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16 Cards in this Set
- Front
- Back
What dosage of elemental Fe carries a risk of systemic toxicity?
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40 - 120 mg/kg
(More = potentially lethal) |
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What is the normal and toxic range of serum Fe?
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NORMAL: 10 - 30 μmol/L
SYSTEMIC TOXICITY: 90 - 180 μmol/L (desferrioxamine indicated) |
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What is the schedule of immunisations in the first 18 months?
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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 |
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When must a death be reported to the coroner?
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* 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 |
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When is an X-ray indicated for knee pain?
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* Patient > 55 yrs
* Isolated bony tenderness of patella * Tenderness at head of fibula * Inability to flex 90 degrees * Immediate inability to weight bear |
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What are indications for an ankle x-ray following trauma?
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* 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 |
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What is the relationship between sun exposure and SCC?
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* Cumulative sun exposure is a risk factor
* Risk reduced by sunscreen |
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What is the relationship between sun exposure and BCC & melanoma?
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* Recreational sun exposure and sunburn @ any age are risk factors
* No evidence that risk is reduced by sunscreen |
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What is the most important common risk factor for melanoma?
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Total number of naevi
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What are the positive dermatoscope features of melanoma?
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* 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 |
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What are the negative dermatoscope features of melanoma?
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* Symmetrical pigmentation pattern
* Single colour |
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What is the triad of symptoms in gonococcal arthritis?
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* Dermatitis (vesicular, non-itchy)
* Tenosynovitis (e.g., dorsum wrists) * Septic arthritis |
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What is standard outpatient treatment for community acquired pneumonia?
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* Amoxycillin
* Doxycycline or clarithromycin to cover atypical organisms |
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What are the 4 steps of maintenance medication for asthma control?
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(1) SABA PRN
(2) Low-dose ICS (3) LABA or change ICS to Symbicort (4) Increase dose of ICS or Symbicort |
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What cholesterol levels warrant medication in otherwise healthy patients?
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For men 35-75 or post-menopausal women < 75:
* Total cholesterol > 7.5 * TG > 4 For others: * Total cholesterol > 9 * TG > 8 |
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What are the standard 3 medications for heart failure?
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* ACE inhibitor
* Diuretic (commonly loop) * Beta blocker |