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21 Cards in this Set
- Front
- Back
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What bisphosphonate would you use in the treatment of hypercalcaemia secondary to malignancy? When would you give it?
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Pamidronate. Given AFTER fluid resuscitation. Given 24 hours after fluid resus. Zolendronic acid can be used if pami is not effective. Zole is 100x more potent |
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What is the management for TCA overdose? |
IV bicarbonate Imagine Hui Ching Ong (HCO) being depressed. |
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When is a mother with gestational diabetes offered an induction? |
At 38 weeks
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Blockage of which pathway in the brain is responsible for the anti-psychotic features of neuroleptics? |
Mesolimbic pathway |
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Normal folic acid dose for a diabetic woman trying to get pregnant |
5 milligrams (c.f. the normal 400 micrograms) |
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How do you work out the expected delivery date from Naegele's rule? |
+9 months +7 days from LMP |
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Which drug groups may precipitate AACG? |
Anticholinergics. Due to their effect here TCAs can also cause AACG. |
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Which conditions are associated with anterior uveitis? |
CRAB: Crohn's/UC Reactive arthritis Ankylosing spondylitis Behcet's disease |
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Which type of visual field defect might you get in DI? |
Homonymous hemianopia with lower segment predominantly affected (since it is a craniopharyngioma that is more common) |
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If a patient is though to have placenta praevia, when should a scan be done to see whether it is resolved or a C-section should be considered? |
At 36 weeks |
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What questions comprise the AUDIT-C questionnaire? |
FOMO
how Often do you have a drink containing alcohol? how Many units on a typical day when you are drinking? how Often have you had >6 units (female)/>8 units (male) on a single occasion in the last year? Imagine Toby getting trashed and going off to watch a FISH (Female - 6) MOVIE (Male - 8) |
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First line investigation in ?miscarriage |
USS |
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When does pyloric stenosis typically present? |
At 6-8 weeks. Investigate with USS. Pyloric stenosis = PS = Projectile Sick. Sick = Vomit; V = 8. Investigate with USS |
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Definition of cor pulmonale |
RHF caused by chronic pulmonary hypertension |
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Rx for obstetric cholestasis |
Ursodeoxycholic acid (UDCA) |
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Components of a septic screen |
Blood cultures – from both peripheral and central lines Urine analysis and culture Swabs of a Hickman line Swabs of any open wounds Chest x ray Sputum sample Stool sample if a patient has diarrhoea |
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Indications for CT following head injury |
GF V SF (general forces vs special forces GCS <13 when first assessed OR GCS <15 two hours after injury ---Imagine Adrian Chiles (13) kicking a football against a wall and it then biffs him in the head ---Albert Einstein is in the special forces but turns up two hours late because he was talking to a swan Fracture suspected (open/depressed/base of skull) >1 episode of Vomiting post-traumatic Seizure Focal neurological deficit |
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Dates for the combined test |
11-14 weeks (tot try) |
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Dates for triple/quadruple test |
14-20 (try NZ) - see module 5B doc |
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What Hz tuning fork would you use for Weber's test |
512 Hz |
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When examining the structure of the tympanic membrane - what are you going to comment on? |
LAMP -Light reflex -Pars tensa/attic -Malleus -Pars flaccida + -Umbo |
