Nov 21 Flashcards
(135 cards)
1
Q
60 yo wnats to change her will
A
Advise her to talk with her lawyer about the change of her will
2
Q
Melena , ulcer present
blood transfusion was given but no improvement
Mgt?
A
Capsule Endoscopy
3
Q
Painful defecation
A
Anal fissure
4
Q
Episode swelling on the Right side
Spermatic cord is thicker
Diagnosis?
A
Hernia - Silk glove sign
5
Q
Dragging sensation
pain is present
A
Dx: Varicocele
US ABDOMEN
6
Q
Family hx of father with brain tumor
inv?
A
CT
7
Q
Dysphagia , hoarseness after surgery
Affecting laryngeal nerve
Thoracic inlet there is mass
dx?
A
Esophageal cancer
8
Q
Intestinal obstruction
Cecum 11cm
Sigmoid colon has stricture
What will you do next?
A
Colostomy
9
Q
COVID vaccine - S ARS covid 1 : After first dose, got a headache
What will you test?
A
Thrombo something + D dimer
10
Q
30+ weeks , she called Dr with abdominal pain
when does she need to go to the hospital
A
if contraction lasts 30 sec every 8 min
11
Q
Immunisation in aboriginal
4yo
vaccination up to date
what will you give?
A
Hep A
12
Q
Asthma
Ipratropium with asthma history
on discharge, logn term?
A
Inhaler
13
Q
ST elevation in leads 1 and 2 with pains and gets better when bending down
A
Pericarditis
14
Q
Distal pulses not palpable with Claudication
A
Doppler - next
best - CTA
15
Q
Trauma injurt with Associated floaters
Intra ocular pressure 25 mmHg
Retinal detachment
tx?
A
ACETAZOLAMide - Oral
16
Q
Only after 24 wks of pregnancy
A
A second opinion or second GP must agree the termination
17
Q
Tx for Her 2 breast ca
A
Tamoxifen
18
Q
Suspected endometrial hyperplasia
A
Hysteresocopy and Biopsy
19
Q
10 month old baby with URTI
How to give hin O2
A
2L nasal canula
20
Q
male history of promiscousity
and hikin gin victoria
polyarthrlagia of hands and wrists and has rash prior to the pain
Cause
A
Ross River
21
Q
On Warfarin, no evidence of bleeding
INR 7
A
Stop Warfarin
22
Q
About a new approved drug
A
RCT
23
Q
If the lady has rep symptom come with O2 level is very low
How will you give O2 with this patient
A
CPAP
24
Q
Tonic Clonic Seziure
recurrent
mgt
A
IV Diazepam
25
Chlamydia, Urethray discharge, dysuria frequency
inv
SWAB woman
Urine MALE
26
Xray of neonates
not NEC but Pleural effusion in the RIght side
Inv?
Needle Aspiration
27
Brown Snake with a long scratch on leg
Swab and apply bandage?
28
PArotid gland swelling in old lady
Painless CT
Painful USG
29
Right sided pleural effusion
Tx: Needle aspiration
30
urethral dischrge
urinary hesitancu
dribbling urine
next inv
Urine analysis
31
Intern saw resident doctor taking psychotic drugs
Inform APHRA
32
38 wks 10ml blood loss
USG shows placenta previa grade 4
now at 39 wks 50ml blood loss
what's next?
