PASSMED WRONG ANSWERS PAPER 1 Flashcards
what is recommended dose of morphine if patient is switched from oral to SC/IM/IV
half of the oral dose
also consider:
60mg bd=120mg
so 60mg would be given
what should be offered to women with a previous baby of GBS in their current pregnancy
IV antibiotics prophylactic
what NSAIDs is used in primary dysmenorrhea
mefenamic acid
what organism is the cause of pneumonia in preceding influenza
staph aureus
what is given for perturssis
<1 month - clarithromycin
>1 month - azaithromycin
pregnancy - erythromycin
conversion disorder
loss of motor/sensory function, can be caused by stress
e.g. musical player loses neuro function in arm
what is the management for inguinal hernias in infants
urgent surgery
what is the adjuvant hormonal therapy for oestrogen +Ve breast cancer in post menopausal women
anastrozole
what are features of wernicke’s encephalopathy
confusion ataxia nystagmus ophthamoplegia peripheral neuropathy
management of bradycardia
administer 6 doses of atropine
if still bradycardia, external pacing is given
what epileptic drug can increase INR levels
sodium valproate
what NSAIDS can be continued in AKI for cardio protective dose
low-dose aspirin
what is the screening and management for AAA
look at the flashcard sort
btw you got this!
what stoma can form an anastomosis of the large bowel but protect it by defunctioning the bowel and can be reversed in the future
loop ileostomy
what is happening if there is ongoing pain after cholecystectomy
gallstones present in the CBD causing jaundice and pain
what can’t be prescribed with methotrexate
trimethoprim
including co-trimoxazole
management of alcohol withdrawal
admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)
management of alcohol withdrawal
admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)
what contraceptive method commonly causes weight gain
the progesterone injection
what is seen on the ECG for hypoparathyroidism
prolong QT interval
what is a contraindication for laryngeal make airway
being non-fasted
what is the management of miscarriage if there is suspected infection
surgical management.
how should total parenteral nutrition be administered
central line
how should a patient with bipolar be managed if they present with symptoms of hypomania or mania
hypomania:
refer routinely to CMHT
mania or severe depression:
urgent referral to CMHT