2019 Flashcards
Palliative Care. Breathlessness?
Morphine
Lung cancer on CXR. Flushing?
5HT from Carcinoid
2.5 Cm breast lump encapsulated with a septum excised?
Breast Cyst
Non haemolytic febrile reaction. Increase in temperature when giving blood products?
Give Paracetamol
headache, unilateral poor vision over a few days?
GCA
Left red eye and fixed semi-dilated pupil, pain?
Acute Glaucoma
What artery supplies the left colon
IMA
Woman with palm laceration. Weak flexion of MCP and PIP middle finger?
FDS - Trigger Finger (middle finger or ring finger)
ntrinsic muscles of the hand that flex the metacarpophalangeal joints and extend the interphalangeal joints
lumbricals
Haemathrosis and pain on lateral aspect of knee?
ACL
Ascites management?
- fluid and salt restrict, spiro, fruse, tap, daily wt
Parietal Lobe
visuospatial problems (somatosensory)
Temporary Lobe
Hearing and Wernicke
Frontal Lobe
Broca
gram negative diplococci
gonorrhea
Otitis Media organisms?
- Strep Pneumonia
- Haemophilus
(Amoxicillin)
Sore Throat antibiotic?
Phenoxybenpen
Otitis Externa antibiotic?
Flucloxicillin
28 year old girl with cyclical lower abdominal pain for the last 7 months whos been having difficulties trying to conceive. She has associated deep dyspareunia. All her observations were normal and she was otherwise well. No PMH, no DH, no SH.
What is the most diagnostic test available to identify her condition?
laparoscopy is the gold-standard investigation
9 Month old baby presenting to A&E, with a temperature of 38.9 degrees, bulging anterior fontanelle, Cap refill of 4 seconds, baby is very faint, and has severe difficulties feeding/SOB.
What is the most likely cause of the babies presentation?
Meningococcal disease
Klebsiella pneumonia → Abx to give?
Cefotaxime
Lady with falciparum. Other than doxy, what other abx would you give her?
Quinine
(N.B. first line = Artemisinin combination therapy (ACT) w artesunate)
Which of the DMARDs cause retinopathy?
Hydroxychloroquine
Which of the DMARDs cause azoospermia and bone marrow suppression?
Sulfasalazine
Lady with hx of AF presents to A&E with fast AF, pulmonary oedema and peripheral oedema. What do you give initially?
DC Cardioversion
(syncope, shock, MI, heart failure)
Lady presents with acute MI, no details. What do you give?
Aspirin and Beta Blocker
Guy on prednisolone presents with darkened red reflex and problems with night vision. What does he have?
Cataracts
Lady from some Pakistan or somewhere with HTN controlled on amlodipine and BP of 150/90 has retinal findings: blot haemorrhages and yellow deposits (hard exudates I think) on macula. What is this?
Diabetic Retinopathy
Footballer inverts his ankle and presents with foot pain, surprised he has no ankle pain. What does he have?
Fractured base of 5th metatarsal
Guy jumps and lands on his knee
patella fracture
Pulmonary adenocarcinoma Ca met to liver via what route?
Haem
Middle aged lady presenting with atypical chest pain – what would be used to decide pre test probability she has ischaemic heart disease?
epidemiological evidence of something
Person with 4cm head of pancreas ca that has invaded mesenteric vessels. How do you manage?
ERCP and biliary stent
Son of 75-year-old lady requests home visit for mother who has recent behavioral changes. Sometimes gets confused and sees people in the room who aren’t there. Recent loss of appetite. Cause?
Acute confusional state
75 year old lady with 2.5cm firm breast lump not tethered to skin and no skin changes. Daughter 40 year old just had benign breast cyst diagnosed. What does the old lady have?
Ductal carcinoma