Passmed Flashcards

(67 cards)

1
Q

receptor that anti-histamines work on

A

H1-receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

receptor that antacids work on

A

H2-receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

receptor that nasal decongestants work on

A

alpha 1 receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

are nasal decongestants alpha 1 receptor agonists or antagonists

A

agonists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mx of genital herpes in pregnancy, once the primary infection has been treated?

A

aciclovir tds from 36w until delivery

can have expectant delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

why should topical chloramphenicol be avoided in preg women

A

risk of grey baby syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

high risk factor for developing PET

A

T2DM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what Ix is contraindicated for parotid gland tumour

A

percutaneous needle biopsy

- can cause seeding of the tumour along the needle track to the skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1st line anti emetic used in preg

A

anti-histamines - cyclizine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

s/e of metoclopramide

A

extra pyramidal side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

is a corneal ulcer visible with the naked eye

A

no - only with fluorscein drops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

is keratitis visible with the naked eye

A

yes - cluster of white cells in the cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what eye condition can giant cell arteritis lead to

A

anterior ischaemic optic neuropathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

carotid body aneurysm - associated with bruit?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

carotid body tumour - associated with bruit?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what eye problem does prolonged hypocalcaemia cause

A

cataracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what eye problem does hypercalcaemia cause

A

corneal calcification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

age for precocious puberty femlaes

A

development of secondary sexual characteristics <8

8 looks like boobies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

acute systolic murmur that can happen post-MI and what causes it

A

mitral regurgitation

- rupture of the papillary muscles secondary to an MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

presentation VSD post-MI

A

acute heart failure associated with a pansystolic murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

secondary prevention for pts with a stroke and AF

A

warfarin or factor Xa inhibitor (e.g. apixaban)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what to give pts before contrast if they are at risk of contrast nephropathy

A

IV NaCl infusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

how high would CK be in rhabdomyolysis

A

> 10,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what electrolyte abnormality can thiazide diuretics cause

A

hyponatraemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Ix for cervical spine #
CT scan of neck
26
presentation of supraventricualr premature beats
"feel as if heart stops followed by pounding sensation"
27
biochem primary hyperparathyroidism
high PTH, high Ca
28
Mx of AF if incidental finding, asymptomatic, with rate controlled and CHADSVAS score 0
no Tx
29
Mx paralytic ileus
nil by mouth, insert NG tube
30
presentation of lymphogranuloma venereum
enlarged lymph nodes and ulcer in rectal area (endemic in UK in MSM)
31
artery most commonly bleeding in peptic ulcer disease
gastroduodenal artery
32
Mx of pt with septic shock and signs of over hydration
vasoconstriction with noradrenaline/norepinephrine
33
Mx of pt with shoulder pain and no nerve symptoms
refer to physio
34
Where in brain do changes in early Alz disease occur
temporal lobe
35
post op analgesia to avoid in pt with respiratory disease
opioids
36
? carbon monoxide inhalation - what do you measure
carboxyhaemoglobin
37
Ix after unprovoked DVT
CT abdo/pelvis - identify possible malignancy
38
Tx needed for clot prevention in mechanical valves
aspirin and warfarin
39
what is a prospective cohort
group of individuals are followed to determine how these factors affect outcomes
40
what is a retrospective cohort
the group of individuals are looked at after the event has taken place
41
how long should pt be fasted pre-op
2h clear liquids, 6h for solids
42
Ix of a non-functioning thyroid nodule
ultrasound
43
most common cause of malaria
plasmodium falciparum (parasite)
44
how to tell the diff between hydrocele and epidiymal cysts as they both transilluminate
hydrocele - surrounds the testi | epididymal cyst - separate to the testi
45
1st line Tx for superficial thrombophlebitis
NSAIDs
46
lymphatic drainage of the ovaries
para-aortic nodes
47
what to test for if pt has recurrent candidiasis
DM (glycated Hb)
48
prophylactic Abx in PROM
erythromycin for 10d + maternal steroids
49
Abx in PROM if group B strep isolated
penicillin and clindamycin
50
reversal of resp depression caused by magnesium suplhate
calcium gluconate
51
ABC features of IBS
Abdominal pain Bloating Change in bowel habit
52
if preg woman tests -ve for rubella immunisation, what is the Mx of her
advise her to stay away from people who might have rubella - and give MMR in the post-natal period
53
breast cancer is a contraindication to what types of contraception
all hormonal forms !
54
what secretes bHCG and what is its role
synctiotrophoblasts - acts to maintain progesterone production by the corpus luteum
55
Mx PPH
1. bimanual uterine compression + catheter 2. Syntocinon 5 units slow IV 3. Ergometrine 4. Syntocinon infusion 5. Carboprost 6. Misoprostal rectal 7. Surgical haemostasis - intrauterine balloon tamponade
56
is PAPP-A expected to be low or high in Downs syndrome
low
57
is b-HCG expected to be low or high in Downs syndrome
high
58
combined test for Down's syndrome
nuchal translucency, b-HCG, PAPP-A
59
triple test for Down's syndrome
AFP, b-HCG, unconjugated oestriol
60
quadruple test for Down's syndrome
AFP, b-HCG, unconjugated oestriol, inhibin A
61
which diabetic drug is safe in breastfeeding
metformin
62
when is oxytocin given for active management of 3rd stage of labour, and how is it given
given after the delivery of the anterior shoulder, and is given IM
63
when should the measurement of the fundal-symphysis height start to match up with the gestational age of the foetus within 1-2cm
from 20w
64
meigs syndrome
pleural effusion ascites ovarian mass
65
grading hypertensive retinopathy
1 - silver wiring 2 - arteriovenous nipping 3 - cotton wool exudates, dot and blot haemorrhages 4 - papilloedema
66
does COPD cause finger clubbing?
no
67
most important initial investigation in TCA OD
ECG - prolonged QRS means at risk of seizures