Flashcards in SBA 3 Mock Deck (43)
COPD spirometry results
FEV <80% predicted
COPD = Obstructive
Pharmacological management of adult diagnosed with asthma
1. SABA - Salbutamol
2. Low ICS - beclomethasone
3. LTRA - Montelukast
4. LABA - Salmeterol
5. MART = ICS + fast-LABA
6 Mod ICS
7. High ICS
What would indicate that a pt should add ICS to their asthma management?
- use SABA > 2/week +/- asthma symptoms
- use SABA >2/week +/- woken at night by asthma weekly
Which lung cancer is strongly associated with cigarette smoking?
Small Cell Carcinoma
Which lung cancer is most common in NON-SMOKERS? Any risk-factors?
RF: Asbestos exposure
Common sites for lung cancers to metastasise to?
Common site for breast cancer to metastasise to?
(but lung cancer does not usually metastasise to breast)
Pt is a 55yr old pilot. He is a smoker. He has noticed pain and swelling in his right calf for weeks but has ignored it. He now has pain in his chest.
Gold standard investigation for likely diagnosis? What RF does he have?
CT Pulmonary Angiogram
Likely diagnosis: Pulmonary Embolism
- Likely DVT
- Long flights
Most common causes of typical pneumoniae in both the community and hospital
1. Strep pneumonia
1. Staph aureus
1. Haemophilus influenza B
Causes of atypical bacterial pneumoniae
Are they detectable on gram stain?
- Not detectable on gram stain
Most common cause of pneumonia in COPD patients
Haemophilus influenza B
CURB-65 parameters and use
BP s<90 or d<60
TB Management and side effects
4 for 2, 2 for 4 RIPE
Rifampicin - Red/orange
Isoniazid - peripheral neuropathy (give pyridoxine)
Pyrazinamide - uric acid: arthralgia, gout, rash
Ethambutol - Eyes; Optic neuritis
Chromosome 7 mutation
c/s 7 codes CFTR protein > defective Cl- secretion/ Na+ absorption
Chromosome 6 mutation
Chromosome 13 mutation
Chromosome 14 mutation
Alpha-1 Antitrypsin deficiency
Chromosome 21 mutation
Trisomy - Down's syndrome
29-F presents with painless genital ulcer. She had unprotected sex with a new partner in the last 6 months.
EIA IgM is positive for syphilis. She has no allergies; she is not pregnant.
1L: Benzathine penicillin
2L: Azithromycin/ Doxycycline (if penicillin-allergic)
Below are the underlying causes of Raynaud's syndrome. What features differentiate them?
1. Carpal Tunnel
2. Dupuytren's contracture
4. Hand arm vibration syndrome
1. Carpal Tunnel - median nerve distribution weakness, tingling
2. Dupuytren's contracture - permanently flexed digits
3. SLE - young, autoimmune, rash
4. Hand-arm vibration - power tools
Pt presents with tingling, weakness and aching of his hands. He works an office job.
Repetitive Strain Injury
- primary care
- hospital care
Primary care: Benzylpenicillin (if non-blanching rash)
1. IV Ceftriaxone
2. a) Amoxicillin - Neisseria
b) Ampicillin - Listeria (young, old, immunosuppressed)
c) Vancomycin - Strep pneumonia
d) Acyclovir - Viral
<3months - IV Cefotaxime + ampicillin/amoxicillin
Bacterial causes of meningitis
Viral causes of meningitis
Enterovirus - Echo/Coxsackie
Fungal causes of meningitis
Chemoprophylaxis for meningitis
Most common work-related ill-health in the UK
#1 Stress, anxiety, depression
#2 MSK conditions
The proportion of patients who have the disease AND test positive
The proportion of patients who don't have the disease AND test negative