19/4/22 Flashcards

1
Q

What is the system used to measure neck of femur fractures?

A

Garden

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2
Q

What helps you to identify mechanical back pain over other causes/

A

Recurrrent and relapsing with NO neurological symptoms

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3
Q

What back apin is sudden and severe onset which is WORSE on COUGHING?

A

Acute disc tear

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4
Q

What is the mainstay of back pain treatment?

A

Phsyio and NSAIDS

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5
Q

If there is a nerve root compression between L4-5 what nerve is compressed?

A

L5 - always the latter of the roots

Lateral compression may compress the former root

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6
Q

What spinal levels does sciatic nerve correspond to?

What is the examination finding in sciatica?

A

L4-S3

Straight leg raise - streching opposite side causes pain in affected side

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7
Q

What blood results does sickle cell anaemia cause?

A

Normocytic anaemia w/ raised reticulocyte count

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8
Q

What medication is used for CML and CLL?

A

CML = iMatinib

CLL - iBrutinib (CLL is disorder mainly with B-cells)

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9
Q

What nerves are found at the cerbellopontine junction?

A

V
VII
VIII

commonly affected in acoustic neuromas

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10
Q

What drugs can be used to improve fertility in PCOS?

A
  1. weight loss
  2. clomifene - anti-oestrogen
  3. metoformin
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11
Q

How do you monitor LWMH?

What is its indication?

A

Anti-Xa
- doesn’t normally need monitoring but if it does anti-Xa

VTE prophylaxis in pregnancy

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12
Q

For how long post TOP can pregnancy test still be positive?

A

4 weeks

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13
Q

How can you tell the difference between conductive and sensironeural hearing loss on pure tone audiometry?

A

BC and AC match = sensironeural

Significant difference between AC and BC = conductive

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14
Q

How is vancomycin taken in C.diff infection?

A

ORAL - important

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15
Q

How does NEC present in babies?

After what condition is it most commonly seen?

A

Necrotising enteric colitis

Vomitting
Lethargy
Abdo distension

Resp distress syndrome

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16
Q

Most common bug in leg cellulitis?

A

Strep pyogenes

17
Q

When a diabetic patient not on insulin goes into surgery. What are the only drugs that should be stopped?

A

SU (-ide) - stop morning dose
SGLT2 i - omit

All rest take as normal - do NOT stop and start patient on insulin

18
Q

How do you diagnose osteomalacia?

A

Serum 25-OH cholacalciferol (vit D)

19
Q

What hormone is a melanocyte stimulating hormone and causes hyperpigementation in Addison’s disease?

A

ACTH - low cortisol causes a drive in ACTH

20
Q

2nd line for sinustits?

A

Doxycycline

21
Q

How can you differ between PE and fat embolus?

A

Fat embolus

  • rash will appear late
  • neurological symptoms unlike in PE
22
Q

What is delirium tremens?

A

Visual and auditory hallucinations with alcohol withdrawl

23
Q

What is the spermatic cord made up of?

A

Vas/ductus deferens
Testicular artery
Pampinform venous plexus

24
Q

Describe the relationship between the ureters and the vas deferens?

A

Ureters run behind the vas deferens

“water under the bridge”

25
Q

What part of the penis does the urethra run through?
Where is it found?

What part of the penis engorges in blood during erection?

A

Corpus spongiosum - anterior surface (when erect)

Corpus cavernosum - 2 channels of that

26
Q

What encapsulates the testis?

A

Tunica vaginalis

27
Q

What is responsible for storage of mature sperm?

What is responsible for production of testoterone?

Where are sperm produced?

A

Storage of mature sperm = epidimyus

Production of testoterone = Leydig cells

Produced sperm = seminiferous tubules

28
Q

Difference between vestibular migraine and neuritis?

A

Neuritis - singular episode

Migraine - multiple episodes are neeeded to be diagnosed

29
Q

What kind of pressure is associated with CSF on lumbar puncture of paitent with bacterial meningitis?

A

High pressure with neutrophils

30
Q

Explain the pharma management of dementia

A

Alzheimer’s/Lewy Body
ACh I (donepzil, galantamine, rivastigmine)
->
memantine

DO NOT use these drugs in frontotemporal

31
Q

What is meant by ‘ideas of reference’?

A

Physotic symptom

Idea that ordinary occurrences that happen in day to day relate directly to the patient e.g. coded messages in the paper/news

32
Q

If an SSRI is not working in a patient with depression - what can be done next?

A

Another type of SSRI can be trialed

33
Q

How does UTI treatment change throughout pregnancy?

A

1st and 2nd trimester = nitrofuratonin

3rd trimeseter = trimethoprin

34
Q

What is the parasite that causes malaria?

A

Plasmodium falciparum