Test Findings Flashcards

1
Q

ECG:

Tall T-waves

A

Hyperkalaemia

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2
Q

ECG:

Prominent U Wave

A

Hypokalaemia

Hypocalcemia

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3
Q

ECG:

ST-Depression

A

Hypokalaemia
Myocardial Infarction (Non-Q-Wave)
Unstable Angina
Hypothermia

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4
Q

ECG:

Tall P-waves

A

Hypokalaemia

Right-Atrial Enlargement

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5
Q

ECG:

“M” QRS

A

Right BBB if leads 1-3 (“MaRRoW)
Brugada
Left BBB if in leads 5-6 (“WiLLiaM”)

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6
Q

ECG:

RSR pattern

A

Brugada

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7
Q

ECG:

ST-Elevation

A

Myocardial Infarction (STEMI, in particular leads)
Pericarditis (Widespread, “saddle-shaped”)
Priznmental’s Angina (CA Spasm)

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8
Q

CXR:

“Tramlines + Ring Shadows”

A

Bronchiectasis

-Widened bronchi are the cause of this appearance.

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9
Q

GFR: 80

Type of renal failure?

A

Type 2

Think clock: 
>(12)0 = normal
>90 = 1 
>60 = 2
>45 = 3a
>30 = 3b
>15 = 4
0-15 = 5
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10
Q

GFR: 25

Type of renal failure?

A

Type 4

Think clock: 
>(12)0 = normal
>90 = 1 
>60 = 2
>45 = 3a
>30 = 3b
>15 = 4
0-15 = 5
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11
Q

X-Ray:

Pencil-Cup deformity

A

Psoriatic Arthritis

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12
Q

X-Ray:

Osteophytes

A

Osteoarthritis (LOSS)

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13
Q

X-Ray:

Subchondral Cysts

A

Osteoarthritis (LOSS)

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14
Q

X-Ray:

Subchondral Sclerosis

A

Osteoarthritis (LOSS)

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15
Q

X-Ray:

Bony Erosions

A

Rheumatoid Arthritis (LESS)

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16
Q

X-Ray:

Loss of joint space

A
Osteoarthritis (LOSS)
Rheumatoid Arthritis (LESS)
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17
Q

Water Deprivation Test:
Before vasopressin: Low urine osmolality.
After vasopressin: High urine osmolality.

A

Cranial Diabetes Insipidus

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18
Q

Water Deprivation Test:
Before vasopressin: Low urine osmolality.
After vasopressin: Low urine osmolality.

A

Nephrogenic Diabetes Insipidus

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19
Q

Glucose Tolerance Test:

Results in lower GH levels.

A

No acromegaly

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20
Q

Glucose Tolerance Test:

No change in GH levels.

A

Acromegaly is likely.

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21
Q

CXR:

Kerley B Lines

A

Visible septae between lobes

  • Present in Pulmonary Oedema
  • Present in Neoplasia
  • Present in Pneumonia
  • Present in Sarcoidosis.
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22
Q

Dipstick:
Blood [+]
Leukocyte [+]
Nitrate [+]

A

UTI highly likely if urine is cloudy: Give Abx

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23
Q

Dipstick:
Blood [-]
Leukocyte [-]
Nitrate [+]

A

UTI highly likely if urine is cloudy: Give Abx

24
Q

Dipstick:
Leukocyte [+]
Nitrite [-]

A

UTI and other pathology equally likely: Consider culture.

