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Samson Mocks Flashcards

(94 cards)

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1
Q

Next process for recurrent palpitations

A

Holter monitoring

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2
Q

Hereditary hearing loss in a pregnant woman

A

Otosclerosis

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3
Q

Hereditary bilateral SNHL

A

Presbycusis

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4
Q

Obese 35yr old with generalized itching

A

Primary biliary cirrhosis

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5
Q

Penile discharge+dysuria+pain around the anus

A

Prostatitis

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6
Q

Memory loss in DM/HTN

A

Vascular dementia

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7
Q

Visual hallucinations+Memory loss

A

Lewy body dementia

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8
Q

Cause of Bronchiolitis

A

RSV

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9
Q

Lower abdominal pain+hematuria

A

Renal calculi

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10
Q

HbA1c target in Metformin users

A

53mmol/l (7%)

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11
Q

First line trigeminal neuralgia

A

CBZ

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12
Q

What drug causes rectal ulcers

A

Nicorandil

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13
Q

Swinging fever
Abdominal pain
Hx. of swimming

A

Schistosomiasis

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14
Q

Oculogyric crisis/Torticollis

A

Acute dystonia

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15
Q

Sticking out the tongue (Extrapyramidal)

A

Tardive dyskinesia

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16
Q

Acute Asthma Protocol

A

Oxygen
Nebulized salbutamol/ipratropium
IV Hydrocort/Oral Prednisolone
MgSO4

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17
Q

COPD Protocol

A

Smoking/Vaccines/Rehabilitation
SABA or SAMA
LABA+LAMA
LABA+LAMA+ICS
Long term oxygen therapy

