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Revalida Key Points

Short cards on clinical care, obstetrics, paediatrics and public health for the Revalida.

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Revalida: who runs it and what are its two stages?
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1
Revalida: who runs it and what are its two stages?
INEP runs it under Law 13,959 of 2019; stage 1 is an objective written test, stage 2 is a practical clinical skills test.
2
SUS doctrinal principles
Universality, equity and integrality of care.
3
Law 8,080 of 1990
The Organic Health Law that organises the SUS.
4
Law 8,142 of 1990
Community participation in the SUS (councils, conferences) and intergovernmental transfers.
5
Constitution article that says health is a right of all
Article 196 of the 1988 Constitution.
6
Incidence
New cases in a period divided by the population at risk.
7
Sensitivity vs specificity
Sensitivity: diseased who test positive. Specificity: healthy who test negative.
8
Positive predictive value
True positives divided by all positive tests: TP / (TP + FP).
9
Number needed to treat
1 divided by the absolute risk reduction.
10
Herd immunity threshold
1 minus 1/R0.
11
Infant mortality rate
Deaths under one year per 1,000 live births.
12
ABCDE of trauma
Airway with cervical protection, Breathing, Circulation, Disability, Exposure.
13
Tension pneumothorax
Hypotension, absent breath sounds, tracheal deviation: immediate decompression without imaging.
14
Parkland formula
4 mL x kg x %TBSA of crystalloid over 24 h; half in the first 8 h.
15
Anaphylaxis first drug
Intramuscular adrenaline in the anterolateral thigh.
16
Hyperkalaemia with ECG changes
IV calcium gluconate first, then insulin with glucose and salbutamol.
17
Standard tuberculosis regimen in Brazil
2 months RIPE (rifampicin, isoniazid, pyrazinamide, ethambutol), then 4 months RH.
18
Birth vaccines in Brazil
BCG and hepatitis B.
19
Exclusive breastfeeding
Recommended up to 6 months of age.
20
Kawasaki disease treatment
Intravenous immunoglobulin plus aspirin.
21
Preeclampsia
BP 140/90 or more after 20 weeks with proteinuria or organ dysfunction; severe cases get magnesium sulfate.
22
Naegele's rule
First day of last period + 7 days - 3 months = estimated due date.
23
Dengue warning signs
Persistent vomiting, severe abdominal pain, mucosal bleeding, lethargy; avoid aspirin and NSAIDs.
24
Leprosy (hanseníase) classification
Up to 5 skin lesions: paucibacillary; more than 5: multibacillary; treated with multidrug therapy.
25
Cervical and breast screening in Brazil (INCA)
Cytology at 25 to 64 years every 3 years after two normal tests; mammography at 50 to 69 every 2 years.

Revalida (Brazil Medical Diploma Revalidation Exam) in Brazil

In Brazil, Revalida (Brazil Medical Diploma Revalidation Exam) is part of: Medicine.

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