Msc MLA paper 1 Flashcards

(12 cards)

1
Q

flattening of villi, increased lymphocytes in lamina propria in surface epithelium, gross crypt hyperplasia on biopsy

A

coeliac

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1
Q

initial mx of massive nephrotic syndrome

A

furesomide
- signs of fluid overload

no prednisolone until biopsy confirms condition

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2
Q

biliary colic ix

A

US

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3
Q

AAA screening sizes

A

<3 - discharge

3-4.4 - rescan every 12 months

4.5 - 5.4 - rescan every 3months

> =5.5 = 2week referral

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4
Q

what must all patients post asthma attack be discharged with

A

personalised asthma action plan

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5
Q

management of neuropathic bladder due to MS

A

intermittent self catheterisation

  • drugs unlikely to give any benefit
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6
Q

antipsychotics safe for use in pregnancy

A

olanzipine
quetipine

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7
Q

features of opiate withdrawals

A

Fever, Lacrimation, Urination/diarrhoea, Yawning, Goosebumps

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8
Q

prev C-section, bleeding 90 mins after oxytocin infusion, presenting part felt higher than before

A

uterine rupture

  • he previous C-section along with the introdcution of syntocinon are risk factos for rupture. The elevation in the presenting part corroborates the finding of reduced contractions.
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9
Q

compared to other observational studies, prospective cohort studies are more able to ….

A

determine whether an exposure preceded the outcome

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10
Q

which drug commonly used in mx of acne is contraindicated in <12yrs? what should be used instead?

A

Tetracyclines (e.g. doxycycline, lymecycline, minocycline)

bind to calcium in developing teeth and bones, leading to:
- Permanent tooth discoloration (yellow-grey)
- Enamel hypoplasia
- Potential effects on bone growth
Therefore, not recommended in children under 12

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11
Q

A 42 year old man has a 3 month history of odynophagia and otalgia. He is a non smoker, and otherwise well. On examination there is a left tonsil mass with a large neck mass on the same side.
Which organism is most likely the cause of the pathology seen?

A

HPV!

HPV-16, is a major cause of oropharyngeal squamous cell carcinoma in younger, non-smoking adults
neck mass = lymphadenopathy

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