Common Misnomers & Mischellaneous

Question 1

Apomorphine MOA

Answer 1

Dopamine agonist - good for S/C switch as has rapid relief of motor symptoms
(Like non-ergo DA - ropinirole vs ergot DA - carbegolline)

Question 2

Transient global amnesia
(Secondary to highly strenuous activity like marathon or migraines)

Answer 2

JUST antegrade amnesia
(Secondary to transient ischaemia to thalamus)

NB look at for epileptic features!! As get transient epileptic amnesia
- migraines = delayed gastric emptying so some meds don’t work!

Question 3

CALCULATIONS - osmolarity

Answer 3

Osmolarity = 2(Na) + [K] + glucose + urea
> NB all in mmol, some equations omit K, some double

Question 4

Neonatal autoantibodies

Answer 4

Heart block - anti RO
Hyperthyroidism - TRAb

Question 5

Weird Scoring Systems

Answer 5

Waterlow
BW, Nutrition, CONTINENCE, skin type, mobility, age, sex

Question 6

How long does it take for a fistula to be fully functional

Answer 6

6-8 week // by 2 months

Question 7

SKIN STUFF

Answer 7

MM - breslow thickness (tumour depth) determines prognosis
SCC - perinaural invasion (nerve invasion) determines prognosis