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THIRD YEAR > Q > Flashcards

Q Flashcards

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1
Q

idiopathic intracranial hypertension (benign intracranial hypertension) symptoms
who
aggravated by what

A

headache
young females. obese
coughing/strainign

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2
Q

space occu[ying lesions headache

A

contant

progressively worsening headache

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3
Q

women os child bearing age and acute onset abdominal pain +/- vom

A

UPT

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4
Q

how much body iron is present in hb

A

60-70%

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5
Q

iron in veg foods

A

poorly absorbed

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6
Q

serum iron does what

A

fluctuates

not in isolation a reliable indicator of iron supply to tissues

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7
Q

what should transferrin sats be above to maintain normal erythropoiesis

A

> 50%

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8
Q

acute stress disorder within how long of event

A

1m

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9
Q

first line in anxiety

A

SSRIs

sertaline

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10
Q

thrombotic thrombocytopenia purpura
symp
cause
ix

A

renal failure, fever, thrombocytopenia, neuro dysfunction, haemolysis

preg known cause

urine bHCG in women

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11
Q

idiopathic thrombocytopenia purpura difference

ix

A

no renal failure
no haemolyiss

anti platelet AB test

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12
Q

triptans are what

A

5HT1 agonists

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13
Q

remission of migraines is common when

A

in preg

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14
Q

who do migraines occur in

A

<30s

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15
Q

when should clozapine be rpescribed in schiz

A

after 2 antipsychotics have been tried

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16
Q 
vulval malig which is the commonest 
who
symp
ix
rx
A 
squamous 
>60s
vulval discomfort and itching associated with growth 
biopsy 
vulvectomy
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17
Q

cx of untreated subdural haemorrhage

A

recurrent haemorrhage

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18
Q

axonal tearing happens when

A

rapid displacement of the head and brain

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19
Q

takayusi’s arthritis in who

what

A

young women

pulsless disease

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20
Q

ophthalmic artery isa branch from what

A

internal carotid artery

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21
Q

left hemisphere lessons causes the head to turn which way

left brianstem lesion

A

left

right

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22
Q

spastic paraparesis is what

cause of this in young women

A

UMN weakness of both legs

MS

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23
Q

iron defic treatment

A

ferrous sulphate 200mg three times daily
repeat bloods in 3m
increase in Hb by 1g/dl in a week

