last push Flashcards

(106 cards)

1
Q

side effects of haliperidol

A

dizzy/ low bp

constipation

dry mouth

blurred vision

drowsy

insomnia

tardive dyskinesia

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2
Q

what is mental state exam testing

A

cognition, not used for GAD

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3
Q

psych exam for confusion

what score is significant

A

mini mental state exam

<25 significant

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4
Q

risk factor for polyhydramnios

A

gestational diabetes

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5
Q

Lhermitte’s sign

A

patient’s neck is flexed, causing an uncomfortable electrical sensation to pass down through the back and into the limbs.- MS

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6
Q

reffered pain from ovaries where

A

periumbilical region and inner thigh

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7
Q

diagnostic test for multiple myeloma

A

serum and urinary electropheresis

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8
Q

Treponema pallidum organism for what

A

syphalis painless lump

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9
Q

carpal tunnel

A

phalens and tinels test, median nerve

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10
Q

cubital tunnel

A

ulnar nerve

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11
Q

lithium and diabetes insipidus

A

deficiency in antidiuretic hormone secretion or poor response of kidneys to ADH, high serum osmolarity and low urine osmolarity

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12
Q

4AT

A

Alertness

  1. AMT4: Abbreviated Mental Test .
  2. Attention: Months of the Year Backwards
  3. Acute change or fluctuating course

/12

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13
Q

difference between delirium and dementia

A

fluctuating levels of consciousness

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14
Q

post partum major haemorrage most common cause

A

uterine atony - uterine massage and oxytocin then intrauterine balloon

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15
Q

poor latch on nipple

A

clicking sounds

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16
Q

week 20 of pregnancy

A

uterus reaches umbilicus

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17
Q

picks disease

A

frontotemporal dementia

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18
Q

Anovulatory dysfunctional uterine bleeding

A

common in younger girls, it’s just irregualr periods

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19
Q

iron absorbed in

A

duodenum and proximal jejunum

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20
Q

b12 absorbed in

A

ileum

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21
Q

intrinsic factor produced by

A

gastric parietal cells

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22
Q

folate absorbed in

A

promixal jejunum and duodenum

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23
Q

medication for PTSD

A

veneflaxine

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24
Q

infertility for PCOS

A

Clomifene citrate

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25
parkinsons what type of tremor
RESTING
26
anterior cerebral artery supplies
lower limbs
27
which cells do FSH act on
Sertoli cells
28
what does FSH do in males
spermatogenesis
29
what does FSH do in females
follicular development → oestrogen production
30
which cells does LH act on
leidig cells
31
function of LH on males
testosterone production
32
what does LH do in females
corpus luteum development, progesterone production
33
agnosia
in altzheimers when can't recognise people/things
34
drugs for hypertension in pregnancy
not ramapril labetelol but if asthma then nifedipine
35
irrational fear of having a medical condition
Hypochondriasis
36
subarachnoid haemorrage first line
non contrast CT
37
side effect of haliperidol
acute dystonia treated with anticholinergics
38
bulbar palsy affects which motor neurones
lower
39
pseudobulbar palsy affects which motor neurones
upper
40
side effect of clozapine
agranulotosis
41
wernicke where, what and symptoms
temporal lobe word salad (speech comprehension)
42
broca where, what and symptoms
frontal lobe speech production limited language
43
CHA2DS2-VASc used for what
