Year 1 buzzwords Flashcards

(95 cards)

1
Q

Stony dull to percussion

A

Pleural effusion

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2
Q

Right-sided pleuritic chest pain

A

Pneumonia

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3
Q

Alveolar Bat’s Wings, Kerley B lines, Cardiomegaly, Dilated prominent upper lobe vessels, Pleural Effusion

A

Pulmonary oedema

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4
Q

Ground glass appearance on X-ray

A

Pulmonary fibrosis and RDS of the newborn

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5
Q

Ziehl-Nielson positive for acid fast bacilli

A

TB

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6
Q

Caseous necrosis

A

TB

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7
Q

Apical disease

A

(most likely TB; apical lesion Assmann focus)

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8
Q

Miliary Tuberculosis

A

Spread of organism into bloodstream - if into pulmonary artery it spreads into the lungs, if in pulmonary vein it spreads to liver, spleen, kidneys

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9
Q

Positive anti-glomerular basement membrane antibodies

A

Goodpasture’s Syndrome

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10
Q

Chest infection with bird as pet

A

Chlamydophilia psittaci

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11
Q

Dry cough & diarrhoea after holiday abroad, some water involved

A

Legionella pneumophilia (test for urinary antigen)

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12
Q

“Tall, thin young man who indulges in marijuana”

A

Pneumothorax (Marfan’s)

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13
Q

Bilateral hilar lymphademopathy, erythema nodosum, granulomas, fatigue, uveitis, weight loss

A

Sarcoidosis

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14
Q

Bronchiole wider than neighbouring arteriole on CT (AKA Signet Ring sign)

A

Bronchiectasis

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15
Q

“D-sign on Xray”

A

Empyema

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16
Q

“Steeple sign” on X-ray

A

Croup / laryngotracheobronchitis

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17
Q

Child with barking cough

A

Croup

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18
Q

Pneumocystis pneumonia

A

HIV (treat with co-trimoxazole, and prednisolone if severe)

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19
Q

Asthma + Nasal Polyps + Salicylate Sensitivity

A

Samter’s Triad

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20
Q

Alcoholic in danger of aspiration pneumonia - likely organism?

