SBA paper 5 Flashcards

1
Q

where does a hodgkins lymphoma present?

A

in the anterior triangle of the neck

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2
Q

what are the typical symptoms of a lymphoma?

A

progressive neck swelling
B symptoms : night sweats, fever, malaise, systemic itching

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3
Q

which virus can cause cervical lymphadenopathy as well as splenomegaly?

A

epstein barr virus

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4
Q

what is the corrective treatment for warfarin overdose

A

iv prothrombin and iv vitamin K

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5
Q

how would an adrenal crisis present?

A

collapse after a flu like illness, in patients with a history (personal or family) of autoimmune disease.

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6
Q

which treatment for DMT2 can cause hypoglycaemia?

A

Glicazide
Insulin but rarely used in T2

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7
Q

which treatment for BPD can cause Diabetes insipidus?

A

LITHIUM

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8
Q

how would addisons disease present?

A

history of vague abdo pain, weakness and tiredness, w/o V+/d+

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9
Q

would addisons disease be positive for postural hypotension?

A

yes.

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10
Q

which drug is used in acute pain relief eg. RTA?

A

IV morphine

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11
Q

why is the use of diamorphine in acute pain eg RTA avoided?

A

greater chance of resp depression

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12
Q

what is the most common cause of pneumonia in adults?

A

strep. pneumonia

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13
Q

would cholecystitis present with haematuria

A

yes

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14
Q

what is the most common viral infection in nursing/care settings?

A

NOROVIRUS

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15
Q

what are the risk factors for gallstones

A

F’s
Female, Fat, Forty, Fertile

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16
Q

explain the swiss cheese model

A

multiple mistakes (holes) can align which causes a big mistake.

17
Q

what is a likely cause of SAH

A

rupture of saccular aneurysm affecting anterior communicating artery

18
Q

which area of the brain initiates and controls voluntary movements?

A

Basal Ganglia!

19
Q

does syncope or epileptic seizure have a prodrome (feeling prior) and a precipitant (behavioural cause)

A

syncope has both of these

20
Q

which nerve innervates the muscles of the hand, sensation of the palmar surface of the thumb, index and middle fingers?

A

MEDIAN

21
Q

does mild aortic stenosis or aortic regurgitation radiate to the neck

A

mild aortic stenosis radiates to the neck.
CRITICAL AS would not have a normal carpotid pulse or second heart sound

22
Q

what is the first line Tx for cardiac failure

A

ACEi

23
Q

which drug can cause hypokalaemia with hypertension, plus headache and muscle weakness

A

thiazide diuretics

24
Q

does increasing the dose of thiazide diuretic increase the reduction in hypertension?

A

no, flat response curve

25
Q

what drug would be used in the treatment of irregulary irregular pulse, AFIB when a patient is at risk of thrombus formation?

A

warfarin sodium

26
Q

which antibiotic is bacteriostatic? (does not kill bacteria)

A

clindamycin

27
Q

which type of bacteria is vancomycin effective against?

A

gram positive
used in MRSA treatment!

28
Q

which serological result will have the poorest prognosis of RA?

A

Anti CCP!

29
Q

25-hydroxycholecalciferol is converted to 1, 25-dihydroxycholecalciferol in which of the following tissues?

A

kidney

30
Q

which is the most common organism that infects prosthetic joints?

A

coagulase negative staphylococcus

31
Q

what type of cell is an APC?

A

dendritic cell in the skin, a monocyte or a macrophage.

32
Q

which antibodies are present in SLE?

A

anti-DNA
a type of anti nuclear antibody!

33
Q

what is the predominant cell of acute inflammation?

A

neutrophil polymorph

34
Q

which cells are involved in allergic reactions?

A

basophils and mast cells

35
Q

which cells are involved in chronic inflammation

A

lymphocytes and macrophages.