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passmed qs > 12/06 > Flashcards

12/06 Flashcards

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1
Q

PDA

A

left subclavicular thrill
continuous ‘machinery’ murmur
large volume, bounding, collapsing pulse
wide pulse pressure
heaving apex beat

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2
Q

school entry hearing test

A

pure tone audiometry

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3
Q

newborn hearing test

A

otoacoustic emission test

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4
Q

test if otoacoustic emission test is abnormal

A

Auditory Brainstem Response test

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5
Q

which LFT can be abnormal in pregnancy normally

A

ALP

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6
Q

SIADH drug causes

A

carbamazepine, sulfonylureas, SSRIs, tricyclics

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7
Q

hypokalaemia drug causes

A

thiazide and loop diuretics

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8
Q

which types of HPV -> cervical cancer

A

16 18 and 33

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9
Q

diarrhoea confusion and eczematous skin

A

vit A deficiency (niacin) -> pellagra

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10
Q

aortic regurgitation murmur

A

early diastolic murmur - intensity increased by handgrip

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11
Q

aortic regurgitation pulse

A

collapsing pulse
wide pulse pressure

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12
Q

aortic stenosis murmur

A

ejection systolic that radiates to carotids and is decreased with valsalva manouvre

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13
Q

aortic stenosis pulse

A

narrow pulse pressure
slow rising pulse

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14
Q

aortic regurgitation unique signs

A

Quincke’s sign (nailbed pulsation)
De Musset’s sign (head bobbing)

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15
Q

aortic stenosis severe

A

soft/absent S2
S4
thrill

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16
Q

aortic stenosis consequence

A

left ventricular hypertrophy or failure

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17
Q

mitral stenosis cause

A

rheumatic fever

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18
Q

symptoms of mitral stenosis

A

haemoptysis
dyspnoea

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19
Q

mitral stenosis murmur

A

mid-late diastolic murmur best heard in expiration

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20
Q

mitral stenosis heart sounds

A

loud S1
opening snap

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21
Q

mitral stenosis pulse

A

low volume

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22
Q

mitral stenosis consequences

A

malar flush
atrial fibrillation
L atrial enlargement on CXR

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23
Q

mitral regurgitation murmur

A

pansytolic ‘blowing’ murmur best heard at the apex and radiating to the axilla

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24
Q

mitral regurg symptoms

A

usually asymptomatic
symptoms due to L ventricular failure eg fatigue, SOB, oedema

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25
mitral regurg heart sounds
quiet S1 widely split S2
26
most common complication following meningitis
sensorineural hearing loss
27
wilsons disease findings
reduced serum caeruloplasmin reduced total serum copper (free copper inc) inc 24 hr copper excretion
28
typical iron study profile in haemachromatosis
inc transferrin saturation raised ferritin and iron low TIBC
29
haemochromatosis monitoring
ferritin and transferring saturation
30
T2DM BP target
(same as normal) clinic 140/90, ABPM 135/80
31
CKD BP target
clinic 130/80
32
T1DM BP target
clinic 135/80
33
worsening renal function and muddy brown casts
acute tubular necrosis
34
most likely origin of spinal mets
breast / prostate lung
35
tx of ramsay hunt syndrome
oral aciclovir for 7 days and oral pred for 5 days
36
drug causes of ED
beta blockers SSRIs
37
abx for acne
oxytetracycline
38
egg on string appearance
transposition of the great arteries
39
neck of fibular fracture injury
peroneal nerve
40
small bowel obstruction tx
conservative - fluid resus and NG tube insertion to decompress gut by aspiration
41
remember in palliative care, breakthrough dose should be 1/6th of overall dose
42
mixed growth in urinary specimen
contamination
43
antimitochondrial antibodies
primary biliary cirrhosis
44
primary biliary cirrhosis tx
ursodeoxycholic acid
45
brown sputum
strep pneumoniae
46
aura before seizure
temporal lobe
47
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))
48
anorexia biochem
most things low G's and C's raised: growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia
49
+ve dix hallpike manouvre (BPPV)
rotatory nystagmus
50
AAA 3 - 4.4 cm
rescan every 12 months
51
AAA 4.5-5.4cm
rescan every 3 months
52
AAA >5.5
refer for 2 week vascular surgery
53
NIV in COPD indication
acidosis persists despite max med therapy eg PaCO2>6kPa, pH <7.35 ≥7.26)
54
identical twin
isograft
55
graft from own body
autograft
56
related but not genetically identical
allograft
57
transplant from another species
xenograft
58
sickle cell sudden anaemia and low reticulocyte count
parvovirus
59
sickle cell sudden anaemia and high reticulocyte count
haemolysis or acute sequestration
60
LMWH monitoring
factor xa levels
61
LMWH monitoring
factor xa levels
62
which analgesia can -> serotonin syndrome eg in pts already taking anti-depressants
tramadol
63
visual loss macular degeneration
peripheral
64
prolactinoma tx
dopamine agonists eg bromocriptine
65
prophylaxis abx in pts who have had SBP
ciprofloxacin or norfloxacin
66
renal failure, sensorineural hearing loss and ocular abnormalities develop in a child
alport syndrome
67
when to thrombolyse in PE
hypotension
68
menieres attack prevention
betahistine
69
eisenmenger's
the reversal of a L to R shunt
70
suspected acute limb ischaemia tx
handheld doppler
71
pt anaemia at pre-op
transfusion before surgery (iv iron not fast enough)
72
most common lung cancer in non smokers
adenocarcinoma
73
eczema herpeticum tx
IV aciclovir
74
liver transplantation criteria in paracetamol overdose
pH < 7.3 more than 24 hours after ingestion
75
features suggestive of pneumonia with deranged liver function tests and/or hyponatraemia and/or lymphopenia
legionella pneumophilia
76
treatment of primary hyperaldosteronism
spironolactone
77
clue cells
BV

passmed qs (18 decks)

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