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Peer Teaching Mocks 3a To Learn > Mock 5 > Flashcards

Mock 5 Flashcards

(50 cards)

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1
Q

What is the most common presentation of varicoele?

A

Aysmptomatic

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2
Q

What is talengiectasia?

A

Dilated or broken blood vessels located near the surface of the skin or mucous membranes

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3
Q

Give 4 side effects of topical corticosteroids

A

Acne
Striae
Talangiectasia
Skin thinning

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4
Q

If a patient presents with severe croup or does not respond to oral dexamethasone, what should you do?

A

Give oxygen and nebulised adrenaline

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5
Q

How does acamprosate work?

A

It reduces alcohol craving by enhancing GABA transmission

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6
Q

How does disulfram work?

A

It causes a build-up of acetaldehyde on consumption of alcohol causing unpleasant symptoms such as flushing, headache and anxiety.

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7
Q

How does naltrexone work?

A

It acts as an opioid antagonist to reduce the pleasurable effect of alcohol

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8
Q

What is the only absolute contraindication of ECT?

A

Raised intracranial pressure

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9
Q

What can happen if a pt takes St Johns Wort and an SSRI?

A

Serotonin syndrome

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10
Q

How long does it take for serotonin syndrome to develop?

A

develops over 24 hours

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11
Q

How long does it take for neuroleptic malignant syndrome to develop?

A

Over days to weeks

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12
Q

What is dyspraxia?

A

A problem with a person’s motor skills

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13
Q

What are more likely to cause behavioural disinhibition, long acting or short acting benzodiazepines?

A

Short acting benzodiazepines

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14
Q

What are the symptoms of neuroleptic malignant syndrome?

A 
Mnemonic - FEVER 
Fever
Encephalopathy 
Vitals unstable 
Elevated enzymes
Rigidity of muscles
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15
Q

What can cause neuroleptic malignant syndrome?

A

Starting on a new antipsychotic

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16
Q

What abnormality is most likely to be seen if sodium valproate is used in pregnancy?

A

Hypospadias

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17
Q

What are the 4Ts of Primary PPH?

A

Tone
Trauma
Thrombin
Tissue

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18
Q

What is the inheritance pattern in Marfan’s syndrome?

A

Autosomal dominant

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19
Q

What is the 1st line surgical intervention in PPH?

A

Intrauterine balloon tamponade

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20
Q

What does the POP increase the likelihood of?

A

Ectopic pregnancy

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21
Q

What is the imaging investigation for ovarian cancer?

Study These Flashcards
A

USS abdomen and pelvis

22
Q

What BMI is associated with increased risk of endometriosis?

23
Q

What should you do after full history and examination in the initial assessment of menorrhagia?

Study These Flashcards
A

FBC to look for iron deficiency anaemia

24
Q

What can be used to treat both gonorrhoea and chlamydia?

Study These Flashcards
A

Azithromycin 1g stat PO

25
What is used to treat trichomonas vaginalis?
Metronidozole
26
What is used to treat candida?
Fluconazole
27
What is used to treat chlaymdia AFTER positive NAAT testing?
Doxycycline
28
What does n.gonorrhoea look like on microscopy?
Gram negative diplococci
29
What does chlamydia trachomatis look like on microscopy?
Gram negative rod shapes
30
What exercise can cause erectile dysfunction?
Cycling - the seat puts constant pressure on the perineum and this can slow blood flow and lead to ED
31
What is 1st line in reducing malignant compression of the spinal cord?
High does dexamethasone (16mg)
32
What is the definitive management of malignant compression?
Surgical decompression
33
What investigation confirms the diagnosis of pituitary tumour?
CT Head
34
How long does optic neuritis take to resolve?
Days-weeks
35
Give some symptoms of optic neuritis
Optic disc swelling Phosphenes Retro-orbital Pain Unilateral Presentation
36
What does a positive dix-hallpike maneuver suggest?
Benign Paroxysmal positional vertigo
37
What is the presentation of Brown-Sequard Sydrome?
Hemisection of the spinal cord causes: - Paralysis and loss of proprioception and vibration on the SAME SIDE of the lesion - Lack of pain and temperature on the OTHER SIDE of the lesion The best analogy for this is that the afferent fibres for pain and temperature turn onto a different road early on and then run into a traffic jam. Of course pain and temperature is spared on the ipsilateral side, because they leave the road early and avoid the traffic jam, thus reaching the cortex.
38
Describe features seen in benign essential tremor
Bilateral Worse when stretching arms out Better with alcohol
39
What is 1st line in improving benign essential tremor?
Propanolol
40
If a patient is still seizing after 2 doses of lorazepam/diazepam, what should you do?
Give IV Phenytoin
41
How should aldendonic acid be taken?
PO, whilst standing/sitting upright for at least 30 minutes. Before breakfast, on an empty stomach
42
What should be given 1st line to all patients with symptomatic heart failure to reduce morbidity and mortality?
ACEi and Beta Blocker
43
How often should you take alendronic acid?
Once weekly
44
Why do people taking alendronic acid need to stay upright for 30 minutes after taking it?
It can cause oesophagi's
45
What is a contraindication to aspirating joints in A&E?
Having prosthetic joints. It should only be done by an orthopaedic surgeon in theatre due to risk of infection
46
What is 1st and 2nd line in preventing gout?
1. Allopurinol | 2. Febuxostat
47
What is the best course of action in symptomatic gallstones?
Laparoscopic cholecystectomy
48
What is the best course of action in asymptomatic gallstones?
Observation
49
What LFT picture is seen in alcoholic liver disease?
↑AST +↑ALT with an AST/ALT ratio of 2:1 In patients with alcoholic liver disease, AST level is almost always elevated (usually above ALT level). The classic ratio of AST/ALT >2 is seen in about 70% of cases (A). Reversal of the ratio, ALT > AST, suggests concomitant presence of viral hepatitis or possibly non-alcoholic fatty liver disease as the major cause of liver injury in alcoholic patients
50
Give 3 common bacteria that cause COPD exacerbations
Moraxella catarrhalis Haemophilus influenza Streptococcus pneumonia

Peer Teaching Mocks 3a To Learn (9 decks)

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