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24
Q

risk factors for endometrial cancer

A

not children
long menopausal life
obesity
unopposed oestrogen therapy

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25
symptoms of endometrial cancer | ix
vaginal bleeding | endometrial biopsy
26
though block, passivity, manic behaviour
schiz
27
eosinophilia
hodgkins, hookworm manifestation
28
what can happen before a seizure
an aura
29
pernicious anaemia is more common in which kinds of patients
HIV
30
pernicious anaemia
increased MCV with megaloblasts in marrow
31
feltys shows what
neutropenia with myeloid hyperplasia
32
iron defic anaemia shows what
hypochromia, anisocytosis, polikilocytosis
33
free air on CXR/abd
perforate PU
34
sickle cell caused by what
HbS abnormal beta chain production
35
symptoms of sickle cell
splenomegaly in childhood | hyposplenism in adulthood due to infarcts
36
who is sickle cell common in | blood film
black african individuals | sickle cells/target cells
37
what can cause wasting of the small muscles of the hand
MND
38
NF I
neurofibromas in nervous system | cafe au lait spots
39
von hipper landau disease is what | assoc with what
mutation on tumour suppressor gene on chromosome 3 | angiomato, haemangioblastoma, phaemochromocytoma
40
NF II
bilateral acoustic neuromas
41
apgar done when
1 min after birth | then 5 mins
42
apgar
``` pulse resp effort colour muscle tone (activity) grimace (reflex irritability) ```
43
HELLP
Haemolysis Elevated Liver enzymes Low Platelets
44
symptoms of HELLP
malaise, nausia, vommitng, headache, hypertension, proteinuria, epigastric/abd pain
45
intraheptic cholestasis of preg (obstretric cholestasis) when symptoms rx
3rd trim pruritus often in palms and soles, no rash, increased bilirubin ursodeoxycholic acid used for symptomatic relief women typically induced at 37 weeks
46
fitz Hugh curtis syndrome
hepatic adhesions
47
ovarian torsion symptoms
sudden onset deep seated colicky abd pain assoc vom and distress
48
galactocele is what when symp
stopped breast feeding build up of milk painless no local/systemic signs of infection
49
when should CTG monitoring be done during labour
``` suspected chorioamnionitis or sepsis or demo >38 severe htn 160/110 or > oxytocin use presence of significant meconium fresh vaginal bleeding in labour ```
50
``` CTG: brady causes tacky loss of baseline variability early deceleration late decelerations variable deceleration ```
brady <100 increased fetal vagal tone, maternal BBs tachy >160 maternal hypoxia, chorioamniocitis, hypoxia, prem loss of baseline variability <5 beats/min prem hypoxia early deceleration - onset of contraction decreases then becomes normal when contraction closes normal late deceleration - lags onset of contraction, doesn't return to normal until 30s after contraction ended fetal distress due to asphyxia/placental insufficiency variable deceleration - independant of contractions cord compression
51
chorioamniocentesis symp signs | what is it
uterine tenderness and foul smelling discharge baseline fetal tachy medical emergency
52
``` fibroid red degeneration what is it can happen when symptoms when ```
fibroids undergo red degeneration during pregnancy severe pain, vom 1st/2nd trim
53
pyelonephritis symp
foul smelling discharge | dysuria
54
lochia is what
bleeding for the first few weeks after birth normal can last up to 6 weeks
55
endometrial cancer prognosis
has a good one
56
DIC treatment
cryoprecipitate and FFP given first
57
smear test in pregnancy
if past smears have been normal then wait 12 weeks PP
58
most common type of ovarian epithelial cell tumour
serous cystoadenoma
59
LB has what
halucincaitons and parkisnosn symptoms
60
SSRI discontinuation syndrome
diarrhoea, vom, abd pain
61
what should be given in depression to px with cardiovascular disease
sertaline
62
SSRI and aspirin
add a PPI such as lansoprazole
63
``` schiz epidemiology monozygous twin parent sibling no relatives ```
50% 10-15% 10% 1%
64
BZD withdrawal syndrome when | symp
can occur up to 3 weeks after stopping the drug insomnia, irratibility, anxiety, tremor, loss of appetite, tinnitus, perspiration, perceptual disturbances, seizures
65
poor prognostic factors for schiz
``` strong FH gradual onset low IQ premorbid history of social withdrawal lack of obv precipitate ```
66
first line in panic disorders | if contra indicated or no response in 12 weeks
SSRIs - sertaline | imipramine, clomipramine
67
alcohol withdrawel symp seizures delirium tremers
6-12h 36h 72h
68
which TCA should be avoided in depression
dosulepin - dangerous in overdose
69
TCAs and dementia
worsening cognitive impairment
70
methylphenidate is used in what | what needs to monitored with this drug
ADHD | growth
71
SSRI in adolescents
fluoxetine
72
anti psychotics in elderly increases the risk of what
VTE and stroke
73
mirtazapine
increases appetite | drowsiness
74
atypical antipsychotics cause what
weight gain
75
MMSE cut offs
21-26/30 mild dementia 10-20 mod 10 severe
76
schiz
olanzapine
77
opiod withdrawel
dilated pupils yawning rhinorrhea lactorrhoea
78
opiod intoxication
pin point pupils, pallor, resp depression, pulmonary oedema
79
alcohol withdrawel treatment
chlordiazepoxide
80
schillings test done when
to differentiate between pernicious anaemia and small bowel disease if neg both times (after B12 and IF) then small bowel disease
81
HbS
tendency to become rigid and sickle | occlusion of small vesicles
82
IF produced by what | binds what
stomach parietal cells | binds vit B12
83
pernicious anaemia
AB against gastric parietal cells
84
ALL increased what who risk w rx
lymphocytes children 15-25 or >75 rumour lysis syndrome
85
AML peak onset rare what
70s rare in <20s auer rods
86
CLL is what | who
monoclonal malignancy leading to functionally incompetent lymphocytes
87
CML malig of
granulocytes
88
hodgkins
clonal expansion of B and T white blood cells

THIRD YEAR (27 decks)

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