain affected in dyskinetic cerebral palsy
basal ganglia + substantia nigra
-> promoter problems, writhing movements etc
mx of inevitable miscarriage if haemodynamically unstable
dilation + curettage
mx of transient tachypnoea of newborn
supportive
foetal bradycardia + increase frequency of contractions
= foetal compromise
cat 1 csection (within 30mins)
haem cut off for pregnancy
non preg - 115
early pregnancy - 110
late preg - 105
post partum - 100
He was started on citalopram for the treatment of depressive symptoms four months ago. Today he feels that his symptoms have much improved, and he feels back to his normal self. how long should he continue for ?
6 months AFTER remission to decrease risk of relapse
not 6 months from intiation
which T2DM drugs can be continued on the day of surgery
DPP 4 inhibitors (-gliptins) - oral
GLP-1 analogues (-tides) - subcutaneous
how is standard error of mean calculatedd
standard deviation / square root of no. of patients
can you give trimethoprim if breast feeding
yes
metastatic bowel cancer who is in the terminal phase and has a syringe driver. Unfortunately he has developed intestinal obstruction and is suffering with bowel colic. - what drug should you add to the syringe driver
hycosine butylbromide
- resp secretions & bowel colic !!
how do you calculate relative risk
RR = EER / CER
control on bottom !!
mx of unscheduled bleeding with the implant
3 month course of the COCP
mx of endometrial hyperplasia - with + without atypia
no atypia = high dose progestogens with repeat sampling in 3-4months, IUS may be used
atypia = hysterectomy BSO advised
