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New Samson Flashcards

(67 cards)

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1
Q

Initial step for testicular torsion

A

Immediate surgical exploration

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2
Q

Test for epididymoorchitis

A

MSU

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3
Q

Recurrent UTI in elderly+ painless hematuria

A

Bladder cancer

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4
Q

Mgt for Blood on urethral meatus

A

Pass SPC

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5
Q

Overseas+ fresh blood diarrhea

A

Campylobacter

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6
Q

Epigastric pain+ nocturnal cough+ water brash

A

Reflux esophagitis

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7
Q

Chronic recurrent intermittent asymmetrical mono arthritis

A

Gouty arthritis

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8
Q

Positive Schirmer’s test

A

Sjogren syndrome

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9
Q

Chronic knee pain+ nodules on elbows+ sausage shaped fingers

A

Rheumatoid Arthritis

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10
Q

Heberden’s nodes

A

Osteoarthritis

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11
Q

First line in;
Osteoarthritis
Ankylosing spondylitis
Reactive arthritis

A

PCM
NSAIDS
NSAIDS

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12
Q

Mgt of chronic gout

A

Allopurinol

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13
Q

Delirium+ Ataxia+ Dysarthria+ Drowsy

A

CO poisoning

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14
Q

Loss of vagal tone/myocardial contractility/ delayed bundle of His

A

TCA

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15
Q

Little girl trips while holding mum

A

Radial head subluxation

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16
Q

Most appropriate tx for acute Torticollis

A

Physiotherapy

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17
Q

Direct blow to ulnar

A

Night stick fracture

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18
Q

Drug for constipation in Morphine use

A

Senna

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19
Q

Drug for severe anorexia in breast ca

A

Steroid

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20
Q

Confusion in small cell lung ca

A

Hyponatremia

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21
Q

Confusion in squamous cell ca

A

Hypercalcemia

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22
Q

Mgt of Hypercalcemia

A

IVfluids
IV Pamidronate (Bisphosphonate)

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23
Q

Investigation for SVCO

A

CT scan

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24
Q

Mgt steps in GN from SLE

A

Corticosteroids
Immunosuppressant eg azathioprine
Dialysis
Transplant

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25
UTI organism after E. Coli
Proteus
26
Most appropriate investigation in PSGN
ASOT
27
Skin patch that develops into plaque then malignant T cell tumour
Mycosis fungoides
28
Shawl sign + weight loss + hemoptysis
Dermatomyositis
29
Painful shoulders/hips + purple lesions on knuckles
Dermatomyositis
30
Thrombophlebitis migrans + weight loss/diarrhea
Pancreatic Ca.
31
Rash/itchiness on knees/elbows almost to commit to suicide that responds to dapsone
Coeliac disease
32
Raised lesion with rapid growth+ rolled edges+ horny plug
Keratoacanthoma
33
Raised localised lesion with slow growth and slightly raised edges+ red scaly plaque
Bowen's disease
34
Rapidly growing pigmented lesion
Malignant Melanoma
35
Papule with central fading in a farmer + arthralgia+ malaise
Borrelia burgdorferi
36
Mgt for worsening weeping eczema
Oral flucloxacilin
37
Seborrheic eczema on scalp not responding to hydrocortisone
Ketoconazole cream
38
What to give when past PCI window
Heparin
39
Fast irregular pulse 5 days after MI
Atrial fibrillation
40
AF+tremors+weight loss+Palpitations (Mgt)
Admit
41
Drug in Renal impairment in DM
Insulin
42
Most important investigation in recurrent falls
Plasma glucose
43
Travels+night sweats+vomiting+joint pain
Brucellosis
44
Microcytic hypochromic anemia + reticulocytosis
Beta thalassemia
45
Blood film shows myelocytes, promyelocytes, myeloblasts
Myeloblastic syndrome
46
Hyper segmented neutrophils+ Macrocytic anemia+ leucopenia
Pernicious anemia
47
HbF 98%, Hb A2 2%
Thalassemia major
48
Anemia+ jaundice+ high retics+ spherocytes
AIHA
49
Inverted champagne bottle sign
Charcot Marie Tooth disease
50
Penetrating trauma+ ipsilateral weakness+ contralateral loss of sensation
Brown Sequard
51
Stroke + memory loss + cognitive decline
Vascular dementia
52
Same person wearing different faces
Fregoli syndrome
53
Investigation for breast cancer
Core biopsy
54
Prophylaxis for Osteoporosis
Bisphosphonate
55
Inability to read even with glasses
Cataract
56
Flame hemorrhages+ optic disc edema
Vitreous hemorrhage
57
AV nipping is seen where?
Hypertensive retinopathy
58
Fundoscopy in background DM retinopathy
Hard exudates Dots and blot hemorrhages Micro aneurysm
59
Fundoscopy in Pre proliferative DM
HDM + FC
60
Pneumonia in people with influenza
Staphylococcal
61
Young age, pleuritic chest pain and confused pneumonia
Legionella
62
Deep to anterior edge of upper SCM muscle
Branchial cyst
63
Young + ischaemic extremes
Buerger's disease
64
Purple tender lumps on anal verge + normal rectal mucosa
Perianal hematoma
65
Foul smelling vaginal discharge in a child not sexually active
Foreign body
66
Nose bleeds + blood bubble on tympanic membrane
Bullous meningitis
67
Narrow complex tachycardia with 2:1 block
Atrial flutter

MSRA (4 decks)

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