LUCS
33
Blood on sanitary pads
Lochia rubra
34
A couple is your patient one day wife confronts her marriage
Ask details
35
1st degree colon cancer diagnosed at 51
IFOBT every 2 years from 40-49
36
Pop up sund while playing football
ACL injury
37
Old age PSA 14
tumour invade to seminal vesicle
Mgt
External beam Radiotherapy
38
DVT prophylaxis in pregnant lady
LMWH
39
Aboriginals vaccination 4yo
Hep A
40
Upper GI bleeding
Endoscopy
41
Post-op subclavian catheter inserted
flushing, swelling of face and hand
CTA
42
Patient with lethargic and ptosis
with double vision
MG
43
Man joint pain
effusion in the knee
travel around the world
hiking
rash fever multiple sex partners
Ross RIver
44
third day post op Alcoholoc patient
BT 37.9
What to do
Midazolam
45
A newborn with crusted unilateral eye
Blocked duct
46
4-6 wk month dialysis, hypertensive before dialysis
Normotensive during dialysis
Hypertensive
What to do
Review Ideal weight
47
A patient with hematuria with dribbling and LUTS
Prostate was enlarged
Urinalysis was done
Rectal US
48
Diplococci was seen in a 2 -3 days old neonate in eye discharge
Gonorrhea
49
Old man on multiple drug
metformin, Diuretic, Perindopril
SSRI etc
Hyponatremia
What is the cause of hyponatremia
Fluoxetine
50
Pleural effusion total protein is 15
what is the cause
Exudative
51
Recurrent groin swelling
Thick spermatic cord in a todder
Dx
Idiopathic Scrotal edema
52
Night sweats and loss of weight
Xray - bilateral diffuse infiltrates
Lymphoma
53
scrotal mass
palpable mass
inv
tumor markers
54
Acute Resp Symp + green sputum
Ticarzillin
55
Depressive symptoms x 4 years can do job but still was abused by the husband
Dysthmia
56
CLD features
Ca increase, K increased
BP 90/60
What will you give after IV fluid
Fursemide
57
Upper GI bleeding
IV omperazole
Octruotide started
Most appr after endoscopy?
Propanolol
58
Facial palsy pic with eye sclera yellow
2 days ago has watery eye discharge
Tx
Famcicyclovir
59
Pregnant woman with palpitation on ex fine tremor
What inv?
TSH
60
Preauricular hematoma after trauma
Pain 3 cm next step
Incision and drainage
61
Post op delirium
IV Diazepam
62
Post op cholecystectomy
Abdominal distention
pain and USg - dilated bile duct
What is next
ERCP
63
10yo with hx of loose stool
present comes with loose stool
dx
Constipation
64
Swelling on the Parotid region
Not fixed but firm
Inv?
Sialogram
65
80F, fall on outstrecthed hand
mgt?
Closed reduction and POP cast
66
34wks
abdominal pain and bleeding per vagina
800ml
uterus tense and tender
FHR not felt
mgt?
Amniotomy
67
22F, primigravida 18wks USG
fine, uptodate
Uteruz size is 32 weeeks size next visit
cause?
Polyhydramnios
68
4yo intercostal recessions
tracheal tug
fever
Xray lung lobar consolidation
croup
Pneumonia
69
Cant sleep properly
DIAZEPAM
70
Got bleeding gatric ulcer after taking Aspirin
STOP THE ASPIRIN
71
Tonic Clonic seziure
mgt
Diazepam IV
72
Child with mild rash in face and torso
limpho nodos cervicalis
nothing in her eyes
dx
Rubeola
73
What drug is contraindicated if renal disease in a Rheumatic patient metrothrexate and other options
Cyclosporin, Gold, Penicillamin
74
Which feature would suggest carcinoma
Skin dimpling
75
Swelling and pain scrotal
dx
Varicocele
76
One child few months of age with lump in testis
Hydrocele
77
firm swelling but painless
Chronic parotitis
inv
CT Sialogram
78
25f no hx of sexual exposure
No need for Screening
79
Alcoholic + agitated
IV diazepam
80
Young girl with honey crusted lesion like impetigo
how long would be she excluded from school
exclude 1 day after treatment
81
What is the most impt criteria for PCOS diagnosis
Androgen
LH / FSH ( wrong if it is FSH / LH)
82
Treatment for Sjogren Syndrome
Artificial Tear
83
PSamomma bodies in FNAC
Papillary Carcinoma
84
Alopecia, hand and sole rashes visited asia
tx
Benzyl Penicillin
85
Female collapsed while joggin
CPR done
father died at young age with heart issues
next step?
ECHO - best
dx: HOCM
86
Diabetic patient develop gradual vision impairnent which increase by daylight
Cataract
87
Patient with anterior MI with Beta Blocker and Aspirin
His ejection fraction is 29%
Which drug does he need?
