14/03/20 Flashcards

1
Q

What is bifascicular block?

A

RBBB + LAD

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2
Q

What ECG sign does hypercalcamia cause?

A

Short QT

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3
Q

Signs of SBO

A

Valvulae connniventes all the way across

Central and multiple loops

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4
Q

What does sail sign indicate?

A

Left lower lobe collapse

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5
Q

Which was does the trachea deviate in an effusion?

A

Away

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6
Q

What is becks triad?

A

Muffled heart sounds
Increased JVP
Low BP

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7
Q

What would you suspect if there is an obscured left heart border but clear left hemidiaphragm>

A

Left lingual consolidation

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8
Q

What lobe is affected if right heart border is obscured?

A

Right middle lobe

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9
Q

How is SCFE diagnosed and managed?

A

Need AP and lateral XR hip

Mx = internal fixation

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10
Q

What should you always do in females with abdo pain?

A

Preg test to rule out ectopic

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11
Q

Risk factors for hernias

A

Chronic cough
Obesity
HEAVY LIFTING
SPORTS

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12
Q

Haemorrhoid Ix

A

FBC
Protoscopy
Sigmoidoscopy

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13
Q

Non-surgical mx of haemorrhoids

A

Increase fluid and fibre intake
Analgesia
Topical anaesthetic and steroids

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14
Q

How would you manage acute mesenteric ischaemia prior to surgery?

A

Fluids
Abx
LMWH

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15
Q

Sign of splenectomy on blood film

A

Howell-Jolly bodies

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16
Q

Ix for PVD

A

ABPI
HAnd held doppler
Duplex USS
CT/MRI

17
Q

How to assess PAD

A
Rest pain
Palp pulses
Doppler USS
Sensory and motor deficit
Skin temp,colour, cap refill
Muscle tenderness
18
Q

Ix and mx for spinal stenosis

A

MRI and posiible laminectomy

19
Q

What is felty syndrome?

A

RA, splenomegaly and neutroapenia

20
Q

Causes of HAP

A

E.coli, klebsiella, pseudomonas, MRSA

21
Q

What is caplan syndrome?

A

Triad of coal exposure, pneumoconiosis and rheumatoid arthrits

22
Q

Types of lung Ca

A

Small cell

Adenocarcinoma, squamous, large cell

23
Q

Two drugs used to help smoking cessation

A

vareniciline

buproprion

24
Q

Mx sarcoidosis

A

Bed rest and NSAIDs

steroids

25
Q

Which two patient groups does klebsiella mainly affect?

A

Alcohol

Diabetes

26
Q

Blood test results in legionella

A

Lymphopenia with leucoocytosis
Hyponatraemia
Hypoalbuminaemia
Deranged LFTs

27
Q

Define HAP

A

Pneumonia beyond 2 days of hospital stay

28
Q

Features of Lofgren syndrome

A

BHL
erythema nodosum
Arthralgia
Fever

29
Q

What eye disease is associated with sarcoidosis?

A

Anterior uveitis

30
Q

Questionnaire for osa

A

Epworth sleepiness scale

31
Q

ix for bladder cancer

A

cystoscopy with biopsy
urine microscopy and cytology
ct urogram
(mri)

32
Q

What histology are prostate cancers most commonly?

A

Adenocarcinoma

33
Q

Where do renal stones get stuck?

A

Pelviureteric junction
Pelvic Brim
Vesicoureteric junction

34
Q

What score is used to risk stratify newly diagnosed PE patients?

A

PESI score