Acute care
What is the 1st line medical management of peri-arrest bradycardia?
Atropine (500mcg IV)
What is the 1st and 2nd line management of mild-moderate acne?
1st line: 12 week course of topical combination therapy
(adapalene + benzoyl peroxide, tretinoin + clindamycin, benzoyl peroxide + clindamycin)
2nd line: monotherapy benzoyl peroxide.
What is the first line management of trigemminal neuralgia
carbamezepine
What are the X-ray changes seen with osteoarthritis
L - Loss of joint space
O - Osteophytes
S - Subchondral sclerosis
S - Subchondral cysts
What is the management of moderate-severe acne?
(hint: in addition to topicals)
Add oral lymecycline OR oral doxycycline
(erythromycin if <12yo, breastfeeding, or pregnant)
characteristic CSF findings in bacterial meningitis
Low glucose
High protein
Polymorphs
Which opioid is preferred in palliative patients with mild-moderate renal impairment?
Oxycodone preferred over morphine
A patient presents with 1 year history of memory loss. Patient forgets things like what they had for breakfast, what they did yesterday, meeting new people, and recent events. Patient has trouble recalling names of things and gets lost easily. Patient denied visual changes and loss of motor skills. Family denied mood changes.
What is the 2nd line medical management for this patient?
1st line: donepezil, galantamine, rivastigmine (acetylcolinesterase inhibitors)
2nd line: memantine (NMDA receptor antagonist)
How would you differentiate a basal cell carcinoma (BCC) from a squamous cell carcinoma (SCC)?
BCC = pearly papule with telangiectasia, central ulcerate 'crater'
SCC = rapidly expanding, painless, cauliflower-like, may be bleeding
Both = can be nodular, on sun-exposed sites (head, neck, dorsum of hands/arms)
Which opioid is preferred in palliative patients with severe renal impairment?
alfentanil, buprenorphine, fentanyl
Name 5 medications that cause postural hypotension.
BLAND
Beta-blockers, L-Dopa, Antidepressants/ACEi/Anticholinergics, Nitrates, Diruetics
Elderly patient presents with itchy tense blisters around flexures. No mucosal involvement. Investigations found autoantibodies against sub-epidermal (hemidesmosomal) proteins of the skin.
What is the mainstay treatment of this condition?
Bullous pemphigoid
Oral corticosteroids
(topical corticosteroids, immunosuppressants, abx can also be used)
Name 1 type of cancer that causes osteoblastic bone metastases.
Prostate cancer
(b->p)
Name some classic skin changes seen in dermatomyositis
Name 4 types of cancers causing osteolytic bone metastases.
Breast, Lung, Thyroid, Kidney cancers
(for Lunching (osteoLytic) have a BLT + Ketchup)
what are medications used in the pharmacological management of orthostatic hypotension
fludrocortisone, midodrine