Treatment

Question 1

Treatment for delirium tremens

Answer 1

Benzodiazepine + Pabrinex

Question 2

Withdrawals

Answer 2

Diazepam

Question 3

Wernicke-korsakoff

Answer 3

Thiamine replacement

Question 4

Relapse prevention?

Answer 4

Acamprosate + Naltrexone 1st line
Disulfiram 2nd line
Psychological support

Question 5

Dendritic ulcer

Answer 5

Acyclovir (herpes)

Question 6

Chlamydial conjunctivitis

Answer 6

Topical Oxytetracycline

Question 7

Bacterial conjunctivitis

Answer 7

Topical Chloramphenicol

Question 8

Endopthalmitis

Answer 8

Intravitreal amikacin/vanc + topical ABX

Question 9

Staph bacterial conjunctivitis

Answer 9

Chloramphenicol only bacteriostatic for staph

- Fusidic acid

Question 10

Myopia

Answer 10

Concave lens

Question 11

Hypermetropia

Answer 11

Convex lens

Question 12

Central Retinal Vein Occlusion

Answer 12

Pan retinal photocoagulation

Question 13

Uveitis

Answer 13

Topical steroids + Mydriatics

Question 14

Blepharitis

Answer 14

Lid hygiene + Oral doxy for 2-3 months

Question 15

Intracapsular hip #

Extracapsular

Answer 15

Hemi-arthroplasty

Thomas Splint + stabilise/dynamic hip screw

Question 16

What must you do if someone has a pelvic #?

Answer 16

PR exam

Question 17

Tibial plateau #

Answer 17

Intracapsular so plates and screws for fixation

Question 18

Tibial shaft #

Answer 18

Above knee cast if <50% displacement otherwise intra-medullary nail

Question 19

FAI

Answer 19

Asymptomatic - monitor

Symptomstic - arthroscopic removal of CAM/PINCER deformity

Question 20

Polymyositis

Answer 20

40mg Prednisolone

Question 21

Polymyalgia rheumatica

Answer 21

Low dose prednisolone

Question 22

Hip OA

Answer 22

Only if pain at night and decreased ROM
THR
Uncemented head & cemented neck in young
Both cemented in older

Question 23

Osteoporosis description + treatment

Answer 23

Reduced bone mineral density.
Normal Ca and phosphate.
- Perform DEXA scan (

Question 24

Pagets Disease biochemical findings and treatment

Answer 24

Raised All Phos.
Everything else normal.
- Bisphosphonates

Question 25

Osteomalacia description + treatment

Answer 25

Softening of bone due to vit D deficiency. Ca and phosphate decreased. Rickets in children. - Vit D replacement

Question 26

Hyperthyroid

Answer 26

Carbimazole

Question 27

Hypothyroid

Answer 27

Levothyroxine

Question 28

Addisons/Adrenal Insufficiency

Answer 28

Hydrocortisone to replace cortisol | Fludrocortisone to replace aldosterone

Question 29

Toxic adenom/ Toxic multinodular goitre

Answer 29

Radio iodine

Question 30

Pheocromocytoma

Answer 30

Phenoxybenzamine (a-blocker) | B-Blocker

Question 31

Bacterial sore throat

Answer 31

Phenoxymethylpenicillin (V) 10 days | Clarithrimycin if P.A

Question 32

Candida

Answer 32

Nystatin or fluconazole

Question 33

CENTOR and feverPAIN scores

Answer 33

Fever, no cough, cervical lymphadopathy, tonsillar exudates - 3/4 = ABX Fever, purulent tonsils, attends <3days, Inflam, no cough 4/5 = ABX

Question 34

Painful ulcers around mouth

Answer 34

Herpes simplex - acyclovir

Question 35

Otitis media

Answer 35

If symptoms >72hrs then amox

Question 36

Minimal change GN

Answer 36

Prednisolone

Question 37

GPA

Answer 37

Cyclophosphamide + steroids

Question 38

Goodpastures

Answer 38

Prednisolone

Question 39

Giant cell arteritis

Answer 39

40-60mg prednisolone

Question 40

Prolactinoma

Answer 40

Dopamine Agonist | Cabergoline

Question 41

Psoriasis

Answer 41

Emolient + Vit D analogue | Potent steroid for flares

Question 42

Lichen Planus

Answer 42

Topical/oral steroids

Question 43

Pemphigus & pemphigoid

Answer 43

High dose oral prednisolone

Question 44

Acne Vulgaris

Answer 44

Benzyl Peroxide --> topical retinoids --> topical/oral ABX | ---> Isotretanoin

Question 45

Acne Rosacea

Answer 45

``` Topical Metronidazole (mild) Oral tetracycline (severe) AVOID ABX ```

Question 46

Scabies

Answer 46

Malathion lotion