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Year 4 - 5 Qs A Day > 21/6 > Flashcards

21/6 Flashcards

1
Q

What kind of products is HepE associated with?

A

Pork products

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2
Q

What management of roseasca would you implement for each of the following complaints:
- flushing
- general
- papulopustular
- telecantgasia

A

Flushing = brimonide/propranolol (Bees make you more settled -> reduce flushing)

Papulopustular = ivermectin, metronidazole, azelic acid

Telecantgesia = lazer

General = avoid sun, camouflage creams and emoillents

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3
Q

Most common bug to cause exacerbations in bronchiectasis

A

Haem influenza

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4
Q

Management of torsades de pointes?

What electrolyte can cause torsades de pointes?

What is calcium gluconate used to manage?

A

Magnesium sulphate

HYPOkalaemia (one with U waves)

Hyperkalaemia

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5
Q

Go over hand sensation again

A

Remember little dance

With gun = ulnar
rub hands = medial
pretty stroke on the back = radial

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6
Q

Explain how GnRH agonists are used in management of metastatic prostate ca?

A

They work to increase the GnRH production which should eventually overwhelm the pituitatry and reduce testosterone production

However initially it causes a rise in testosterone and can result in a “tumour flare”
- if pts have a spinal mets this can lead to cord compression
- can also cause urinary retention

Can be overcome by giving GnRH antagonists

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7
Q

Urinary ACR >3 in diabetic pts

A

Start on an ACE

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8
Q

What med reacts with statin to give the myalgia response

A

Clarithromycin/erthoymcin

The mice that are fighting off campers and are friends with Ella also have high cholesterol

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9
Q

What kind of tumours are anterior resections used for?

A

RECTAL

REsection = REctal

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10
Q

A stroke where causes a painful CN3 nerve palsy?

What will be the case with the pupil

A

Posterior communicating artery

(surgeons communicate post-op = surgical CN3 palsy)

CN3 leads to pupillary restriction if it is damaged properly = pupillary dilation = surgical

If CN3 is damaged from inside the nerve it is pupil sparing

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11
Q

How is hyper acute and acute transplant failure managed?

A

Hyper = no cure - must be removed

Acute = may be reversed with steroids and immunosuppresants

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12
Q

Go over aphasia chart

A

Girls - global
Backs - brocas
Won’t - wernickes
Count - conductive
(as) Ass - anomic

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13
Q

Management of myxoedema coma?

A

IV thyroid replacement
IV fluids
IV steroids

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14
Q

How long can a febrile seizure last before ambulance must be called?

A

5 mins

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15
Q

Management of symptomatic chronic subdural

A

Burr holes

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16
Q

AICA strokes - ipsilateral or contralateral?

A

Ipsilateral

17
Q

Where is haustra found?

A

Large bowel

18
Q

How is CML managed?

A

iMatinib

19
Q

What can be used to manage chickenpoz

A

Calamine lotion

20
Q

Explain how amiodarone is delivered?

A

6mg then 12mg then 18mg
- if the previous dose hasn’t created a response

21
Q

Anion gap stuff again

A
22
Q

If bradycardia doesn’t respond to transcutaneous pacing?

A

Transvenous

23
Q

osteomalacia management

A

Osteomalacia = softening of the bones due to low Ca+ and PO4 and vit D

Manage with
= vit D spplements +/- calcium

24
Q

What CCB causes most sx including pulomonary oedema?

A

Verapamil = VerapKILL

25
Q

Lateral anal fissure?

A

Secondary cause

26
Q

AF with haemodynamic instability?

A

synchronised cardioversion

27
Q

What Ig must be checked alongside TTG

A

IgA

28
Q

How does starting of biphosphates post fracture change based on age

A

<75 = DEXA -> FRAX -> ?biphosphates

> 75 = biphosphates straight away witohut DEXA

29
Q

When to start biphosphates - 3 times

A
  1. > 75 with fragility fracure without DEXA
  2. on steroids >3mths
  3. DEXA <-2.5
30
Q

Tumour markers for testicular ca

A

AFP
BCG

31
Q

Ann-arbour staging of Hodgkin’s lymphoma

A

I - 1 lymph node
II - 2 areas on the same side of the diaphragm
III - areas on both sides of the diaphragm (3 areas)
IV - mets outside the lymph system

32
Q

What is the most common causw of primary hyperaldosteronism

A

Bilateral adrenal hyperplasia

33
Q

What kind of med is duloxetine?

A

SNRI

34
Q

How do you prevent pnuemothorax?

A

VATS - video assisted thoracoscopic surgery

35
Q

What is desferrioxamine?

A

Iron chelation therapy used to reduce iron overload in those that need lots of transfusions e.g. beta-thalassaemia major

36
Q
A

Year 4 - 5 Qs A Day (122 decks)

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