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ZERO TO FINALS YEAR 4 > PASSMED PAPER WRONG ANSWERS 2 > Flashcards

PASSMED PAPER WRONG ANSWERS 2 Flashcards

1
Q

what antibiotic can cause torsades de pointes

A

macrolides

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2
Q

what murmur is heard in turner’s syndrome

A

systolic over aortic valve

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3
Q

what is the most common side effect of the progestogen only pill

A

irregular bleeding

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4
Q

what does an advance directive indicate

A

it refers to a specific treatment in a specific circumstance

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5
Q

what is the management for an overactive bladder

A

antimuscarinics

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6
Q

when is lactational amernorrhoeic a a reliable form of contraception

A

<6 month old baby
amenorrhoeic
breastfeeding exclusively

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7
Q

where a stone going to be blocked and it doesnt cause jaundice

A

cystic duct

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8
Q

what is a complication of mastoiditis

A

meningitis

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9
Q

what corticosteroid is administered to mothers to reduce risk of RDS

A

dexamethasone

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10
Q

description of colostomy and ileostomy

A

colostomy - flush to skin

ileostomy - spouted

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11
Q

what is important to rule out and think about before doing a LP

A

raised ICP

mass in brain

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12
Q

what is the most common cause of bilious vomiting in the first few days of life

A

duodenal atresia

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13
Q

what is the criteria for orthostatic hypotension

A
  • drop in systolic BP of 20
  • drop below 90 on standing
  • drop in 10 with symptoms
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14
Q

what does irregular breathing in a child indicate in an acute situation

A

agonal breathing, can occur in first few mins after cardiac arrest

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15
Q

what is the investigation of choice for reflux nephropathy

A

micturating cystography

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16
Q

what is the medical management of abortion

A

mifepristone and prostaglandins

17
Q

what is the investigation for SAH if CT is normal and what is the timescale for doing this

A

LP, 12 hrs after onset of symptoms

18
Q

what is a side effect of dopamine agonist

A

inhibition disorder

19
Q

how do you reverse lidocaine toxicity

A

lipid emulsion

20
Q

how do you reverse heparin overdose

A

protamine sulfate

21
Q

how do you reverse opioid overdose

A

naloxone

22
Q

what drug overdose can cause a respiratory alkalosis

A

aspirin

23
Q

what drug can cause thrombocytopenia

A

heparin

24
Q

what are signs of digoxin toxicity and what can precipitate it

A

yellow vision, bradycardia, nausea, vomiting

thiazide diuretics

25
Q

what ophthalmic condition can cause sudden visual loss in diabetics

A

vitreous haemorrhage

26
Q

what eGFR level is metformin contraindicated

A

eGR<30

27
Q

how long does the merena coil last

A

5 years

28
Q

where will pain be experienced the most for medial and lateral epicondylitis

A

medial - resisted pronation, flexion

lateral - resisted supination, extension

29
Q

what does the time out stage refer to

A

surgical safety checklist before the first skin incision is made

30
Q

what should not be routinely offered in acute pancreatitis

A

antibiotics

31
Q

what should be done for patients with long saphenous vein superficial thrombophlebitis

A

USS to exclude DVT

32
Q

what are the doses for adrenaline depending on ages

A

0-6 yrs - 150mg
6-12 yrs - 300mg
13+ yrs - 500mg

33
Q

would you give IM benzylpenicillin in meningococcal sepsis if px has a penicillin allergy

A

yes

34
Q

what is needed for a diagnosis of CKD in terms of staging

A

stages 1+2 - eGFR + evidence

stage 3-5 - eGFR

35
Q

what is the first line investigations for suspected prostate cancer

A

MRI

36
Q

how can you tell the difference between lewy body dementia and parkinson’s disease dementia

A

lewy body - parkinson’s signs develop after dementia

parkinson’s - parkinson’s signs develop before

37
Q

how should malignant otitis externa in diabetics be managed

A

ciprofloxacin

38
Q

what drug can cause galctorrhoea

A

metoclopramide

39
Q

how is hydrocortisone given in addison’s

A

majority given in the first half of the day

ZERO TO FINALS YEAR 4 (11 decks)

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