20 cards

Question 1

Meds that can cause hyperkalemia

Answer 1

BADHANC
beta blockers
Ace inhibitors and ARBs
dignoxin
Heparin
Aldosterone antagonsits
NSADIS
Calcineriun inhibitors

Question 2

Eye complications in patients with SLE

Answer 2

scleritis - painful red eye, blue violet tinge
Episcleritis - painless red eye

Question 3

Mechanism and subsequent features of cocaine toxicity

Answer 3

Sodium channel blockade: local anasthetic effect, QRS widening
Monoamine reuptake inhibition: sympathomimetic effects- hyperthermia, excitation of CNS, strokes, HA, seizures, EPS, CP, ACS

Question 4

Management of CP in cocaine toxicity

Answer 4

BZD plus GTN

Question 5

Mng HTN in cocaine toxicity

Answer 5

BZD plus sodium nitroprusside

Question 6

Management of symptomatic bradycardia causing hemodynamic compromise

Answer 6

1. IV atropine 0.5mg - up to 3 times at 3-5 min intervals and trendelenberg postition for cerebral perfusion and rapid fluid resus 250-500ml NS

Consider external cardiac pacing if failure to respond to atropine and other meds

Question 7

Mng of beta blocker toxicity

Answer 7

Adrenaline and high dose insulin with glucose

Question 8

Common complications of SBO in elderly patients

Answer 8

Aspiration pneumonia

Question 9

Which special test is for supraspinatus tendon/ muscle injury

Answer 9

Empty can test

Question 10

Special test for subscapularis

Answer 10

Lift off test

Question 11

Special test for infraspinatus

Answer 11

Resisted against IR with patient’s lateral forearm

Question 12

Special test for teres minor

Answer 12

ER of forearm against resitance when patient abducts arm 90 degress in scapular plane with elbows flexed at 90 degrees

Question 13

Special test for glenohumeral instability

Answer 13

Anterior apprehension test

Question 14

Likely CXR finding in advanced achalasia

Answer 14

Dilated esophagus

Question 15

What conditions cause hilar lymphadenopathy

Answer 15

Sarcoidosis, TB, ca

Question 16

Congenital diaphragmatic hernia association

Answer 16

Pulmonary hypoplasia

Question 17

Features of Wernicke’s encephalopathy

Answer 17

Confusion
Ataxia
Oculomotor dysfunction- horizontal nystagmus

Question 18

Triggers of Wernicke’s encephalopathy

Answer 18

Inf, IV glucose

Question 19

Features of korsakoff

Answer 19

Confabulation, selective anterograde and retrograde amnesia

Question 20

Stepwise management of APO

Answer 20

1. Supplemental oxygen to ensure adequate oxygenation. Target spo2 92-96%
   IV frusemide 40-80mg
   Consider NIV if resp distress persists despire oxygen
   In HTN pts consider nitrates