RAMIPRIL
88
Bells Palsy
Cannot raised eyebrow on the left side - LMNS
89
CTG 39 wk, no fetal movement
no deceleration
Looks normal
Reassurance
90
Mgt of outstretched fall
Closed Reduction with Cast
91
Parotid painless swelling
inv
Painless CT scan
92
ady have bleeding befpre, has fetal movement
but seemed like history of anteparty bleeding
at 39 wks now - good viability with acceleration
cervix 3cm
station 1
inv
USG
93
2 months dry cough and weight loss
Lung CA
94
Treatment of Chlamydia
Azithro
95
Treatment of Gout
Allo/morphine
96
Treatment of Recurrent gout
Allopurinol 25mg
97
Painful
NEEDLE SHAPRED
NEGATIVE birefringence
URIC ACID
NEEDLE-likE
1st MTC
Rat Bite erosions
GOUT
98
RHOMBOID SHAPED
POSITIVE BIREFRINGENCE
CALCIUM PYROPHOSPHATE
KNEE
White lines of CHONDROCALCINOSIS
PSEUDOGOUT
99
What is the treatment of DVT in pregnancy
Stocking LMH
100
What is the treatment dose of recurrent Gout
Allopurinol 100mg
(Xanthine Oxidase inhibtor) - 100-300mg daily
101
It is also a pharyngeal pouch, a posterior outpouching of the hypopharync
just proxinal to the upper esophageal sphincter through a weakness in the muscle layer called the Killian dehiscence
ZENKER DIVERTICULUM
102
What is the initial investigation of Acute Limb ischemia
Duplex
103
What is the treatment of Septic Arthritis treatment
IV Antibiotics
104
Traveller's dirrhea with lw bp ask for Initial managment
IV FLuic
105
Shoulder dislocation
Kocher Method
106
Bleeding 10 wks of pregnancy
has cervical cancer grade 2
cause of bleeding?
Abortion
107
CTG was given in 39 wks pregnant an asking what to do mother complain can't feel fetal movement and pain in the abdomen
Amniotomy
108
PAINFUL
dark bleeding (may not bleed)
Tender "woody" part Uterus
Normal USS
Abruptio Placenta
109
Painless
Profuse Red Blood
Low placenta on
PLACENTA PREVIA
110
Varicella contacts pregnant lady immediate serum varicella screening negative
What to do next?
Varicella Immunoglobulin
111
CK and ESR BOTH raised
Polymyositis
112
ESR raised
CK normal
Polymyalgia Rheumatica
113
ESR and CK both normal
Drug Induced Steroids Statin
114
Child with pneumonia Xray with pleural effusion asking after giving antibiotic what to do
Pleural Drain
initial inv - XRAY AND CBC
115
Treatment for Moderate Croup
Tab Prenisolone
116
Scenario of Anaphylactic Shock
treatment?
Adrenaline
117
RASH + urticarial Rash + No previous hx
+ OE + No wheeze
tx?
Oral Antihistamine
Promethazine
118
Rash + Urticarial Rash +
No History + OE + Wheeze, severe case
tx:
Adrenaline
IM
119
Bee + rash + Urticarial + Previous History
+ Wheeze + Severe
tx?
EPIPEN
120
High Bilirubin but
AST ALT and GGT norma
Cause?
Asymtomatic Cholecystitis
121
HTN
Mild hepatomegaly
dx?
Alcoholic Liver disease
122
Recen travel to Mexico
raises supicion for HAV or HEV but no symptpms
AST: ALT ratio of 2>1
- ALCOHOLIC LIVER DISEASE
123
Parotid Gland swellings asking for inv?
CT
124
Unilateral drooping of the corner of the mouth and flattening of the nasolabial fold
Ramsay Hunt Syndrome
125
Patient with endoetriosis came with Oxycodone prescription and has history of alcohol addiction
Asking what to do next?
Explore the details of prescription
126
Lethargic, ptosis with double vision
Cause?
MS
127
Surgeon making mistakes
What to do next?
Always inform the immediate Senior
128
Parkinsons disease patient taking Lithium
now complaining of increased hand tremor
What's next?
Add Parkinson drug
129
Lady's mother has Osteoporosis now lady came with
DEXA -1.5
What to give next?
Calcium and Vitamin D
130
10 days with fever and rash
What's next?
Blood Culture
131
Purpuric rash on the trunk and limbs
Tx
Benzylpenicillin 60mg / kg IV statin for 5 days max
132
fever + rash
tx and dx
dx: Meningococcal meningitis
Antibiotic
if there is no AB, then Blood culture
Usually if it is FEVER + MENINGITIS FEATURE = Pneumococcal Meningitis
Blood Culture first then Antibiotic
133
Vertigo and Nystagmus with Position change
BPPV
134
Amenorrhea with one cyst on ovary
Mgt?
OCP
135
A man his problems with his hands every winter
Mutilated fingers given in the pic
Dx
Burgers Disease
