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passmed qs > 13/06 > Flashcards

13/06 Flashcards

1
Q

TB fibrosis

A

upper zone

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2
Q

sildenafil MOA

A

phosphodiesterase type V inhibitor

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3
Q

Dermatitis in acral, peri-orificial and perianal distribution

A

zinc deficiency

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3
Q

Dermatitis in acral, peri-orificial and perianal distribution

A

zinc deficiency

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4
Q

ulcer at stoma site

A

pyoderma gangrenosum

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5
Q

purpose of irradiated blood products

A

to avoid graft vs host disease

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6
Q

NSTEMI mx

A

pts with GRACE score > 3% should have PCI within 72 hours

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7
Q

generalised tonic clonic seizures

A

m - sodium valproate
f - lamotrigine or levetiracetam

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8
Q

focal seizures

A

first line - lamotrigine or levetiracetam
second line - carbamazepine, oxcarbazepine or zonisamide

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9
Q

absence seizures (petit mal)

A

first line: ethosuximide
second line:
m: sodium valproate
f: lamotrigine or levetiracetam
carbamazepine may exacerbate

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10
Q

myoclonic seizures

A

males: sodium valproate
females: levetiracetam

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11
Q

tonic or atonic seizures

A

males: sodium valproate
females: lamotrigine

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12
Q

waddling gait

A

osteomalacia

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13
Q

drug to reduce risk of tumour lysis syndrome

A

IV allopurinol or IV rasburicase

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14
Q

‘starry sky’ appearance on lymph node biopsy

A

burkitt lymphoma

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15
Q

WPW syndrome

A

a short PR interval
delta waves
right axis deviation

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16
Q

torsades de pointes tx

A

magnesium sulphate

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17
Q

edwards syndrome quadruple test

A

= everything low except inhibin A <->

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18
Q

haem complication of sulphasalazine

A

heinz body anaemia

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19
Q

GDM fasting glucose >7

A

insulin

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20
Q

GDM fasting glucose <7

A

trial of diet and exercise

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21
Q

diagnostic thresholds GDM

A

5678
fasting glucose is >= 5.6 mmol/L
2-hour glucose is >= 7.8 mmol/L

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22
Q

when do u add amox in meningitis

A

<3 mo.

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23
Q

high ACE levels

A

sarcoidosis

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24
Q

acute mesenteric ischaemia vs ischaemic colitis

A

pain out of keeping, predisposing conditions eg AF
bloody diarrhoea, less severe and often resolves spontaneously

25
Q

toxic megacolon diagnositic invx

A

abdominal xray

26
Q

ank spond painful red eye

A

anterior uveitis

27
Q

Organophosphate insecticide poisoning (acetylcholinesterase inhibitor)

A

bradycardia and miosis

28
Q

tx of beta thalassaemia major

A

regular blood transfusions and desferrioxamine - iron chelation therapy

29
Q

most common cause of AOM

A

Streptococcus pneumonaie, Haemophilus influenzae and Moraxella catarrhalis

30
Q

genital herpes invx

A

NAAT

31
Q

budd chairi

A

hepatic vein thrombosis

32
Q

budd chiari features

A

sudden onset abdominal pain
ascites
tender hepatomegaly

33
Q

commonest cause of viral encephalitis in adults

A

herpes simplex

34
Q

increased goblet cells

A

crohns disease

35
Q

peripheral arterial disease meds

A

clopidogrel and atorvastatin

36
Q

what should sickle cell pts be started on to reduce risk of complications and crises

A

hydroxycarbamide

37
Q

NSTEMI (managed conservatively) antiplatelet choice
aspirin, plus either:

A

ticagrelor, if not high bleeding risk
clopidogrel, if high bleeding risk

38
Q

Disproportionate microcytic anaemia

A

beta thalassaemia trait

39
Q

for cardioversion of AF

A

patients must either be anticoagulated or have had symptoms for < 48 hours to reduce the risk of stroke

40
Q

early diastolic murmur

A

aortic regurgitation

41
Q

complication from heroin injection

A

VTE

42
Q

tx of pagets disease

A

bisphosphonates

43
Q

pain on palpation of the tragus

A

otitis externa

44
Q

severe alcoholic hepatitis tx

A

prednisone

45
Q

legionella tx

A

macrolides eg clari

46
Q

pain vomiting and failed attempts at passing ng tube

A

gastric volvulus

47
Q

what needs to take be taken at least 4 hours apart from levothyroxine

A

calcium and iron supplements

48
Q

suspected lung cancer invx

A

contrast CT

49
Q

hyponatraemia hyperkalaemia and hypoglycaemia

A

addisons

50
Q

which TB drug is an enzmye inducer eg affects the metabolism of other drugs inc warfarin

A

rifampicin

51
Q

cat 2 section time

A

75 mins

52
Q

which med should be avoided in bowel obstruction

A

metoclopramide

53
Q

rosvings

A

palpate LLQ pain in LRQ - appendicitis

54
Q

boas sign

A

cholecystitis
hyperaesthsia below R scapula

55
Q

murphys sign

A

cholecystitis
pain/catch of breath elicited on palpation of the right hypochondrium during inspiration

56
Q

cullens sign

A

pancreatitis
bruising and oedema around umbilicus

57
Q

psoas stretch sign

A

Acute retrocaecal appendicitis
right thigh passively extended with the patient lying on their side with their knees extended

58
Q

grey turners sign

A

pancreatitis
bruising on flanks

59
Q

definitive diagnosis of sickle cell

A

haemoglobin electrophoresis

passmed qs (18 decks)

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