30/8/19 49% Flashcards

1
Q

In preventing heat loss what effect does noradrenergic sympathetic stimulation have?

A

Vascoconstricts extremeties and dialtes core

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2
Q

What does COX - 1 do?

A

an enzyme integral to production of prostaglandins which stimulate mucous secretion from stomach which protects the lining.

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3
Q

how does aspirin work?

A

prevents oxydation of LDL which progresses atherosclerosis.

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4
Q

Invasive breast cancer - node clearance to hwat level?>

A

inferolateral to and behind pectoralis minor (level 2)

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5
Q

how many levels of axillary node clearance are there and where are they?

A

3
inferolateral to mec minor

posterior to pec minor

superomedial to pec minor

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6
Q

In a blood gas how to spot difference between renal failure and DKA?

A

Lok to the potassium

DKA it would go down

renal failure would go up

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7
Q

what happens to compliance in emphysema? What is the mechanics of this/

A

increases compliance.

a change in pressure elicits a larger change in volume than in non emphysema lungs, but airways collapse on exhalation as not well supported - causes air trapping and hyperinflation

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8
Q

fixation of testes when testis viable

A

Both testes should be invaginated in the tunica vaginalis and sutured to the midline septum with non absorbable sutures.

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9
Q

sclerosing cholangitis is associated with which IBD?

A

UC

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10
Q

What joint carries the weight and movement in rotating the head

A

atlantoaxial joint through the odontoid process of the axis

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11
Q

Type of cell death in ischaemia / infarction

A

Coagulative necrosis. Liquefaction comes days later.

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12
Q

post splenectomy - risk of which bacteria

A

encapsulated bacteria

peumococcal infection

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13
Q

which metastasises more? SCC or BCC

A

SCC more commonly than BCC

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14
Q

In a stroke when can macular / central field sparing occur?

A

if occipital pole remains intact through dual blood supply from branch of the MCA

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15
Q

risk factors for varicose veins?

A
hx of DVT
female
age
prolonged standing
leg trauma, 
pregnancy
smoking 
COCP
FHx
Obesity
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16
Q

Which Interleukin is most involved in coagulation?

A

IL-6 QUESTION 33