risk of stroke with a fib
44
ROSIER score for what
assessing stroke in A and E
45
subarrachoinid hemorrgae investigations
CT then angio and if normal CT then lumbar puncture within after 12h xanthachromia (yellow) then angio
46
subarrachnoid hemorrage management
coiling, nimodipine CCB for vasospasm
47
normal pressure hydrocephalus
magnetic gait, dementia and urinary incontinance caused by too much csf in ventricles
48
which type of ovarian cancer is most common
epithelial, serous adenocarcinoma most common
49
how to check if ovulating
day 21 progesterone
50
frenotomy for toungue tie
only need anasthesia when 3 months old
51
Fasciculation and atrophy of tounge which motor neurone symptom
lower
52
scabies
web spaces and burrows
53
most common cause of DIC in pregnancy
placental abruption
54
somatasiation disorder
worrying about having a disease for 2 years
55
temporal bone fracture causes what and which artery is affected
middle miningeal artery, extradural haemorrage
56
most common cause of post menupausal bleeding
vaginal atrophy
57
thrombotic thrombocytopenic purpura which gene less off
ADAMTS13
58
term baby
38-42
59
gestational diabetes delivery
41 weeks
59
side effects of lithium
hypothyrodism
60
bipolar treatment in pregnancy
lamotrigine
61
G6PD deficiency disease
reactive oxygen species gallstones splenomegly heinz body inclusion caused by broad beans and antimalarials
62
treatment of placenta acceta, increta and percreta
hysterectomy
63
alpha thalssemia chromosome
16
64
beta thalassemia chromosome
11
65
beta thalassemia symptoms
growth retardation target cells
66
foetal hb
2 alpha 2gamma
67
adult hb
2 alpha 2 beta
68
complication of beta thalassemia
hemocromatosis
69
complication of alpha thalasemia
hydrops fetalis when no copies of hb
70
eclampsia
pre eclampsia and seizures
71
subarrachnoid haemorrage symptoms
meningities
72
subdural haemorrage
concave/cresent shape falls alcohol acute-3 days treatement is craniotomy burr hole for chronic
73
extra dural haemorrage
convex/lentiform
74
corupus luteum how long for in cycle
last 2 weeks of cycle
75
HcG levels in pregnancy
plateus 8-12 weeks of pregnancy
76
progesterone during pregnancy
prevents ovulation thickens uterus lining prevents contractions
77
what increases during preganncy
t3 and 4 factors 7,8,10
78
when should pregnant ladies stop sleeping on back
28
79
when do pregnant ladies get vaccines
week 16
80
autosomal dominant conditions
polycystsic kidney marfans myotonic dystrophy neurofibromatosis tuberous sclerosis- ash leaf
81
which chromosome is affected in huntingtons
4
82
x linked dominant condition
fragile x
83
x linked recessive
duchennes g6pd haemophilia
84
PROM
wait 24h for induction
85
normal bmi
18.5- 24.9
86
guillian barre syndrome
demyelination of neurone sheath so slow nerve impulses post flu vaccine campylobactor mycoplasma cytomegalovirus epthein barr
87
guillian barre syndrome symptoms
speech, eyes, incontinance, constipation muscle weakness no reflexes!!!!!
88
guillian barre syndrome tests
LP- high protien nerve condution studies FVC- lung muscles
89
guillian barre syndrome treatment
Iv IgG - first line plasmapheresis
90
miller fisher syndrome
ataxia weak muscles of eye s no reflexes guillian. bar syndrome but anti GQIB
91
hydroxyurea and pregnancy
no
92
essential thrombocytosis
JAK2 attacks TPO gout
93
creutzfelds jakob disease
prions PRNP gene mental changes eyes, ataxia, FAST dementia twitch- clonazepam tonis/nose biopsy basal ganglia
94
most common and second most common haem malignancy
leukemia multiple myeloma
95
myotonic dystrophy
chromosome 19 trinucleotide expansion bilateral ptosis facial weakness percussion myotonia footdrop distal weakness nerve conduction studies electromyography benzos for myotonia
96
endocervix types of cells
columnar
97
ectocervix cells
stratified squamous
98
cervical ectropion treatment
cauterisation silver nitrate/cold due to high oestrogen
99
breast cancer screening
3 years 50-70 yo
100
what does lamotrigine and carbamazepine target
glutamate
101
epilepsy investigations
eeg mri/ct
102
treatment for MS RR
cyclophosphamide IV IgG beta interferone
103
treatment for PID
ceftriaxone and 14 days of metrinidazole and doxy
104
wernickes encelopathy
B1/thiamine hyperemasis gravidum drinking ataxia confusion eyes
105
myasthenia gravis type of inflammation and treatment
T2 b cell neostigimine/pyridostigmine removal of thymus