PASSMED WRONG ANSWERS PAPER 1 Flashcards

1
Q

what is recommended dose of morphine if patient is switched from oral to SC/IM/IV

A

half of the oral dose

also consider:
60mg bd=120mg
so 60mg would be given

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2
Q

what should be offered to women with a previous baby of GBS in their current pregnancy

A

IV antibiotics prophylactic

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3
Q

what NSAIDs is used in primary dysmenorrhea

A

mefenamic acid

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4
Q

what organism is the cause of pneumonia in preceding influenza

A

staph aureus

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5
Q

what is given for perturssis

A

<1 month - clarithromycin
>1 month - azaithromycin
pregnancy - erythromycin

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6
Q

conversion disorder

A

loss of motor/sensory function, can be caused by stress

e.g. musical player loses neuro function in arm

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7
Q

what is the management for inguinal hernias in infants

A

urgent surgery

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8
Q

what is the adjuvant hormonal therapy for oestrogen +Ve breast cancer in post menopausal women

A

anastrozole

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9
Q

what are features of wernicke’s encephalopathy

A
confusion
ataxia
nystagmus 
ophthamoplegia 
peripheral neuropathy
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10
Q

management of bradycardia

A

administer 6 doses of atropine

if still bradycardia, external pacing is given

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11
Q

what epileptic drug can increase INR levels

A

sodium valproate

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12
Q

what NSAIDS can be continued in AKI for cardio protective dose

A

low-dose aspirin

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13
Q

what is the screening and management for AAA

A

look at the flashcard sort

btw you got this!

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14
Q

what stoma can form an anastomosis of the large bowel but protect it by defunctioning the bowel and can be reversed in the future

A

loop ileostomy

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15
Q

what is happening if there is ongoing pain after cholecystectomy

A

gallstones present in the CBD causing jaundice and pain

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16
Q

what can’t be prescribed with methotrexate

A

trimethoprim

including co-trimoxazole

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17
Q

management of alcohol withdrawal

A

admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)

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18
Q

management of alcohol withdrawal

A

admission
long-acting benzodiazepines - chlordiazepoxide
lorezepam (preferred in hepatic failure)

19
Q

what contraceptive method commonly causes weight gain

A

the progesterone injection

20
Q

what is seen on the ECG for hypoparathyroidism

A

prolong QT interval

21
Q

what is a contraindication for laryngeal make airway

A

being non-fasted

22
Q

what is the management of miscarriage if there is suspected infection

A

surgical management.

23
Q

how should total parenteral nutrition be administered

A

central line

24
Q

how should a patient with bipolar be managed if they present with symptoms of hypomania or mania

A

hypomania:
refer routinely to CMHT

mania or severe depression:
urgent referral to CMHT

25
what position should be used for cord prolapse
on all fours and knees
26
what is contraindicated in COCP
wheelchair use
27
what is seen on the ECG for Hypercalcaemia
shortened QT interval
28
what is a contraindication for circumcision
hypospadias
29
what are diagnostic features of miscarriage on transvaginal USS
no cardiac activity | crown-rump length >7mm
30
what is given for chronic sinusitis
intranasal corticosteroids
31
what is the management of secondary pneumothorax if <1cm
admit and give oxygen for 24hrs and review
32
what scans can be used to assess presence of fluid in the abdo and thorax
FAST
33
what type of dementia has visual hallucinations
Lewy body
34
how is thyrotoxic storm treated
beta blockers propylthirouracil hydrocortisone
35
management of ectopic
look at notes KEEP GOING !!!
36
what management reduces the risk of still birth in intra hepatic cholestasis
elective induction from 37 weeks
37
drug causes of urinary retention
opioid analgesia | anti-cholingergics
38
what form of oxygen mask is given in a CO2 retainer patient if extremely hypoxic
15L via non breather mask
39
when should a second drug be added for T2DM
if HbA1c >58
40
which SSRI will lead to QT prolongation
citalopram
41
what management is given for patients with malignant distal obstructive jaundice due to unresectable pancreatic cancer
biliary stenting
42
what are the complications of correcting Na levels rapidly
hyponatraemia: osmotic demyelination syndrome hypernatraemia: cerebral oedema
43
what should be given to mothers if they are having to exclude dairy from their diet due to cow's milk protein allergy
calcium and vitamin D for mum