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TCD <3 > Random cards > Flashcards

Random cards Flashcards

1
Q

what disorder is associated with pseudohyponatraemia

A

hyperlipidaemia

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2
Q

what is the most common cause of mitral stenosis

A

rheumatic heart disease

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3
Q

what heart murmur would you expect increased pulmonary artery capillary wedge pressure

A

mitral stenosis

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4
Q

why does mitral stenosis cause a right parasternal heave

A

causes right ventricular hypertrophy due to an increase in right sided pressures

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5
Q

what sided heart deviation does mitral stenosis cause

A

right axis deviation to right ventricular hypertrophy

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6
Q

what heart sound might you be able to palpate in mitral stenosis

A

tapping apex beat- S1

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7
Q

what heart murmur causes increased pulmonary artery capillary wedge pressure

A

mitral stenosis

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8
Q

what are the borders of calots triangle (where the cystic artery branches off the right hepatic artery)

A

inferior edge of liver
common hepatic duct medially
cystic duct laterally

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9
Q

what lymph node is found in calots triangle

A

the cystic lymph node of lund

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10
Q

what are the symptoms of chicken pox in adults

A

headache and temperature

rash

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11
Q

what organism causes chicken pox

A

varicella zoster

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12
Q

what are possible complications of chicken pox

A 
pneumonia
meningitis
CNS involvment
bacterial super infection 
septicaemia
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13
Q

what two blood tests should be performed on a pregnant woman who may have come into contact with the chicken pox virus

A

IgM and IgG

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14
Q

what is naloxone

A

reverses the effects of opiods

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15
Q

what is midazolam

A

sedative

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16
Q

what are the features of carcinoid syndrome

A 
pulmonic and tricuspid valve thickening and stenosis 
endocardial fibrosis
hepatomegaly
diarrhoea
cramps
nausea
vomiting
cutanous flushing
apparent cyanosis
cough wheeze sob
retroperitoneal and pelvic fibrosis
17
Q

what is carcinoid syndrome

A

a paraneoplastic syndrome secondary to carcinoid tumours
caused by secretion of serotonin from the tumour
commonly occurs from GI carcinoid tumours

18
Q

what is a carcinoid tumour

A

a neuroendocrine tumour
slow growing
always have malignant potential
may be asymptomatic and discovered incidentally

19
Q

at what age would you expect children to be able to sit without support, reach for things and imitate sounds

A

7 months

20
Q

what are the symptoms of pre eclampsia

A 
severe headache
visual problems 
rib pain 
vomiting 
swelling
21
Q

what are the symptoms of severe pre eclampsia

A 
abnormal LFTs
accelerated hypertension 
altered consciousness level 
haemodialysis 
clotting problems 
hyper reflexia 
focal neurology
22
Q

what are the symptoms of gout

A

pain, heat and severe tenderness in foot joints
can affect any joint but most commonly big toe
usually mono/oligoarticular
caused by urate crystal deposition

23
Q

what is charcots arthropathy (neuropathic arthropathy)

A

associated with conditions such as DM, syringomyelia and syphilis
progressive degeneration of a weight bearing joint
may cause deformity and pain
may have rocker bottom appearance due to bony collapse

24
Q

what is syringomyelia

A

cyst in spinal cord (syrinx)

25
Q

what antifungal is mainly used orally

A

fluconazole

26
Q

name some topical antifungals

A

clotrimazole
miconazole
enconazole

27
Q 
what class of drugs are the following
chlorpromazine
haloperidol
metoclopramide
sulpride
A

dopamine antagonists

28
Q

what might cause hyperprolactinaemia

A 
dopamine antagonists
chronic renal failure 
pregnancy 
hypothyroidism 
acromegaly
29
Q

why might dialysis patients have anaemia

A

poor iron absorption
lack of endogenous erythropoetin
GI blood loss is common

30
Q

why might you avoid giving a packed cell transfusion to an anaemic dialysis patient

A

transfusions increase the risk of transplant rejection

only transfuse is very unwell

31
Q

what age are epigastric hernias common

A

children and young adults

32
Q

what can cause a stiff neck in a child

A

acute poliomyelitis
retropharyngeal absess
stills disease

33
Q

what is adenosine deaminase

A

Severe combined immunodeficiency

34
Q

what are the features of legionaires disease

A 
air cooling systems
legionella pneumonphilia
gastro symptoms 
flu symptoms
dry cough
confusion 
patchy consolidation on x ray

erythromycin

35
Q

what gi problem is common in neonates with down syndrome

A

duodenal atresia

TCD <3 (19 decks)

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