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ICM > ICM Year 2 > Flashcards

ICM Year 2 Flashcards

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1
Q

What is the issue here? Likely cause?

A

Impetigo

Staph aureus

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2
Q

What is the issue here?

What is the classic area afflicted?

A

Eczema

Flexure areas, head and neck

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3
Q

What is the issue here?

A

Squamous cell carcinoma

rapidly expanding, painless ulcerating nodule

potential to metastasize

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4
Q

What is the issue here?

A

Plaque psoriasis

scaly reddened patches, with accumulation of skin, giving silvery appearance

elbows, knees, usually lateral side

psoriatic arthritis in 30% of affected patients

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5
Q

What is the issue here?

A

Erythema multiforme

“target lesions”

IBD, TB, pregnancy, collagen vascular disorder, herpes simplex, vit C def, typhoid

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6
Q

What is the issue here?

A

Erythema nodosum

Most commonly an underlying Streptococcus infection, scarlet fever, rheumatic fever, IBD

TB

GI infections - Salmonella spp, Campylobacter spp,

Yersinia spp

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7
Q

What is the issue here?

A

Varicella Zoster - shingles

treat with aciclovir

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8
Q

What is the issue here?

A

Ringworm (Tinea corporis)

fungus, not a worm!

topical antifungal cream

oral itraconazole (scalp)

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9
Q

What is the issue here?

A

Pretibial myxoedema

associated with Grave’s disease

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10
Q

What is the issue here?

A

Thyroglossal duct cyst

Moves upwards on protrusion of the tongue

75% in the midline

surgical resection likely

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11
Q

What is the issue here?

A

Butterfly rash

SLE

Pellagra

Dermatomyositis

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12
Q

What is the issue here?

A

Arteriovenous fistula

SDurgically created for dialysis (stage 5 CKD)

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13
Q

What is this?

A

Splinter haemorrhages

bacterial endocarditis

peptic ulcers

SLE

OCP

Trauma

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14
Q

What is this?

A

Koilonychia

Iron deficienct anaemia

Haemochromatosis

SLE

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15
Q

What is the issue here?

A

Anal fissure

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16
Q

What is the issue here?

A

Pilonidal sinus abscess

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17
Q

What is the issue here?

A

Genital warts

HPV

transmitted by sexual contact. Anal sex NOT necessary to have them around the anus

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18
Q

What is this?

Where exactly is it?

A

Kayser-Fleischer ring

Copper accumulation (Wilson’s)

Descemet’s membrane (inner surface of cornea)

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19
Q

Asthma history. What should you ask about?

A

Precipitants

Smoking

Occupation (esp if better at weekends etc)

Diurnal variation

Sleep- nights per week

Acid reflux

Atophy

NSAIDs, Beta blockers

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20
Q

What is this?

A

Spitz nevus

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21
Q

What is this?

Study These Flashcards
A

Pyogenic granuloma

22
Q

You take a history from a female patient who has a GU issue. What 7 questions MUST MUST MUST you ask?

Study These Flashcards
A

Age, Parity, LMP, Last smear (and any abnormal), PID, contraception

23
Q

You are about to take a history from a surgical patient. Under drugs, what 2 things MUST MUST MUST you ask about? Other than allergies!

Study These Flashcards
A

Aspirin and warfarin!

24
Q

What is the issue here?

Study These Flashcards
A

Acute otitis media - the tympanic membrane is red and swollen.

Think fluid levels, fever, pain after an URTI

25
What is this (on the ring finger)? What condition might the patient have?
An Osler's node Subacute bacterial endocarditis
26
What is the definition of acute otitis media? What causes it?
The acute inflammation of the middle ear muscosa, with fluid collection Blockage of the auditory tube leads to the build-up and supperation of fluid in the tympanic cavity
27
What is the risk with marginal (involving the annulus) tympanic perforations in chronic otitis media?
The annulus acts to prevent squamous epithelium migrating into the middle ear - therefore these perforations are more commonly associated with cholesteatoma
28
What is this?
Cholesteatoma
29
What is the correct term for eczema?
Atopic dermatitis
30
What is this?
Onycholysis - think hyperthyroidism
31
What is this? What three factors might predispose to it?
Anal fissure Dehydration Constipation/straining to pass stools Low fibre diet
32
What is this? How are they transmitted?
Genital warts - HPV Sexually - NOT necessarily to have anal intercourse
33
What is this? What is the MOST common cause?
Paediatric Rectal Prolaspe Think: malnutrition Ehlers-Danlos Pertussis **Chronic constipation** CF NMJ disorders Hirschsprung disease
34
What is this?
Pilonidal sinus
35
What is this?
Haemorrhoid grade 3 or 4 (the latter if they cannot be reduced) Caused by: constipation, aging, hereditary Symptoms: blood, itching, discharge, pain Treatment: Topical creams, sclerotherapy, **banding**
36
At what age can you start doing reliable PEFR and spirometry tests?
5
37
BTS guidelines on PEFR as a guage of severity of asthma attack. What are they?
Moderate 75-50% Severe - 33-50% Life threatening -
38
With regard to CT, what would appear denser than the brain?
Acute haemorrhage Calcification
39
With regard to CT, what would appear less dense than the brain?
Old infarcted tissue old blood water
40
What is this?
Acute intracerebral haematoma
41
What is this?
Acute intraventricular haematoma
42
What is this?
Acute extra-dural haematoma
43
What is this?
Acute sub-dural haematoma
44
Diagnosis?
Acute on chonic sub-dural haematoma
45
Diagnosis?
Acute sub arachnoid haemorrhage
46
Diagnosis?
Calcification of the basal ganglia
47
Diagnosis?
Right MCA occlusion leading to infarct
48
Diagnosis?
Acute intracerebral haemorrhage
49
What is a topical treatment for anal fissures?
Diltiazem 2%
50
What is this? What else might they have?
Periungal fibroma think tuberous sclerosis complex

ICM (2 decks)

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