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MSRA wrong questions > 17 December > Flashcards

17 December Flashcards

1
Q

What is the management of absence seizures?

A

1) Ethosuximide
2) Valproate in men/ lamotrigine/keppra in women

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2
Q

What can acitinic keratosis pre-dispose to?

A

Squamous cell carcinoma

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3
Q

What are features of actinic keratoses?

A

Pre malignant condition

  • small/crusty/scaly lesions typically on sun exposed areas e.g. temple
  • can be pink/red/brown/skin coloured

Managed with sun avoidance, fluorouracil cream 2-3 week course followed by hydrocortisone to settle inflammation
Can treat with topical imiquimod/cryrotherapy/curettage and cautery

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4
Q

What is the management if a pill is missed (traditional POP) i.e. norethisterone/levonorgestrl?

A

Missed pill classes as >3 hours
Take pill asap
Barrier protection for 48 hours (if no unprotected sex within past 48 hours)
If unprotected sex within 48 hours then need emergency contraception

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5
Q

Are any additional measures required when starting POP post emergency contraception?

A

Levonorgesterol- 48 hours barrier
Ulipristal acetate- 9 days protection

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6
Q

What are features of hyphaema?

A

Blood in anterior chamber of eye due to trauma
Has a fluid level- can lead to raised intraocular pressure
urgent ref to opthal

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7
Q

What are features of retinal detachment?

A

Floaters
Flashes
Field loss
Fall in acuity

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8
Q

What are features of nasal polyps?

A

Nasal obstruction
Hyposmia (loss of smell)
Discoloured nasal discharge
Post nasal drip
Facial congestion/fullness

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9
Q

What is the management of nasal polyps?

A

1) Inhaled steroids
Nasal irrigation/LRTA
2) Systemic- biologics

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10
Q

What imaging is required in babies <6 months with UTI?

A

Normal UTI- USS within 6 weeks
Atypical/Recurrent UTI- DMSA 4-6 months post infection, MCUG

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11
Q

What imaging is required in children >6 months with UTI?

A

Atypical UTI- US during infection, DMSA 4-6 months post infection
Recurrent UTI- US within 6 weeks infection and DMSa within 4-6 months post infection

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12
Q

What is the management of lower UTI in children?

A

Trimethoprim
Nitrofurantoin
Cefalexin
Amoxicillin- high levels of resistance

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13
Q

How is diabetes insipidus diagnosed?

A

Urine specific gravity <1.005
Urine osmolality <200mOsm/kg

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14
Q

What is the management of photokeratitis?

A

Due to exposure to UV light
Supportive measures- ointment, artificial tears, analgesia, topical abx

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15
Q

What are symptoms of acute haemolytic transfusion reaction?

A

Onset quickly post transfusion commencement
Fever/chills
Nausea
Burning at site
Chest tightness
Joint pain

STOP transfusion asap

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16
Q

What are symptoms of non haemolytic transfusion reaction?

A

Symptoms develop towards end of transfusion or within couple of hours
Fevers
Chill
maliase
Dysopnoea

17
Q

What are features of bacterial contamination of blood transfusion?

A

High fever
Shock
Tachycardia
Weak pulse
No clear sign of infection

18
Q

What monitoring is required for lithium?

A

Lithium level 3 monthly
TFTs, U&Es, Ca and Cr every 6-12 months

19
Q

How does akathisia differ from restless leg syndrome?

A

Akathisia- occurs within hours or weeks of starting anti-psychotics/changing dose
Does not disturb sleep whereas restless leg syndrome does.

20
Q

What are features of orbital fracture?

A

Blunt object e.g. sqaush ball strikes the eye

Asymptomatic with bruising and swelling
Diplopida
Enopthalmnos
Hypo- opthalmia
Numbness to cheek and upper gum of affected side

21
Q

What is De Clerambault sundrome?

A

Delusion of being loved by someone of superior social status

22
Q

What is Fregoli Syndrome?

A

See a familiar person in strangersW

23
Q

What is capgras syndrome?

A

Familiar person replaced by stranger

24
Q

What is othello syndrome?

A

Delusion of infedility

25
Q

What is Cotard syndrome?

A

Nihilistic delusion of their body or self

26
Q

What visual defect would a temporal lesion cause?

A

Bilateral superior homonymous quadrantopia

27
Q

What are features of hypokalaemia?

A

Fatigue, muscle cramps, spasm
Flattend T waves, ST depression, Prolonged PR interval

MSRA wrong questions (52 decks)

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