PassMed wrong stuff

Question 1

What is the correct dose to treat anaphylaxis in children aged 6 months - 6 years?

Answer 1

150 micrograms 1 in 1000

Question 2

What prophylaxis is given to COPD patients for recurrent exacerbations?

Answer 2

Azithromycin

Question 3

How should fluid resuscitation be carried out in DKA?

Answer 3

-1L saline over 1h
-If no improvement in BP give 500ml boluses until it improves (max 2L)
-Then 1L KCL over 2h, then another over 2h, then another over 4h

Question 4

What is involved in the immediate management of a TIA?

Answer 4

-Urgent referral to TIA clinic
-300mg aspirin

Question 5

What are the 3 main features of HUS?

Answer 5

-Microangiopathic haemolytic anaemia
-Thrombocytopenia
-AKI
Most common cause of AKI in children

Question 6

What dose of adrenaline is required to treat anaphylaxis?

Answer 6

0.5mg / 0.5ml 1 in 1000 IM

Question 7

What dose of adrenaline is required to treat cardiac arrest?

Answer 7

1mg / 10ml 1 in 10,000 IV/IO

Question 8

What is the difference between atropine, amlodipine and Amiodarone and when are they used?

Answer 8

ATROPINE = anti-muscarinic, treats bradycardia
AMLODIPINE = CCB, treats angina / HTN
AMIODARONE = anti-arrhythmic, treats tachycardias

Question 9

What features in a patient’s presentation indicate life-threatening asthma?

Answer 9

-Bradycardia
-Hypotension
-Silent chest
-Cyanosis
-Normal PaCO2
-Sats <92
-PEFR <33%

Question 10

What can hyper acute T waves on ECG be a sign of?

Answer 10

Anterior STEMI

Question 11

What is the fluid resuscitation regime in DKA?

Answer 11

1. 1L 0.9% saline over 1h (repeat 500ml boluses if necessary)
2. 1L Na/KCL over 2h
3. 1L Na/KCL over 2h
4. 1L Na/KCl over 4h

Question 12

How does a transfusion reaction present?

Answer 12

-Fever
-Flank pain
-Red / brown urine
Also:
-Chills
-Back pain
-DIC
-Renal failure