PASSMED PAPER WRONG ANSWERS 3 Flashcards

1
Q

what is the rate of IV insulin infusion in DKA

A

0.1ml/kg/hr

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2
Q

when should a PPI be given with an SSRI

A

if interacting with NSAID or aspirin

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3
Q

when do postpartum women need contraception

A

21 days from giving birth

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4
Q

what is the first line for induction of labour

A

vaginal prostaglandin

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5
Q

when should women stop COCP/HRT before having surgery

A

at least 28 days

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6
Q

what is the first line for prolactinoma

A

bromocriptine

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7
Q

what is blood stained discharge most likely associated with

A

duct papilloma

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8
Q

what blood tests are good indicators of liver function

A

PT and albumin

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9
Q

when is FFP needed over platelet transfusion

A

when there are low levels of coagulation factors with a low INR

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10
Q

what can CLL transformation into and what is that called

A

Non- Hodgkin’s lymphoma

Richter Transformation

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11
Q

when is a vasectomy considered a form of contraception

A

clear semen analysis is seen

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12
Q

what drug is important to suspend before coronary angiography

A

metformin

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13
Q

what is the benefit for prescribing albumin when treating large volume ascites

A

it reduces postparencetesis circulatory dysfunction

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14
Q

what pH values is it safe to aspirate with NG tuves

A

<5.5

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15
Q

what is the pH for vaginal candidiasis

A

<4.5

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16
Q

what management is recommended after wide-local excision

A

radiotherapy

17
Q

what offers prognostic value in pancreatitis

A

glucose levels

18
Q

what anti platelet is preferred post stroke

A

clopidogrel

19
Q

what is given for widened QRS in tricyclic overdose

A

IV bicarbonate

20
Q

management for threadworm

A

mebendazole

21
Q

what is given to manage acute flares of RA

A

methylprednisolone

22
Q

how should a staggered paracetamol overdose be managed

A

N-acetylcysteine

23
Q

what is the first line investigation to investigate reduced fetal movements

A

handheld doppler

24
Q

what mechanism of injury causes ankle sprain

25
how should patients with obstructive urinary calculi and signs of infection be managed
urgent renal decompression and IV antibiotics
26
how are chronic symptoms managed in vestibular neuritis
vestibular rehabilitation
27
what is the main RF for cholangiocarcinoma
primary sclerosing cholangitis
28
what palsy do you think of if vision is worse when looking down
4th nerve
29
how do you confirm ovulation
take serum progesterone level days before next expected period usually day 28