things i didnae know Flashcards

(38 cards)

1
Q

on warfarin, intracranial bleed

A

IV vitamin K + prothrombin complex

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1
Q

when do women get anti-D prophylaxis

A

28 weeks
34 weeks

only to rhesus negative women

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2
Q

what is the sleepiness scale for obstructive sleep apnoea

A

epworth

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3
Q

determining cause of post-op fever by timeline

A

Day 1-2: ‘Wind’ - Pneumonia, aspiration, pulmonary embolism
Day 3-5: ‘Water’ - Urinary tract infection (especially if the patient was catheterised)
Day 5-7: ‘Wound’ - Infection at the surgical site or abscess formation
Day 5+: ‘Walking’ - Deep vein thrombosis or pulmonary embolism
Any time: Drugs, transfusion reactions, sepsis, line contamination.

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4
Q

which strep causes meningitis

A

strep pneumoniae

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5
Q

what ABG does a panic attack cause

A

respiratory alkalosis
- low CO2
- everything else normal

blowing off loads of CO2

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6
Q

what is fitz-hugh curtis

A

PID that progresses to perihepatitis

think three names - shagging - PID

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7
Q

what are other symptoms of bell’s palsy, not the facial droop

A

post-auricular pain (may precede paralysis)
altered taste
dry eyes
hyperacusis

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8
Q

first line Mx for PID

A

IM ceftriaxone + oral doxy + oral metronidazole

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9
Q

organisms that cause post-splenectomy sepsis

A

Streptococcus pneumoniae
Haemophilus influenzae
Meningococci

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10
Q

tetralogy of fallot

A

ventricular septal defect
pulmonary stenosis
right ventricular hypertrophy
overriding aorta

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11
Q

MRSA treatment

A

vancomycin

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12
Q

cardiac tamponade Ix

A

echocardiogram

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13
Q

how do you calculate the anion gap

A

(sodium + potassium) - (chloride + bicarb)

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14
Q

DKA: metabolic acidosis with ____ anion gap

A

high

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15
Q

VTE prophylaxis in nephrotic syndrome

16
Q

pyloric stenosis presentation

A

non-bilious projectile vomiting
constipation and dehydration
visible peristalsis - stomach trying to push contents past the obstruction

17
Q

if you are taking epilepsy drugs, what contraception can you be on

A

depo, IUD or IUS

for lamotrigine:
- POP, implant, depo, IUD, IUD

18
Q

when can CVS be performed

A

between 11-13 weeks

19
Q

when can amniocentesis be performed

A

after week 15

20
Q

when is down’s syndrome screening done

A

between weeks 11-14

21
Q

treatment of genital herpes

A

oral aciclovir

22
Q

brown pigmentation, champagne bottle legs and ezcema ?

A

venous ulcers
- chronic venous insufficiency

23
Q

what electrolyte ambnormality can happen from transfusion with packed red cells

A

hyperkalaemia

24
which autoimmune haemolytic anaemia is CLL associated with
warm
25
definitive diagnosis of sickle cell
haemoglobin electrophoresis
26
management of minimal change nephropathy
oral corticosteroids first always! then IV cyclophosphamide if steroids don't work
27
if elevated urea to creatinine what type of AKI
pre renal
28
when prescribing fluids, what is recommended water requirement per day
25-30ml/kg/day
29
what's seen on blood film in DIC
schistocytes
30
what is richter's transformation
CLL can transform to high gradde lymphoma making patients rly unwell
31
32
what drug slows CKD progression in ADPKD
tolvaptan
33
raised ESR and osteoporosis
multiple myeloma until proven otherwise
34
management of autoimmune haemolytic anaemia
steroids +/- rituximab
35
what is rasburicase
reduces uric acid levels, used in addition to chemo to prevent/treat tumour lysis syndrome in non-hodgkin's lymphoma
36
blood film myeloma
rouleaux formation
37