Surg, Opthal + Psych

Question 1

first line Tx for acute psychosis?

Answer 1

lorazepam

Question 2

what med can cause a tremor?

Answer 2

lithium

Question 3

what cardiac drug can cause lithium toxicity?

Answer 3

ACE

Question 4

features of schizoid personality disorder?

Answer 4

withdrawn
no weird/magical thoughts (schizotypal)
no psychotic symptoms

Question 5

medical Tx for PTSD?

Answer 5

venlaflaxine

Question 6

blood test in anorexia?

Answer 6

hypercholesterolaemia
hypercarotinaemia
high cortisol and GH

low K, FHS, LH, oesto/testo

Question 7

drugs that interact with SSRi?

Answer 7

NSAID
triptans
warfarin
heparin
aspirin
MAOIs

Question 8

what can giving too much saline cause?

Answer 8

hyperchloremic acidosis

Question 9

stages of shock classifiation?

Answer 9

I - compensate
II - tachy
III - tachy, low BP, confused
IV - LOC and low BP

Question 10

medical Tx for PAD? range?

Answer 10

ABPI <0.9
atorvastatin
clopidogrel

Question 11

Tx for epididomo-orchtis?

Answer 11

IM cef
10 days PO doxy

Question 12

level of PSA after a prostatectomy?

Answer 12

undetectable

Question 13

if lidocaine in 2%, what is the conc?

Answer 13

2g in 100mls

Question 14

Tx for bilateral hydrocele in a newborn?

Answer 14

watch and wait

Question 15

how should OD insulin dose be modified on the day of surgery?

Answer 15

reduce by 20%

Question 16

how should BD insulin dose be modified on the day of surgery?

Answer 16

half AM dose

Question 17

Tx for ureteric stone?

Answer 17

shockwave

Question 18

Tx for a <5mm renal stone?

Answer 18

monitor

Question 19

Tx for a 5-10mm renal stone?

Answer 19

shockwave

Question 20

Tx for a >20mm renal stone?

Answer 20

percutaneous removal

Question 21

what hernia protrudes through hesselbach area?

Answer 21

direct inguinal

Question 22

what hernia is medial to the inferior epigastric artery?

Answer 22

direct inguinal

Question 23

when does pyloric stenosis present?

Answer 23

2-12 weeks
PROJECTILE vomit

Question 24

who gets necrotising enterocolitis?

Answer 24

prem babies
2nd week of life

Question 25

when does a meconium ileus present?

Answer 25

24-48hrs

Question 26

when does jejunal atresia present?

Answer 26

24hrs

Question 27

what does malrotation present? Tx?

Answer 27

2-7 days bilious vomits Ladd's procedure

Question 28

when does duodenal atresia present?

Answer 28

hrs post birth

Question 29

features of a carotid artery TIA?

Answer 29

contralateral limb weakness ipsilateral headache visual symptoms

Question 30

what drug causes iris to become brown?

Answer 30

latanoprost

Question 31

what eye drug should be avoided if pt taking MAOIs?

Answer 31

briminodine

Question 32

terms for squints?

Answer 32

ESOtropia (nose) Exo Hypertropia Hypo

Question 33

what is a miotic eye drop?

Answer 33

pilocarpine

Question 34

what sort of scotoma does pathology to the macula cause?

Answer 34

central

Question 35

what sort of scotoma does glaucoma cause?

Answer 35

arcuate

Question 36

what sort of scotoma does pathology to the retinitis pig cause?

Answer 36

ring

Question 37

What medication can be given in acute hypertension?

Answer 37

IV labetolol

Question 38

what sight has a higher risk of retinal detachment?

Answer 38

myopia (near sighted)

Question 39

Tx for orbital cellulitis?

Answer 39

IV cef + met or clinda + cipro (pen allergy)

Question 40

Tx for acute angle closure glaucoma?

Answer 40

Pilocarpine timolol apriclonidine Laser peripheral irodotomy

Question 41

Tx for primary open angle glaucoma?

Answer 41

Timolol dorzolamide brimodine

Question 42

stages of hypertensive retinopathy?

Answer 42

I silver wiring, tortuous vessels II AV nipping III cotton wool, flame, blot haem IV papilloedema

Question 43

stages of diabetic retinopathy?

Answer 43

mild - microaneurysm mod - Mild + blot haem, hard exudate severe - in all 4 quadrants

Question 44

Tx for bac conjunctivitis when pregnant?

Answer 44

fusidic acid

Question 45

tx for scleritis?

Answer 45

NSAIDs

Question 46

what is an argyll robertson pupul?

Answer 46

small pupils that constrict when focusing on a nearby object but do not constrict when exposed to bright light

Question 47

lesion at site of R optic nerve causes?

Answer 47

R blindness

Question 48

lesion at site of optic chiasm causes?

Answer 48

bitemporal hemianopia

Question 49

lesion at site of R optic tract causes?

Answer 49

L homo hemianopia

Question 50

lesion at site of R visual cortex causes?

Answer 50

L hom hem with macular sparing

Question 51

Tx for renal stones?

Answer 51

watchful waiting if < 5mm and asymptomatic 5-10mm shockwave lithotripsy 10-20 mm shockwave lithotripsy OR ureteroscopy > 20 mm percutaneous nephrolithotomy

Question 52

Tx for ureteric stones?

Answer 52

shockwave lithotripsy +/- alpha blockers if < 10mm 10-20 mm ureteroscopy