phase 2 sba9 Flashcards

1
Q

how does ascites impact sodium

A

ascites can cause low sodium

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2
Q

which meds are most associated with prescribing errors

A

Antibiotics

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3
Q

how to know if a bacteria is MRSA

A

Preliminary antibiotic susceptibility testing shows cefoxitin resistance.

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4
Q

how to treat MRSA endocarditis caused by staph aureus

A

Vancomycin (+rifampacin)

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5
Q

how to diagnose influenza

A

performing PCR on a nasopharyngeal swab

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6
Q

what is primary immunodeficiency

A

weak immune system
history of frequent severe infections other involved family members

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7
Q

what is Chronic Granulomatous Disease

A

a primary immunodeficiency
x linked - affects males
causes abscesses and obstructive phenomena

diagnosed with NBT test - Inability of neutrophils to reduce oxidized nitroblue tetrazolium dye

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8
Q

cause and treatment of fungal meningitis

A

cause - Cryptococcus

treatment - Liposomal Amphotericin B plus flucytosine

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9
Q

if someone has Huntingdon whats the risk to their children

A

Any male or female children will have a 50% risk of inheriting it

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10
Q

first thing to do with someone with severe guillian barre

A

alert ITU

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11
Q

when should you not perform a thrombophilia screen

A

in the presence of active thrombosis or in patients receiving anticoagulation as these cause false results

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12
Q

best predictor risk factor for diabetes

A

Body mass index

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13
Q

PSC gold standard test

A

ERCP

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14
Q

PSC first line test

A

abdominal USS

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15
Q

Wenicke’s encephalopathy triad

A
  1. Ataxia (wide base)
  2. encephalopathy (confusion),
  3. Ophthalmoplegia (not following finger)
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16
Q

timeframe for testicular surgery

A

Surgical exploration done before 6 hours is 90% likely to be successful. Anything longer than 24 hours means the testicle will necrose.

17
Q

minimal change disease treatment

A

PO prednisolone

18
Q

genetic condition linked to Renal Cell Carcinoma

A

Von Hippel Lindau

19
Q

define ESR

A

Erythrocyte sedimentation rate measures how quickly erythrocytes will fall to the bottom of a tube, and measures the fibrinogen values. Fibrinogen rises in cases of inflammation

20
Q

most common cause of Septic Arthritis

A

STAPH AEURS

21
Q

how to differentiate migrane and TIA

A

if TIA - the tingling and numbness would have travelled up the arm within a matter of seconds and would most likely be accompanied by weakness.

22
Q

if patient has lung cancer and drooping of his left eyelid and his left pupil appears constricted.

what is it

A

pancoast tumour with ipsilateral Horner syndrome

23
Q

How do peak flow measurements differ at different times of day

A

Morning lower, evening higher. Diurnal variation

24
Q

risk factors for aortic dissection

A
  • Connective tissue disorders
  • cocaine use
  • smoking

obesity is not!!

25
scoring tool for infective endocarditis
Duke’s Criteria
26
scoring tool for rheumatic fever
jones criteria
27
define primary prevention
prevents the condition developing altogether
28
define secondary prevention
aims to tackle a disease that is diagnosed but has not become complicated yet
29
define tertiary prevention
preventing complications of the condition
30
second line treatment for iBS
consider a TCA antidepressant like amitryptilline.
31
what are most GI cancers
colonic or even gastric + oesophageal small bowel are less than 1%
32
diagnostic conditions for DKA
ketones more than 3 glucose more than 11 ph less than 7.3
33