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4th year > last pack > Flashcards

last pack Flashcards

(46 cards)

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1
Q

Meds CI in G6PD deficiency

A

-Nitrofurantoin
-Quinolones (ciprofloxacin)
-Sulfonamised (co trimoxszole)
-Antimalarials

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2
Q

toxoplasmosis management

A

sulfadiazine and pyramethamine

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3
Q

HIV neuro

multiple ring enhancing lesions

single ring enhancing lesion

multiple homogenous enhancing lesions

A

homogenous= lymphoma

multiple ring enhancing= toxoplasmosis

single ring enhancing= TB

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4
Q

most common cause of fungal CNS infection HIV

A

cryptococcus

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5
Q

carcinoid syndrome?

A

-mets are present in liver and release serotonin into circulation

Features:
-flushing (earliest)
-diarrhoea
-bronchospasm
-hypotension

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6
Q

investigations carcinoid tumours/ syndrome?

A

urinary 5-HIAA
plasma chromogranin A y

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7
Q

management carcinoid tumours/ syndrome?

A

Somatostatin analogues

e.g. Octreotide

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8
Q

stroke
evidence of DVT but no PE

-what diagnoses and what investigation

A

AVSD (allows clot to bypass lungs to brain)

Bubble ECHO

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9
Q

when is sildenafil CI ?

(erectile dysfunction treatment)

A

nitrate use

use intracevernosal prostaglandins instead

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10
Q

painless visual loss in diabetic?

A

Normally vitrial haemorrhage

treatment= vitrectomy

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11
Q

tests in primary care for infertility?

A

Day 21 progesterone

Semen analysis

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12
Q

severe UC management (>6 stools / day or systemic upset)?

A

IV corticosteroids

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13
Q

what can cause pseudohyponatraumia (normal serum osmolality + serum hyponatramia)

A

-hyperlipidaemia
-hyperglycaemia
-myeloma

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14
Q

most common type of bladder cancer

A

Transitional cell (>90)

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15
Q

most common cause of aortic stenosis?

A

Young= bicuspid valve

Old= valve calcification

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16
Q

which BB is used as prophylaxis of variceal re bleed?

A

PROPANOLOL

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17
Q

sliding hiatus hernia treatment

A

1st= lifestyle
2nd= NSAID

last= Nissen fundoplication

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18
Q

test to do before starting infliximab (TNF-a)?

A

TB interferon gamma release assay

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19
Q

management hypo in hospital

Study These Flashcards
A

normal consciousness= oral glucogel

LOC
cannulla inplace= 20% IV glucose

no cannulla= IM glucagon

20
Q

T wave invesrion and chest pain even at rest

Study These Flashcards
A

NSTEMI/ unstable angina

21
Q

loss of red light reflex
sudden visual loss

diabetic

Study These Flashcards
A

vitreus haemorrhage

22
Q

murmur in aortic dissection

Study These Flashcards
A

aortic regurgitation (early diastolic)

23
Q

bloods to test for a repeat infarction post MI?

Study These Flashcards
A

elecated creatine kinase MB

24
Q

what precipitates digoxin toxicity?

Study These Flashcards
A

hypokalaemia

e.g. vomiting + diarrhoea

25
normal pressure hydrocephalus management
VP shunt
26
anti freeze (ethylene glycol poisoning) antidote
fomepizole
27
QRISK >10% management
1st= offer lifestyle 2nd= statin
28
ways to lower ICP
tilt head to 30 degrees Hyperventilate
29
presentation of congenital syphillis
-sensorineural deafness -desquamating rash -Hutchingsons tooth -interstiital keratitis -osteochondritis
30
congenital rubella syndrome presentation
Sensorineural deafness Cataracts Blueberry muffin rash Pulmonary stenosis
31
what to do during tet spells
pick the child up and bring his knees towards chest
32
drugs causing drug induced lupus
-Hydralazine (HF) -Isoniazid (suspect if TB) -Phenytoin (epileptic) -Procainamide -Minocycline
33
what type of bacteria is chlamydia
obligate intracellular bacteria
34
what type of bacteria is trichomonas
motile protozoan
35
bloods tumour lysis syndrome
UPP raised urea raised phosphate raised potassium low calcium
36
is an advaced statement legally binding
no -an advance deciscion or advanced directive
37
malignant hyperthermia reversal agent
dantrolone prevents Ca2+ release from sarcoplasmic reticulum
38
water potassium/ sodium/ chloride glucose how much can be given in a day
water 25- 30 ml/ kg/ day K/Na/ Cl 1 mmol/ Kg/ day Glucose 50-100 g/day
39
chemo drug used for hodgkin lymphoma that is cardiotoxic?
Toxorubicin
40
chemo drug used for hodgkin lymphoma that causes lung fibrosis?
bleomycin
41
chemo drug used for hodgkin lymphoma that causes peripheral neuropathy?
Vincristine Vincristine vs vinblastine Christ my nerves Blast my bones
42
Nsaids and physio not worked for ank spond what next
anti- TNF (infliximab) remember to check for TB!
43
scaphoid abdomen and barrel chest Xray
congenital diaphragmatic hernia
44
baby born with hyponatramia + hyperkalaemia -what they probs got
CAH (salt wasting type) -probs got ambiguous genitalia too
45
when in the Garden system is a hip fracture counted as displaced?
Type III or Type IV
46
when is bowel screening
50 - 74 years FIT test every 2 years

4th year (26 decks)

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