A

Klebsiella pneumoniae

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21
Q

Mucoid sputum

A

Chlamydia psittaci

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22
Q

Rusty sputum

A

Pneumoccoccal pneumonia

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23
Q

Cannonball metastases and haematuria

A

Primary renal cell cancer

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24
Q

Morning headache cause

A

Hypercapnia or nitrate side effects

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25
ACTH secreting lung tumour
Small cell carcinoma
26
PTH secreting lung tumour
Squamous cell carcinoma
27
Increased serum ACE and Ca2+
Sarcoidosis
28
Eggshell calcification at hilar regions
Silicosis
29
"Heart failure cells" in alveolar spaces
Macrophages absorbed haemosiderin found in pulmonary oedema secondary to left ventricular failure
30
Ghon focus
Tuberculosis
31
Coin lesion on CXR
Primary bronchial or lung carcinoma
32
Ptosis, enopthalmos, miosis and lack of sweating on ipsilateral side of sweating
Horner's Syndrome / Pancoast's tumour
33
Thumbprint sign on X-ray
Epiglossitis
34
Inspiratory whoop/barking cough
Pertussis
35
Snow storm appearance on X-ray
Baritosis, silicosi
36
Management of infective COPD exacerbation
iSOAP (ipratropium, salbutamol, oxygen, amoxicillin, prednisolone)
37
Non smoker + lung cancer likely cancer type
Adenocarcinoma
38
Diagnose of PE with
High DDIMER, CTPA or VQ scan
39
Treatment of large PE
thrombolysis
40
Treatment of small PE
LMWH
41
Sheep dust or farmer
C. burnetti
42
Patient has fever and pleuritic chest pain relieved by sitting forward
Pericarditis
43
Irregularly irregular pulse
Atrial fibrillation
44
Saw-tooth baseline + 150bpm on ECG
Atrial flutter
45
Raised JVP/hepatojugular reflex?
Right sided heart failrue
46
Sense of impending doom
MI
47
Broad complex tachycardia origin
Ventricular
48
Mid-diastolic murmur with tapping, undisplaced apex
Mitral stenosis
49
Broad QRS with slurred upstrokes + delta waves
W.P.W
50
Pericarditis 4-6 weeks following MI
Dressler's Syndrome
51
Blurred yellowed vision headache
Digoxin toxicity
52
Janeway Lesions/Osler's Nodes
Subacute infective endocarditis
53
Continuous machine like heart murmur
Patent ductus arteriosus
54
Rib notching on CXR
Coarctation of the aorta
55
Crescendo decresendo murmur
Aortic stenosis
56
Diminished or absent lower limb pulses
Coartation of aorta
57
MRS ASS
Mitral Regurgitation Systolic, Aortic Stenosis Systolic
58
Side effects / contraindication of ACEi?
Cough, contraindicated in renal artery stenosis1
59
Vesicular rash + weight loss
Coeliac Disease
60
Tinkling bowel sounds
Bowel obstruction
61
Rectum Sparing
CD
62
Continuous colonic disease
UC
63
Lead pipe appearance of the colon
UC
64
Cobble stoning
CD
65
Skip lesions
CD
66
Crypt abscesses
UC
67
Urea breath test
H. pylori
68
C14 breath test
Bacterial overload
69
Rice-water like stools
Vibrio cholera
70
Presence of anti-mitochondrial antibodies
Primary biliary cirrhosis
71
Presence of anti-smooth muscle antibodies
Autoimmune hepatitis
72
Alpha-feto protein assay is used to diagnose
Hepatocellular carcinoma
73
Corkscrew oesophagus on barium swallow
Diffuse oesophageal spasm
74
Diuretic for ascites
Spironolactone
75
Severe abdominal pain + D&V after raw milk
Campylobacter
76
Russell's Sign
Self-induced vomiting
77
Mallory's Hyaline Bodies indicate
Alcoholic liver disease
78
Onion skinning fibrosis, beading of bile ducts
Primary Sclerosing Cholangitis
79
BREAST CA expanded
``` Causes of pulmonary fibrosis: Bleomycin Radiation Extrinsic Allergic Alveolitis Ankylosing Sponydyltis Sarcoidosis Tuberculosis Cryptogenic fibrosing alveolitis (AKA idiopathic pulmonary fibrosis) Asbestosis ```
80
AP x-rays are usually
Portable (A Portable X-ray)
81
TB drug mnemonic
2 RIPE 4 RI
82
DRS ABCDE expanded
Danger, Response, Shout for help, Airways, Breathing, Circulation, Disabiltiy, Exposure
83
SEPSIS 6 bundle
``` Take 3 give 3. Give: -Oxygen -IV fluids -IV antibiotics Take: -Blood cultures -Blood test (lactate) -Urine output ```
84
Adrenal cortex layer and secretions mnemonic
Go Find Rex, Make Good Sex. Glomerulosa Mineralocorticoids. Fasciculata Glucocorticoids. Reticularis Sex hormones.
85
Acute Limb Ischaemia Ps
Pale, Pulseless, Painful, Paralysed, Parasthestic, Perishingly Cold
86
ALT or AST is more specific to liver damage?
ALT
87
6 causes of abdominal distension
Fat, Foetus, Flatus, Fluid, Faeces, Fucking big mass
88
CAP CURB 0-2 antibiotic of choice
Amoxicillin (or doxy if allergic)
89
CAP CURB >3 antibiotic of choice
IV co-amoxiclav + IV clarithromycin
90
C. difficile mild infection antibiotic of choice
Metronidazole
91
Severe C. difficile infection antibiotic of choice
Oral vancomycin
92
Legionnaire's Disease antibiotic of choice
Erythromycin
93
Pneumocystis carinii antibiotic of choice
Co-trimoxazole
94
Parasympathetic innervation comes from which nerves
III, VII, IX, X
95
Sympathetic outflow comes between which vertebra?
T1-L2