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16 Cards in this Set

  • Front
  • Back
What dosage of elemental Fe carries a risk of systemic toxicity?
40 - 120 mg/kg

(More = potentially lethal)
What is the normal and toxic range of serum Fe?
NORMAL: 10 - 30 μmol/L

SYSTEMIC TOXICITY: 90 - 180 μmol/L (desferrioxamine indicated)
What is the schedule of immunisations in the first 18 months?
BIRTH:
Hep B

2, 4, 6 MONTHS:
Hep B, DTPa, Hib, Polio, pneumococcal conjugate, rotavirus

12 MONTHS:
Hep B, Hib, MMR, meningococcal

18 MONTHS:
Varicella
When must a death be reported to the coroner?
* Cause of death unknown, unnatural or violent, suspicious or unusual
* Death within 1yr of an accident
* Pt not attended by dr within 3 months of death
* Under anaesthetic or within 24 hrs
* In police custody or held in care
When is an X-ray indicated for knee pain?
* Patient > 55 yrs
* Isolated bony tenderness of patella
* Tenderness at head of fibula
* Inability to flex 90 degrees
* Immediate inability to weight bear
What are indications for an ankle x-ray following trauma?
* Pain in malleolar zone
* AND one of:
- bony tenderness at posterior edge or tip of either maelleolus
- inability to weight bear both immediately after injury and on examination
What is the relationship between sun exposure and SCC?
* Cumulative sun exposure is a risk factor

* Risk reduced by sunscreen
What is the relationship between sun exposure and BCC & melanoma?
* Recreational sun exposure and sunburn @ any age are risk factors

* No evidence that risk is reduced by sunscreen
What is the most important common risk factor for melanoma?
Total number of naevi
What are the positive dermatoscope features of melanoma?
* Blue-white veil
* Multiple brown dots
* Pseudopods
* Radial streaming
* Scar-like depigmentation
* Peripheral black dots / granules
* Multiple (5-6) colours
* Multiple blue-grey dots
* Broadened network
What are the negative dermatoscope features of melanoma?
* Symmetrical pigmentation pattern
* Single colour
What is the triad of symptoms in gonococcal arthritis?
* Dermatitis (vesicular, non-itchy)
* Tenosynovitis (e.g., dorsum wrists)
* Septic arthritis
What is standard outpatient treatment for community acquired pneumonia?
* Amoxycillin
* Doxycycline or clarithromycin to cover atypical organisms
What are the 4 steps of maintenance medication for asthma control?
(1) SABA PRN

(2) Low-dose ICS

(3) LABA or change ICS to Symbicort

(4) Increase dose of ICS or Symbicort
What cholesterol levels warrant medication in otherwise healthy patients?
For men 35-75 or post-menopausal women < 75:
* Total cholesterol > 7.5
* TG > 4

For others:
* Total cholesterol > 9
* TG > 8
What are the standard 3 medications for heart failure?
* ACE inhibitor
* Diuretic (commonly loop)
* Beta blocker