random 2 Flashcards

(43 cards)

1
Q

what compartment is most commonly affected in the lower leg

A

anterior compartment in lower leg

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2
Q

what is the chronic disabling condition seen after untreated forearm compartment syndrome

A

Volkmann ischaemic contracture

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3
Q

auer rods are seen in

A

AML

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4
Q

which scoring system is used to predict risk of adverse outcome in an upper GI bleed

A

Rockhall score

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5
Q

when can coffee ground vomit be seen

A

in gastric stasis

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6
Q

what is the gold standard management and investigation of torsion

A

surgery

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7
Q

if one testical is torted you fix both

A

correct

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8
Q

what does the Blatchford score do

A

score how likely you are to need intervention eg upper OGD, blood transfusion

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9
Q

what is a positive Simmonds test for

A

rupture of achilles

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10
Q

how would pseugout present

A

positive birefrignetn rhomboid shaped crystals

linear calcification of eniscus and articular cartilage on X ray

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11
Q

how would an L5 radiculopathy present

A

weakness of hip ABduction, weakness in big toe dorsiflexion presents with +ve SLR and reflexes in tact

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12
Q

how would a L4 radiculopathy present

A

decreased knee jerk, sensory loss anterior aspect of knee, weak quads and +ve fem stretch test

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13
Q

rash that sometimes is present in reactive arthritis

A

keratoderma blenorrhagic

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14
Q

haemorrhage 5-10 days post tonsillectomy should be treated how

A

ABCDE and antibiotics

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15
Q

symptoms of meniers

A

tinnitits, vertigo and sensorineural hearing loss

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16
Q

treatment for menieres

A

cant drive during acute attacks, prochoperazine and prevention with betahistine/vestibular rehab

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17
Q

what is sringomyelia

A

fluid filled cavities develop within the spinal cord

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18
Q

what sympotms does a syngomyelia cause

A

pain and temperature loss due to spinothalamic tract damage, shawl like distribution over arms, shoulders and upper body, patients tend to burn themselves without noticing

19
Q

what are the sympotms of cerebellar syndrome

A

DANISH, dysdiadokinesis, dymetria, ataxia, nystagmus, intention tremor, slurred speech/staccato speech, hypotonia

20
Q

would a common peroneal nerve lesion present

A

injury to neck of fibula, weakness of foot eversion, weakness of EHL, sensory loss over dorsum of foot and lower lateral part of leg

21
Q

what are the peritoneal sacs divided into

A

greater and lesser peritoneal sacs

22
Q

how big is the greater peritoneal sac

A

it occupies most of the peritoneal cavity

23
Q

where is the lesser peritoneal sac

A

small and lies posterior to the stomach and lesser omentum

24
Q

how are the lesser and greater sac connected

A

via the epiploic foramen

25
how do you treat variceal bleeding
terlipressin 2g QDS for 72 hours cuases splanchnic vasoconstriction of blood vessels and give antibiotic cover due to risk of bacterial translocation
26
describe histrionic personality trait
inappropriate sexual seductiveness, need to be centre of attention, rapidly shifting and shallow expression of emotions, appearance used for attention seeking, impressionistic speech lacking detail
27
what are the fist rank symptoms of schizophrenia
auditory hallucinations, passivity phenomenoa, delusional perceptions, thought disorders
28
describe schizoid personality disorder
indifference to praise and criticism, preference for solitary activities, lack of interest in sexual interactions, emotional coldness, few interests, prefer to be alone, don't like relationships, low libido
29
describe a narcissitic personality disordrer
grandiose sense of self importance
30
what is the triad of symptoms for cardiac tamponade
hypotension, raised JVP, muffled heart sounds + pulsus paradoxus=abnormally large drop in BP during inspiration
31
what is plummer-winson web
thin eccentric extension of normal oesophageal tissue, upper oesophageal web in association with iron deficiency anaemia and syphagia
32
what is riglers sign
when both sides of the bowel wall are visualised show intra luminal and extra luminal gas
33
what is cupola sign
free air under the central portion of the diaphragm
34
what is thumbprinting
thickened haustra due to oedema seen in IBD also seen in advanced mesenteric ischaemia
35
features of eosinophilic granulomatosis with polyangiits
pANCA, asthma, blood eosinophila, sinusitits, mononeuritis multiplex
36
granulomatosis with polyangiitis
renal failure, epistaxis, haemoptysis, cANCA
37
what does section 2 of the mental health act allow
admission for assessment, 2 doctors must make the recommendation and application is then made by an AMHP, it lasts for a max of 28 days
38
where is the triangle of safety for inserting a chest drain
5th intercostal space or inferior nipple line mid axillary line (or lateral edge of latissimus dorsi anterior axillary line or lateral edge of pectoris major
39
what is the parotid gland supplied by
CN IX
40
how is legionella diagnosed
urinary antigen
41
features of legionella
dry cough, relative bradycardia, deranged LFTS, hyponatraemia
42
features of mycoplasma
haemolytic anaemia/ITP erythmema multiforme, encephalitis/GBD peri/myocarditis
43
what is freidrich-waterhouse syndrome
a rare complication of menicococcal sepsis involving bilateral adrenal haemorrhage