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18
Q

Recurrent chest infection+FTT

A

Cystic fibrosis

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19
Q

Normal COCP dose

A

Levonogestrel 150ug
Ethinylestradiol 30ug

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20
Q

MSK with rigidity of spine

A

Charcot Marie Tooth disease

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21
Q

Diff btw Tamsulosin and Finasteride

A

Tamsulosin causes falls
Finasteride is for >65yrs
Both cause sexual dysfunction

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22
Q

Top lateral shoulder pain+positive impingement test

A

Supraspinatus tendinopathy

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23
Q

Prostate drug that causes flushing

A

Goserelin

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24
Q

Tx. for Akathisia and Dystonia

A

Procyclidine

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25
Vision: specks of dots/floaters when you move eyes from side to side, better with dark glasses
Posterior vitreous detachment
26
Saudi Arabia/Anemia/Hydrops fetalis
Thalassemia
27
Middle age+tremors+forgetfulness
Huntington
28
Specks or dots in vision
Vitreous hemorrhage/Posterior vitreous detachment
29
Bloody diarrhea+low platelets and Hb+blood in urine
HUS
30
Fever+peeling hands/feet
Kawasaki (LFT)
31
Chronic blood and mucus in stool
Ulcerative colitis
32
Color blindness
Retinitis pigmentosa
33
Fever+mouth ulcers+blistering of palms, feet and trunk
Hand, foot and mouth disease
34
Management of Delirium I
Oral Haloperidol
35
When atypical antipsychotics fail in Schizophrenia
Clozapine
36
Constipation in children
Macrogol
37
GERD in children
Alginates
38
Low TSH+Low T4+ Feeling unwell
Sick Euthyroid syndrome
39
Cause of CROUP
Parainfluenza virus
40
Difficulty swallowing+fever (cause)
Epiglottitis (H. Influenza)
41
Cough+localized monophasic wheeze
Foreign body
42
First line tx. in Carpal tunnel syndrome
Wrist splinting at night
43
Most appropriate diagnostic test in MS
MRI
44
Investigation of choice in NMS
Creatinine kinase
45
Kidney problem of NSAIDS
Interstitial nephritis
46
First line in renal colic
IM or Rectal Diclofenac
47
Contraceptive for teenager+menorrhagia
COCP
48
Contraceptive for menorrhagia
Mirena
49
Contraceptive in fibroids
COCP
50
Contraceptive in learning disability
IUCD/Injectables
51
Contraceptive in DVT/PE
POP
52
Contraceptive in heavy smokers (long term)
IUCD
53
Red strawberry tongue+sandpaper rash
Scarlet fever
54
Red strawberry tongue+rash on hands and feet
Kawasaki
55
Contraceptive<21days postpartum
POP
56
First investigation in infertility
Chlamydia test
57
Flushing while treating acne
Doxycycline
58
Young+recurrent wheeze+negative IgE
Hereditary angioedema (C1esterase inhibitor)
59
Muscle weakness/aches+high CK
Polymyositis
60
Bilateral CHL in 30-60yrs
Otosclerosis
61
Itchy dry skin in winter (Elderly)
Asteatotic eczema
62
Warfarin overdose(major bleeding)
IV Phytomenadione+Prothrombin concentrate/FFP
63
Warfarin overdose (minor bleeding, INR>8)
IV Phytomenadione
64
Warfarin overdose (no bleeding, INR>8)
Oral Phytomenadione
65
Warfarin overdose (no bleeding, INR:5-8)
Reduce warfarin dose
66
Contraceptive in menorrhagia
IUS
67
Mgt. of slapped cheek syndrome
Advise not to go to school
68
Labia minora raised shiny scaly lesion
Lichen planus
69
Testicular pain+absent cremasteric reflex
Testicular torsion
70
High FSH and LH, low Estrogen
Premature ovarian failure
71
Drug that causes Raynaud's phenomenon
Bisoprolol
72
Medical treatment of Cushing's disease
Fluconazole
73
2 Risk factors for VF
Hypokalemia Long QT Syndrome
74
Tx. for post-menopausal hot flushes
Combined HRT
75
Tx. for post-menopausal hot flushes after hysterectomy
Estrogen only HRT
76
Single most appropriate investigation in Plantar fascitis
USS
77
Age for Perthes disease
3-10yrs
78
Fever+heart murmur
Infective Endocarditis
79
Prophylaxis for Cluster headache
Verapamil
80
Prophylaxis for Migraines
Propranolol/Topiramate
81
Rash: Stuck-on, greasy, elderly
Seborrheic keratosis Here are 5 key distinguishing features of seborrheic keratosis: 1. "Stuck-on" appearance: Lesions look as if they are pasted or stuck onto the skin. 2. Waxy texture: Often have a waxy, greasy, or velvety surface. 3. Well-demarcated: Lesions have sharp borders separating them from the surrounding normal skin. 4. Variegated color: Range from tan to brown or black, with a uniform or slightly mottled pigmentation. 5. Horn cysts: Small keratin-filled cysts often visible on dermoscopy or palpation. These benign lesions are common in older adults and rarely progress to malignancy
82
What condition do you use low FODMAPs
IBS
83
Management of Parainfluenza
Ganciclovir
84
3 Causes of sterile pyuria
Bladder/Renal Cancer Renal tuberous sclerosis Chlamydia infections Renal tuberculosis Candida infection Schistosomiasis Partly treated uti
85
4 Statin follow up
LFT HbA1c Renal function TSH
86
Acute leg pain+palor on lifting leg
Acute limb ischemia
87
Emphysema+abnormal LFTs
Alpha1 antitrypsin deficiency
88
Ovarian cyst <0.5cm
No follow up
89
Ovarian cyst 0.5cm-0.7cm
Yearly USS
90
Ovarian cyst>0.7cm
Further imaging/surgery
91
First line in tension type headache
Ibuprofen 400mg
92
First line in Schizophrenia
Typicals; Risperidone and Olanzapine
93
Rash+generalized body pain
Dermatomyositis
94
Brown round patches between nose and upper lip+/- Epistaxis Treatment
HHT/OWRS No treatment

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