Bits and bobs

Autonomic dysreflexia symptoms are

Severe hypertension, flushing and sweating above the level of injury

Definitive management of a SUFE is

Internal fixation across the growth plate

A contraindication for a nasopharyngeal airway is

A base of skull fracture

Medical management for phaechromocytoma is (two drugs)

alpha blocker - phenoxybenzamine

then beta blocker - propranolol

Pain is osteoarthritis is typically

Worse after exercise and better after rest, tends to get worse through the day

A dermatofibroma is a

Raised, brown papule usually precipitated by an injury or insect bite

Definitive management for atypical endometrial hyperplasia is

Total hysterectomy with bilateral salpingo-oopherectomy

The way to work out AKI stage from creatinine is

New creatinine divided by old creatinine

Answer 1.X = stage 1

Answer 2.X = stage 2

Answer 3.X = stage 3

Management of severe lithium toxicity is

Haemodialysis

The length of time of anticoagulation after a PE is (provoked and unprovoked)

Provoked - 3 months

Unprovoked - 6 months

An obstructive picture on spirometry is

FEV1 reduced, FVC normal or less reduced

The paediatric BLS algorithm calls for

15:2 ratio at 100-120bpm

Drugs that must be stopped in AKI

NSAIDs

Aminoglycosides

ACE inhibitors

Angiotensin II receptor antagonists

Diuretics

Drugs that may accumulate and cause toxicity in AKI

Metformin

Lithium

Digoxin

Rhabdomyolitis causes (kidney pathology)

Acute tubular necrosis

Risk factors for ectopics are (6)

Damage to tubes (pelvic inflammatory disease, surgery)

Previous ectopic

Endometriosis

IUCD

Progesterone only pill

IVF (3% of pregnancies are ectopic)

Immunology findings in primary biliary cholangitis are

Raised serum IgM and antimitochondrial antibodies

Lithium toxicity may be precipitated by (3)

Dehydration

Renal failure

Drugs: diuretics, ACE inhibitors/angiotensin II receptor blockers, NSAIDs and metronidazole.

Clinical features of central retinal vein occlusion are

Sudden painless monocular loss of visual acuity, dense central scotoma, ipsilateral relative afferent pupil defect, retinal haemorrhage, oedema and dilated veins giving a blood and thunder appearance

First line management for refractory ascites is

Large volume paracentesis over 6 hours with an albumin infusion