passmed mock 1 paper 2 Flashcards
(22 cards)
which scaphoid fractures require surgical fixation
proximal scaphoid pole fractures
displaced scaphoid wasit
(undisplaced = cast for 6-8wks)
5 month old, coryzal prodrome with mild fever, persistent cough, wheeze
bronchiolitis
supportive mx -> observe, discharge with safety netting advice
typical blood screen levels in DIC
LOW
- platelets
- fibrinogen
RAISED
- APTT
- PT
- D-dimer (fibrinogen degradation products)
what type of drug is escitalopram
SSRI
- if first line SSRI is ineffective for GAD - try another SSRI or SNRI
Which investigation is most likely to identify factors which are contributing to this patient’s post-operative ileus
U&Es
- daily, and electrolyte abnormalities corrected
most appropriate medication to initiate alongside allopurinol
NSAID or colchicine
- for “cover”
- allopurinol itself can trigger an acute flare of gout
allopurinol MoA
xanthine oxidase inhibitor - reduces production of uric acid
HCG and PAPP-A levels which suggest Downs
raised HCG
low PAPP-A
thickened nuchal translucency
management of genital herpes
ORAL aciclovir
two-week history of progressive paraesthesia of the fingers, toes and peri-oral area, associated with muscle cramps and spasms. She recently underwent a thyroidectomy
hypOcalcaemia !!
ECG = isolated QTc eloooongation
hycosine hydrobromide MoA
muscarinic receptor antagonist
alprostadil
prostaglandin E1 -> maintain patent ductus arteriosus in TGA
management of local anaesthetic (lidocaine) toxicity
IV 20% lipid emulsion
antiemetic drug used in palliative if nausea due to raised ICP
cyclizine / dexamthasone
on writing prescription for gabapentin, which of the following should be printed in both figures and words?
the quantity of tablets supplied
- for controlled drugs, quantity need to be highlighted (not dosage)
drugs that cause malignant hyperthermia
isoflurane, desflurane, sevoflurane
“A warning on the anaesthetic machine appears, due to elevated end-tidal CO2. The patient appears unwell, with skin mottling and diaphoresis”
size requirement for fibroadenoma to be surgically excised
> 3cm
- no increase of malignancy
Sensory loss of posterolateral aspect of leg and lateral aspect of foot, weakness in plantar flexion of foot, reduced ankle reflex, positive sciatic nerve stretch test
S1
Low serum calcium, low serum phosphate, raised ALP and raised PTH - condition?
osteomalacia
which infection is tonsilar Squamous cell carcinoma assoc with
HPV (16)
what is required before and after surgery in those taking long term prednisolone
hydrocortisone
test used to compare the means of two groups of subjects
two sample t test
