YIKES

Question 1

Psoriasis managment

Answer 1

• topical corticosteroid hydrocortisone
• vitamin D analogue calcipotriol

Question 2

Moderate/severe psoriasis

Answer 2

• phototherapy
• methotrexate
• ciclosporin
• acitretin
• adalimumab

Question 3

What are the shockable rhythms?

Answer 3

• V fib
• pulseless V tachy

Question 4

Drugs for cardiac arrest

Answer 4

• adrenaline 1mg: in shockable after 3 shocks, in non shockable, give immediately
• amiodarone: 300mg in VF/pulseless VT after 3 shocks, after the 5th shock can give 150mg

Question 5

What are the reversible causes of cardiac arrest?

Answer 5

• hypoxia
• hypothermia
• hypovolaemia
• hyperkalaemia/hypoalbuminaemia/hypocalcaemia
• hypoglycaemia
• Thrombosis
• Toxins
• Tamponade
• Tension pneumothorax

Question 6

Anterior cerebral artery

Answer 6

• contralateral hemiparesis and sensory loss
• lower more than upper

Question 7

Middle cerebral artery

Answer 7

• contralateral hemiparesis and sensory loss
• upper more than lower
• contralateral homonoymous hemianopia
• aphasia

Question 8

Posterior cerebral artery

Answer 8

• contralateral homonymous hemianopia with macular sparing
• visual agnosia

Question 9

Posterior inferiror cerbellar artery

Answer 9

• ipsilateral facial pain and temperature loss
• contralateral limb/torso pain and temp loss
• ataxia
• nystagmus

Question 10

Anteiror inferior cerebellar artery

Answer 10

• ipsilateral facial pain and temperature loss
• contralateral limb/torso pain and temp loss
• ataxia
• nystagmus
• ipsilateral facial paralysis and deafness

Question 11

Retinal/opthalmic

Answer 11

• amaurosis fungax

Question 12

Basilar

Answer 12

• locked in

Question 13

Managment of ischaemic stroke

Answer 13

• alteplase if less than 4.5 hours
• aspirin 300mg once imaging excludes haemorrhage
• after 48 hours give atorvastatin