2016 Flashcards

1
Q

the rate of rescue breathing in an adult in resp arrest should be

A

1 every 6 seconds

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2
Q

mild exacerbation of asthma

A

salbutamol via a spacer

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3
Q

what to give in extreme asthma attack once o2 and iv corticoid steroid has been given

A

iv aminophyline and or IV magnesium

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4
Q

what muscles elevate the larynx

A

longitudinal muscles of the pharynx

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5
Q

what to give a patient with an acute upper GI bleed on warfarin after vit K

A

prothrombin complex concentrate

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6
Q

microbe discovered in 2001 and most common cause of bronchiolitis

A

metapneumovirus

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7
Q

the layer most closely associated with the route of the phrenic nerve through the chest

A

fibrous pericardium

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8
Q

layer of anterolateral abdominal wall

A

transversalis fascia

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9
Q

ejection systolic radiating to neck

A

aortic stenosis

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10
Q

mid diastolic murmur best heard at the apex of the heart in the patient in left lateral position

A

mitral stenosis

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11
Q

pan systolic murmur at the apex of the heart radiating to the left axilla

A

mitral valve regurgitation

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12
Q

grade C oesphogitis treatment

A

PPI

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13
Q

treatment of tight benign peptic stricture

A

balloon oesophageal dilation

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14
Q

treatment for young person with achalasia

A

cardiomyopathy

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15
Q

vmax determined by

A

the point at which the reaction intercepts the Y axis - 1/V

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16
Q

glandular fever synonyms

A

mononucleosis, epstein-barr virus and EB

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17
Q

how to detect glandular fever

A

monospot

18
Q

what is chediak higashi syndrome

A

rare autosomal recessive condition with decreased phagocytosis resulting in pyogenic infections, partial albinism and peripheral neuropathy

19
Q

what is brunt’s agammaglobulinemai

A

x linked primary immunodeficiency disease with absence of IgG the condition usually presents in young children with pulmonary and other bacterial sinopulmonary infection s

20
Q

what type of shock does meningitis lead to

A

septic shock

21
Q

where should the heel of the hand go in chest compressions

A

in the centre of the patients chest

22
Q

what is the best anthropmoetric predictor of visceral fat and therefore cardiovascular risk

A

waist circumference

23
Q

abdominal calcification on xray

A

chronic pancreatitis

24
Q

best test for pancreatitis

A

faecal elastase

25
Q

investigation of steatorrhea

A

OGD and duodenum D2 biopsy

26
Q

what is a result of collagen deposition in the bronchial embrace and submucosa due to repair of chronic eosinophilic inflammation

A

airway remodelling and irreversible airway obstruct ion

27
Q

what is ascites with a high WCC

A

spontaneous bacterial peritonitis

28
Q

how to treat ascites as a result of spontaneous bacterial peritonitis

A

co-trimethazole

29
Q

what do you use to treat a man with alcohol related cirrhosis and alcohol hepatitis who is anuric and CVP of 12

A

terlipressin

30
Q

how to treat hepatic renal syndrome

A

terlipressin

31
Q

how to treat raised bilirubin with absence of hilarity disease

A

liver transplant

32
Q

copd spirometry

A

FEV1 reduced, FVC normal, FEV1/FVC reduced and PEF reduced

33
Q

what does sympathetic stimulation do to blood vessels

A

vasoconstrictor

34
Q

how to calculate units of alcohol

A

1 litre of x% = x units

35
Q

how to confirm hypertension

A

ambulatory bp monitoring

36
Q

V2-5

A

anterior

37
Q

what to do with 55 year old main with anaemia

A

colonoscopy

38
Q

gold standard for giardia and coeliac

A

distal duodenal biopsy

39
Q

20 year old uni student with lethargy, headaches, fever, nausea and abdominal pain back from travelling 28 days ago and has yellow eyes

A

hep A

40
Q

treatment of pseudomonas

A

ciprofloxacin oral or gentamicin IV