RANDOm Flashcards
(121 cards)
1
Q
prednisolone
A
osteoporosis
2
Q
retinopathy a side effect for
A
hydroxychloroquine
3
Q
oligospermia a side effect for
A
sulfasalazine
4
Q
gold
A
nephrotoxic
5
Q
methotrexate causes
A
pneumonitis
6
Q
Padder Willi
A
15 Q
7
Q
Angleman
A
15Q
8
Q
what antipsychotic would you give in diabetics and hypertensives
A
rispiridone
9
Q
antipsychotic for parkinsons (or lewy bodies)
A
quetiapine
10
Q
post MI pain
A
Morphine
11
Q
howell jolly body
A
hypospenism
12
Q
DIC
A
D dimer - most diagnostic other than coag screen
13
Q
target cells
A
Beta thal
14
Q
acute phase protein
A
serum ferritin
15
Q
iron absorption
A
at duodenum
16
Q
B12 ABSORPTION
A
ileum
17
Q
folate absorption
A
duodenum or jejunum
18
Q
hydroxycarbamide
A
HbA promotion in sickle cell
19
Q
folic acid
A
promote RBC production
20
Q
penicillin in sickle cell
A
to decrease risk of hyposplenism
21
Q
treatment for huntingtons
A
tetrabenazine
22
Q
ADHD and a tic
A
clonidine
23
Q
anti VGCC
A
LEMS
24
Q
tX for lems
A
3,4-diaminopyridine
25
GBS
demylinating disorder most commonly caused by recent campylobacter infection
26
GBS progression
Progressive symmetrical sensorimotor paralysis - ascending
will be areflexia
usually stops progressing after four weeks
27
complex regional pain
post surgery or minor injury
| will be leg swelling, skin changes and motor dysfunction
28
Central post stroke pain
hemiplegia with initial paraesthesia followed b allodynia
29
Tx for alzheimers
donepezil, galantamine or rivastigmine
30
S+s for frontotemporal
inhibtion, apathy, difficulty planning
| - semantic dementia or progressive non-fluent aphasia
31
semantic dementia
word finding difficulty - loss of recognition of familiar faces or objects
32
Progressive non-fluent aphasia
slow/hesitiant speech, word finding deficits and agrammatism
33
Ix for vascular
SPECT
34
S+s for vascular
attentional impairment, disinhibition, cognitive slowing, fnd and difficulty walking/falls
35
MS UMN OR LMN
UMN - affecting the white matter tracts of the brain and spinal cord
36
Lhermitte sign
an electrical shock-like sensation down the upper limbs and trunk on neck flexion
37
Uhtoff's phenomenon
exacerbation of current symptoms in hot environments
38
triad of what in MS
sensory
ocular
motor aka pyramidal
with get other Sx such as; cerebellar dysfunction, fatigue and LURTdysfunction
39
Ix for MS
MRI and LP
40
sensory sx tx for MS
gabapentin
41
spasticity tx for MS
baclofen
42
trigeminal neuralgia tx
carbamazepine
43
associations of myasthenia gravis
thymic hyperplasia
thymoma
SLE
hyperthyroid
44
Ix for myasthenia
Anti Ach and Anti MUSK
TFT
CT
45
Tx for myasthenia
pyridostigmine (anticholinesterase), thymectomy, IV immunoglobulins - short
long - immunosuppression with high dose and steroid paring +plasma exchange
46
cause of lems
lung cancer
47
gait in lems
waddling as proximal weakness
48
myasthenia feature
end of day weakness, occular weakness,
proximal more marked than distal
weak facial/expressive/respiratory muscles
49
inverted champagne bottles of lower limbs
charcot-marie tooth disease
50
anomic aphasia - angular gyrus
impaired ability to find words everything else is normal
51
affective responsiveness
ability of an individual to respond to emotional needs of another family member
52
egocentrism
only ale to consider their own point of view and see it as the only possible
53
anxious avoidant attachment
child avoids/ignores parent with little emotional response
54
anxious ambivalent
distressed without caregiver - explores little
| a bit warOy of strangers