25
Dipstick: Leukocyte [-] Nitrate [-] Blood [+]
UTI unlikely. Consider another diagnosis.
26
Dipstick: Leukocyte [-] Nitrate [-] Protein [+]
UTI unlikely. Consider another diagnosis.
27
CLED agar: | Yellow
Lactose Fermenting e.g. E.Coli ; Staph.Saphrophiticus Proteus will NOT grow.
28
CLED agar: | Blue
Non-Lactose Fermenting e.g. Shigella ; Pseudomonas ; Salmonella Proteus will NOT grow.
29
Blood Agar: No Growth | Chocolate Agar: Growth
Likely to be Haemophillius Spp.
30
Blood Agar: Brown/Green Colonies
∂-Haemolytic Without other evidence, think of these Streptococcus species: - Viridans - Pneumonia
31
Blood Agar: White Colonies
ß-Haemolytic Without other evidence, think of: - Streptococcus Pyogenes (A) - Streptococcus Agalacticae (B) - Staphylococcus Aureus - Staphylococcus Epidermidis
32
Overnight Dexamethasone Suppression: | High Cortisol
Very indicative of Cushing's disease.
33
Urine: Bence-Jones Proteins
AKA Immunoglobulin-Light-Chain | -Indicative of Multiple Myeloma.
34
``` Blood-Gas: pH - Low PaO2 - Low PaCo2 - High HCO3- - Upper end of normal ```
Respiratory Acidosis with No Metabolic Compensation
35
``` Blood-Gas: pH - Low PaO2 - Low PaCo2 - High HCO3- - High ```
Respiratory Acidosis with Partial Metabolic Compensation
36
``` Blood-Gas: pH - Normal PaO2 - Low PaCo2 - High HCO3- - High ```
Respiratory Acidosis with Complete Metabolic Compensation
37
``` Blood-Gas: pH - Low PaO2 - Normal PaCo2 - Normal HCO3- - Low ```
Metabolic Acidosis with No Respiratory Compensation.
38
``` Blood-Gas: pH - Normal PaO2 - High PaCo2 - Low HCO3- - Low ```
Metabolic Acidosis with Complete Respiratory Compensation.
39
Parathyroid Function: PTH - High Ca++ - High Phosphate - Low
Primary Hyperparathyroidism More PTH >> More Ca and Less PO4
40
Parathyroid Function: PTH - High Ca++ - Low Phosphate - Variable
Secondary Hyperparathyroidism Less Ca >> More PTH
41
Parathyroid Function: PTH - High Ca++ - High Phosphate - High
Tertiary Hyperparathyroidism
42
Parathyroid Function: PTH - High Ca++ - Low Phosphate - High
PseudoHypoparathyroidism High PTH >> PTH-insensitivity so Low Ca and high phosphate >> Higher PTH.
43
Parathyroid Function: PTH - Low Ca++ - Low Phosphate - High
Hypoparathyroidism
44
Blood Smear: | Heinz Bodies
G6PD Anaemia
45
Blood Smear: | Auer Rods
AML | -Clumps of granular material forming elongated needles
46
Blood Smear: | Macrocytic Anaemia
Folate / B12 Deficiency Alcoholism Hypothyroidism
47
Blood Smear: | Microcytic Anaemia
Iron Deficiency Anaemia Thalassemia Sideroblastic Anaemia
48
Suspected Myasthenia Gravis: | No Anti-ACh-Receptor Antibodies found.
Likely Lambert-Eaton Syndrome. | Reduced ACh Release
49
Suspected Myasthenia Gravis: | Anti-ACh-Receptor Antibodies found.
Likely Myasthenia Gravis.
50
CT Scan: | "Ground Glass" Appearance
Interstitial Lung Disease Pneumonia Pulmonary Oedema
51
Bounding pulse
Sepsis | Hypercapnia
52
Histology: | Orphan Annie eyes
Papillary adenocarcinoma of the thyroid | Most common thyroid cancer
53
Histology: | Hürthle cells
Follicular adenocarcinoma of the thyroid. | 2nd commonest thyroid cancer
54
Histology: | Spindle-shaped cells, myeloid deposits
Medullary thyroid carcinoma
55
Number of men who have a true-positive PSA test for prostate cancer out of the number of men who have a positive PSA test? (PPV)
30% -2/3 of men will have it raised without any cancer present.
56
Neuropathy + Anti-Gliadin is positive
Potential gluten ataxia -May be on exam