Misc 3 Flashcards
(91 cards)
1
Q
Factor V leiden
A
activated protein C resistance
2
Q
Factor V leiden
A
higher risk VTW
3
Q
Corrigans sign
A
Aortic regurg
bounding and forceful , rapidly increases then collapses
4
Q
Narrow pulse pressurew
A
AStenosis
5
Q
Aortic stenosis sx
A
Syncope Angina Dyspnea on exertion Chest pain Ejec systolic - valsalva
6
Q
AS ft
A
narrow pulse P slow rising pulse thrill @ apex 4th heart sound (LVH) soft S2
7
Q
AS causes
A
degenerative
bicupsid valve
rheumatic
8
Q
Monitor in amiodarone
A
TFTs
9
Q
Nephrotic triad
A
proteinuria
edema
hypoalbumin
10
Q
Nephrotic in HIV/IVDU
A
Focal segmental
11
Q
Cluster headache tx
A
subcut sumatriptan + 100% O2
12
Q
Amlodipine
A
CCB
13
Q
First line BP >55
A
CCB - amlodipine
14
Q
de Quervain’s thyroiditis
A
brief hyper followed by long hypo
15
Q
Hyperthyroid
A
Grave’s
Toxic multinodular goitre
16
Q
Hashimotos
A
most common hypo
autoimmune (IDDM, Addisons, pernicious anemia)
17
Q
MEN 1 sx
A
parathyroid tumour
pancreatic tumour
pituitary tumour
18
Q
MEN 2 sx
A
medullatry thyroid ca
pheochromocytoma
parathyroid tumout
19
Q
Phaeochromocytoma sx
A
sweat headache palpitations HTN Anx
20
Q
Phaeochromocytoma IX
A
urinary metanephrines
if high –> CT CAP
21
Q
Phaeo tx
A
stabilize w alpha-blocker (phenoxybenzamine) then a BB (propranolol) the surgery
22
Q
Antiphospholipid syndroms test
A
anticardiolipin
23
Q
Polymyositis Ab
A
Anti-Jo 1
24
Q
HLA B27
A
ank spond
reactive arthritis
enteropathic arthritis (IBD)
psoriatic arthritis
25
Bechet's disease Ab
HLA B51
26
Adrenaline in cardiac arrest
1mg (10 ml 1:10,000) or 1ml 1:1000)
27
Shockable rhytms
pulseless v tachy
| ventricular fib
28
false negative mantoux
sarcoidosis
steroids
lymphoma
AIDS
29
Pernicious anemia test
intrinsic factor Ab
| Low B12
30
Drugs inducing lupus
isoniazid
infliximab
carbamazepine
31
Drug induced lupus Ab
Anti histone
32
FEV1/FVC in obstructive
Low
33
FEV1/FVC in restrictive
Norm or high
34
PFTs obstructuve
EVERYTHING low
35
Obstructibe lung diseases
```
COPD
Asthma
emphysema
bronchiectasis/CF
Chronic bronchitis
```
36
Restrictive lung dx
```
ILD
interstitial pneumonia
pneumoconiosis
sarcoidosis
Chest wall NMD
Obesity
```
37
Lamotrigine SE
stevens johnson
within 2 months of new med
prodromal flu like illness
38
Angina mgmt
1) lifestyle
2) statin + aspirin
3) bb or ccb
(ccb alone- verapamil/diltiazem, in combo w bb - nifedipine)
4) bb + ccb
39
Big rise in ALP and GGT than in ALT
obstructive jaundice
| - no pain - pancreatic Ca
40
Panless jaundice of pancreatic Ca
pale stools, dark urine, pruritus
41
COurvoisiers law
in presence of painless obstructive jaundice, palpable gallbladder unlikely fue to gallsones
42
Nephrogenic DI water rest
Low urine osmol after water deprivation
| Low after desmopressin too
43
Cranial DI
low after ware dep
| high after desmopressin
44
autoimmune hep Ab
anti smooth muscle ab
| anti nuclear ab
45
necrosis marker
lactate dehydrogenase (LDH)
46
Wegners granulomatosis marker
cANCA
47
ALT/AST raised more than ALP
autoimmune hep
48
Raised ALP
bile duct pathology
49
primary biliary cirrhosis Ab
antimitochondiral ab
50
URTI sx + amox = rash
gandular fever
51
Homonymous hemianopia w macular sparing
occipital cortex
52
tunnel vision, fhx of early blindness
retina - retinitis pigmentosa
53
left homonymous hemianopia
lesion of right optic tract
54
homonymous quadrantanopia
inferior quad- parietal optic radiations
| Superior quad - temp optic radiations
55
Correct hyponatremia too fast
central pontine myelinolysis
56
Kid w pyloric stenosis electrolytes
hypochloremic hypokalemic met alk.
57
V high AST and ALT
cirrhosis
58
AST higher than ALT
alcoholic liver
59
Urea higher than the raised Cr
dehydration
60
Glicazide SE
hypoglycemia
61
Glitazones SE
HF
62
ptosis + dilated pupil
3rd nerve palsy
63
ptosis + constricted pupil
horners
64
IgA nephropathy
v recent URTI followed by symptoms in young person
65
Nephritic triad
hematuria
oliguria
HTN
66
Neprhotic triad
hypoalbumin
proteinuria
edema
67
Post strep glomerulonephritis
7-14d post URTI
68
Prolactnioma tx
Carbergoline/bromocriptine (dop agonist) first line
| 2nd: surgery
69
malignancy + raised CK
polymyositis
70
acne rosasea tx
topical metronizadole
| oral tetracyclie
71
Hemochromatosis bloods
raised transferrin
raised ferritin
low TIBC
72
Primary hyperaldosteronism ft
HTN
Hypokalemia (muscle weakness)
Alkalosis
73
RAPD + unilaterally dilated pupil
optic nerve injury
74
bilat ptosis + bilat contricted
opiate OD
75
refeeding syndrome bloods
low K
low Mg
low Phos
76
MRCP beaded appearancw
Primaru sclerosing cholangitis
77
CSF: low gluc, high prot, high polymorphs
bacterial meningitis (Strep pneumo, neisseria)
78
Male, tall, high LH, low test
```
Klinefelter's
Primary hpogonasism (low test due to testicular failure, high FSH/LH because no neg fb)
```
79
Soft S1
long PR
| MR
80
Loud S1
Mitral stenosis
81
Soft S2
aortis stenosis
82
S4
AS, HOCM, HTN
83
S3
normal <30
| LVF (dilated cardiomyopathy), pericarditis, mitral regurg
84
Acute close angle glaucoma
severe pain (ocular or headache)
decreased vision, haloes
semi-dilated pupil
hazy cornea
85
Anterior uveitis
acute
pain
blurry/photophobe
small fixed oval pupil, ciliary flush
86
Scleritis
Severe pain, worse on mvmt, tenderness
| RA or autoimmune
87
Conjunctivitis
purulent disharge - bact
| clear discharge - viral
88
Subconj hem
history of trauma, cough, vom, constip
89
Endophtha;mitis
red eye, pain, visual loss folloinw eye surgery
90
Upper lung firbosis
```
pneumonitis
coal workers lung
silicosis
sarcoidosis
TB
ank spond
```
91
Lower lung fibrosis
Idiopathyc
connective tissue (SLE)
Drugs
asbestosis
