12/06 Flashcards
PDA
left subclavicular thrill
continuous ‘machinery’ murmur
large volume, bounding, collapsing pulse
wide pulse pressure
heaving apex beat
school entry hearing test
pure tone audiometry
newborn hearing test
otoacoustic emission test
test if otoacoustic emission test is abnormal
Auditory Brainstem Response test
which LFT can be abnormal in pregnancy normally
ALP
SIADH drug causes
carbamazepine, sulfonylureas, SSRIs, tricyclics
hypokalaemia drug causes
thiazide and loop diuretics
which types of HPV -> cervical cancer
16 18 and 33
diarrhoea confusion and eczematous skin
vit A deficiency (niacin) -> pellagra
aortic regurgitation murmur
early diastolic murmur - intensity increased by handgrip
aortic regurgitation pulse
collapsing pulse
wide pulse pressure
aortic stenosis murmur
ejection systolic that radiates to carotids and is decreased with valsalva manouvre
aortic stenosis pulse
narrow pulse pressure
slow rising pulse
aortic regurgitation unique signs
Quincke’s sign (nailbed pulsation)
De Musset’s sign (head bobbing)
aortic stenosis severe
soft/absent S2
S4
thrill
aortic stenosis consequence
left ventricular hypertrophy or failure
mitral stenosis cause
rheumatic fever
symptoms of mitral stenosis
haemoptysis
dyspnoea
mitral stenosis murmur
mid-late diastolic murmur best heard in expiration
mitral stenosis heart sounds
loud S1
opening snap
mitral stenosis pulse
low volume
mitral stenosis consequences
malar flush
atrial fibrillation
L atrial enlargement on CXR
mitral regurgitation murmur
pansytolic ‘blowing’ murmur best heard at the apex and radiating to the axilla
mitral regurg symptoms
usually asymptomatic
symptoms due to L ventricular failure eg fatigue, SOB, oedema
mitral regurg heart sounds
quiet S1
widely split S2
most common complication following meningitis
sensorineural hearing loss
wilsons disease findings
reduced serum caeruloplasmin
reduced total serum copper (free copper inc)
inc 24 hr copper excretion
typical iron study profile in haemachromatosis
inc transferrin saturation
raised ferritin and iron
low TIBC
haemochromatosis monitoring
ferritin and transferring saturation
T2DM BP target
(same as normal) clinic 140/90, ABPM 135/80
CKD BP target
clinic 130/80
T1DM BP target
clinic 135/80
worsening renal function and muddy brown casts
acute tubular necrosis
most likely origin of spinal mets
breast / prostate
lung
tx of ramsay hunt syndrome
oral aciclovir for 7 days and oral pred for 5 days
drug causes of ED
beta blockers
SSRIs
abx for acne
oxytetracycline
egg on string appearance
transposition of the great arteries
neck of fibular fracture injury
peroneal nerve
small bowel obstruction tx
conservative - fluid resus and NG tube insertion to decompress gut by aspiration
remember in palliative care, breakthrough dose should be 1/6th of overall dose
mixed growth in urinary specimen
contamination
antimitochondrial antibodies
primary biliary cirrhosis
primary biliary cirrhosis tx
ursodeoxycholic acid
brown sputum
strep pneumoniae
aura before seizure
temporal lobe
parkland formula (burns resus, crystalloid only eg hartmanns)
Total fluid requirement in 24 hours =
4 ml x (total burn surface area (%)) x (body weight (kg))
anorexia biochem
most things low
G’s and C’s raised: growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia
+ve dix hallpike manouvre (BPPV)
rotatory nystagmus
AAA 3 - 4.4 cm
rescan every 12 months
AAA 4.5-5.4cm
rescan every 3 months
AAA >5.5
refer for 2 week vascular surgery
NIV in COPD indication
acidosis persists despite max med therapy eg PaCO2>6kPa, pH <7.35 ≥7.26)
identical twin
isograft
graft from own body
autograft
related but not genetically identical
allograft
transplant from another species
xenograft
sickle cell
sudden anaemia and low reticulocyte count
parvovirus
sickle cell
sudden anaemia and high reticulocyte count
haemolysis or acute sequestration
LMWH monitoring
factor xa levels
LMWH monitoring
factor xa levels
which analgesia can -> serotonin syndrome eg in pts already taking anti-depressants
tramadol
visual loss macular degeneration
peripheral
prolactinoma tx
dopamine agonists eg bromocriptine
prophylaxis abx in pts who have had SBP
ciprofloxacin or norfloxacin
renal failure, sensorineural hearing loss and ocular abnormalities develop in a child
alport syndrome
when to thrombolyse in PE
hypotension
menieres attack prevention
betahistine
eisenmenger’s
the reversal of a L to R shunt
suspected acute limb ischaemia tx
handheld doppler
pt anaemia at pre-op
transfusion before surgery (iv iron not fast enough)
most common lung cancer in non smokers
adenocarcinoma
eczema herpeticum tx
IV aciclovir
liver transplantation criteria in paracetamol overdose
pH < 7.3 more than 24 hours after ingestion
features suggestive of pneumonia with deranged liver function tests and/or hyponatraemia and/or lymphopenia
legionella pneumophilia
treatment of primary hyperaldosteronism
spironolactone
clue cells
BV