55
affective responsiveness
the ability of an individual to respond to the emotional needs of another family member
56
OA stiffness
<30 mins in morning
57
NT for sleep
serotonin
58
NT disrupted by haloperidol
dopamine
59
tardive dyskinesias
typical antipsychotics
60
weight gain
olanzapine
61
underactive thyroid
lithium
62
Na val side effects
stomach irritation, unsteady, tremor and weight gain
63
prophylaxis in asthma
topiramate
64
eating disorder med
fluoxetine
65
factitious disorder
fake symptom for no obvious reason
66
dissociative disorder
a random somatic symptom as presentation for an alternative life event
67
hyperthermia, hypertension and tachy
cocaine
68
psychotic, weakness, tremor and arrhythmia
amphetatmine
69
pinpoint pupil, decreased resp and LOC
opioid overdose - naloxone
70
mild depression
at least 2 core criteria for 2 weeks
71
moderate depression
2 and 4 (half of 4 is two)
72
severe depression
3 and 5
73
eating something random like soap
pica
74
antidepressant in preg
sertraline
75
Loop of Meynert
Alzheimers
76
Dx for Alzheimers
MMSE
77
Picks Dx
CT scan
78
Hachinski ischaemia score
used to differentiate different types of dementia
79
initiates abduction
supraspinatus
80
up to 90 degress of abduction
deltoid
81
abduction beyond 90 degrees for arm
trapezius and serratus anterior
82
winging of scapula
long thoracic
83
finger flexion
median
84
finger extension
radial
85
axillary sign and cause
cant abduct following humeral fracture
86
ulnar c and s
claw hand after medial epicondyle fracture
87
radial s and c
wrist drop following humeral fracture
88
gram positive meningitis
lysteria
89
a homeless alcoholic has meningitis
CMV meningitis
90
Glycoprotein IIB/IIIA
Abciximab
91
Phsophodiesterase inhibitor reducing production of cAMP
dipyridamole
92
acute inflammatory cells
neutrophils
93
eosinophils
parasites
94
EBV infection
atypical lymphocytes
95
Glutathione
antioxidant
96
Krebs cycle
main pathway for ATP
97
high affinity for oxygen
2,3-DPG
98
G6PD
glucose hexose monophosphate pathway
99
geriatric pharmacodynamics - more acidic of basic
basic
due to increased gastric pH
decreased body water content
increased body fat
100
lipophilic drugs have a decreased vd of lipophilic drugs t or f
f
| have an increased vd due to increased body fat etc
101
metabolism in elderly unchanged?
will decrease due to small liver
decreased first pass
decreased binding enzymes
102
albumin binds to what
acidic things
103
A1 acic glycogen binds to what
basic things `
104
can you use serum creatinine as a reliable measure of GFR in elderly
no - often underestimates
| however GFR is usually reduced in elederly anyway
105
why are bb not as effective / need more of in the elderly in comparison to any other med where you need less to have an affect
decreased first pass metabolism
106
sie effect of opiods
constipation - start senna prophylactically
107
criteria used for geriatric med risk
BEERS citeria
108
meds to stop
```
codeine
loperamide
prochlorezapine
metocopramide
stimulant laxatives
```
109
meds to start
PPI
fibre supp
anti hyp (consider CCB or BB if coexisting angina)
Warfarin or DOAC
110
OA tx
PARACETAMOL
111
RA and splenomegaly
Feltys
112
Leukoerythroblasts
Idiopathic myelofibrosis
113
Low platelets and normal marrow
ITP
114
Ix for multiple myeloma
protein/serum electrophoresis
115
Sickle cell Ix
HPLC
116
smear cell
CML
117
yolk sac produces
AFP
118
choriocarcinoma produces
HCG
119
theca produces
androgens
120
granulosa
oestrogens
121
Abdo mass, heavy bleeding
fibroid or cancer
