Last Min MRCP revision Part -C

-
MRCP last min Revision notes
Lsteriosis = Amoxicillin

Genital herps ulcer (recurrent but healed ) : Acyclovir 400 mg tid till 36 weeks
If not healed ulcer acyclovir till delivery


To  D b/w membranous GN from chronic  tubulo-interstitial GN in pt take chronic NSAIDS by proteinuria marked in MGN


SeHCAT test : investigation for bile acid Malabsoption / diarrhea



 Drugs causing lung fibrosis
amiodarone
cytotoxic agents: busulphan, bleomycin
anti-rheumatoid drugs: methotrexate, sulfasalazine, gold
nitrofurantoin
ergot-derived dopamine receptor agonists (bromocriptine, cabergoline, pergolide)


Pyrazinamide Should NOT be used in pts with known chronic liver dx...🚫


Rx of CF▶exocrine pancreatic supplements+ fat-soluble vitamins...


 Rx of systemic sclerosis associated lung fibrosis ➡high dose oral corticosteroids + cyclophosphamide.



Tense blistering itchy rash in apt with NSTEMI▶Bullous pimphigoid caused by Furosemide 😵


 Ludwig's angina Rx▶iv antibiotics against strept & oral anaerobes + call anaesthesist..



 Prophylaxis for TB in HIV pt with exposure Hx▶INH900mg+ pyridoxine 100mg twice weekly for 9 months👎


Chronic COPD▶CO2 retention in the presence of NORMAL pH. If there is worsening acidosis ▶Acute exacerbation of COPD✅


TRALI▶anti-granulocyte antibodies in the donor blood👌


 ICDs▶reduce risk of sudden death in HOCM with VT.....


📌📌📌
Thrombolysis in stroke within 4.5 h
Thrombolysis in mi within 12 hours
Pci within 120 min!!!!
?????
Correct me plzzz
Pci also 12 hrs. But best door to needle less than 2 hrs i think.✔✔


 Fever+headache+tender lymphadenopathy following an insect bite in Madagascar.
Dx and Rx?

Ans is Bubonic plague
Y.pestis.🍏
Bubonic plaques ◀ Yersinia Pestis.
Rx>>> Streptomycin.✔


✔📌
In stroke we dont give statin in 48 hours and aticoagulation in 14 days
Only aspirin.👌


Omalizumab⏩ ttt of IgE -associated asthma.✔


To reverse the anticoagulant effect of Dabigatran rapidly 🔜 Idarucizumab.⭕


Roflumilast ⏯should be used in COPD for patients who are losing control on triple inhaled therapy
Roflumilast is a selective long-acting phosphodiesterase-4 inhibitor, licensed for the treatment of COPD. With respect to NICE guidance it is recommended for patients who have suffered two or more exacerbations in a year, despite triple inhaled therapy, where FEV1 is less than 50% of predicted. It is orally administered.

Comments

Post a Comment

Popular posts from this blog

KEY points pass medicine for part -1 and part-2 (part-b)

-
H. pylori eradication: PPI + amoxicillin + clarithromycin, or PPI + metronidazole + clarithromycin  Saccharopolyspora rectivirgula causes farmer's lung, a type of EAA  ACE inhibitors have reduced efficacy in black patients and are therefore not used first-line  ADPKD type 1 = chromosome 16 = 85% of cases  ADPKD type 2 = chromosome 4 = 15% of cases  ATN or prerenal uraemia? In prerenal uraemia think of the kidneys holding on to sodium to preserve volume  Absence seizures - good prognosis: 90-95% become seizure free in adolescence  Absolute risk reduction = (Control event rate) - (Experimental event rate)  Acne rosacea treatment: mild/moderate: topical metronidazole severe/resistant: oral tetracycline Acromegaly: increased sweating is caused by sweat gland hypertrophy Activated protein C resistance (Factor V Leiden) is the most common inherited thrombophilia Acute angle closure glaucoma is associated with hypermetropia, where as primary open-angle glaucoma is associated wit...
Read more

KEY points passmedicine for part-1 and part-2 (part-c)

-
Ankylosing spondylitis - x-ray findings: subchondral erosions, sclerosis and squaring of lumbar vertebrae Ankylosing spondylitis features - the 'A's Apical fibrosis Anterior uveitis  Aortic regurgitation Achilles tendonitis AV node block Amyloidosis  Anorexia features:- most things low G's and C's raised: growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia Anti-Jo-1 antibodies are more common in polymyositis than dermatomyositis Anti-cyclic citrullinated peptide antibodies are associated with rheumatoid arthritis Anti-ribonuclear protein (anti-RNP) = mixed connective tissue disease Antibiotic prophylaxis reduces mortality in cirrhotic patients with gastrointestinal bleeding Anticipation in trinucleotide repeat disorders = earlier onset in successive generations Antidiuretic hormone (ADH) - site of action = collecting ducts Antiphospholipid syndrome in pregnancy: aspirin + LMWH Antiphospholipid syndrome: (paradoxically) prolonged APTT + ...
Read more