7/06 Flashcards

1
Q

tx of acute phase vestibular neuronitis

A

prochlorperazine

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2
Q

acute otitis media tx

A

analgesia only

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3
Q

+ve dix hallpike test

A

rotatory nystagmus

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4
Q

labyrinthitis - hearing loss

A

vestibular neuronitis - no hearing loss

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5
Q

when should intranasal steroids be given for sinusitis

A

symptoms persisting > 10 days

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6
Q

small eyes and polydactyly

A

Patau syndrome

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7
Q

learning difficulties and macrocephaly

A

fragile X

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8
Q

ACEi not tolerated

A

ARB eg candesartan

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9
Q

nerve injury loss of extension of fingers

A

radial

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10
Q

BMI calculation

A

weight (kg) / height (m squared)

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11
Q

complication of hyphaema

A

glaucoma

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12
Q

flashes and floaters

A

posterior vitreous detachment

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13
Q

sight risk factor for retinal detachment

A

myopia

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14
Q

scleritis painful

A

episcleritis not painful

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15
Q

definitive tx of acute angle closure glaucome

A

laser peripheral iridotomy

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16
Q

sight risk factor for AACG/OACG

A

hypermetropia/myopia

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17
Q

severe hepatitis in a pregnant women

A

hep E

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18
Q

holmes adie pupil

A

women
dilated pupil (Holme = hole)
slow accommodation and no response to light
if becomes small stays small
assoc with absent ankle/knee reflexes

19
Q

argyll robertson pupil

A

Accommodation Reflex Present, Pupillary Reflex Absent
small irregular pupils
assoc with neurosyphillis and diabetes

20
Q

RAPD =

A

marcus gunn pupil

21
Q

herpes simplex keratitis tx

A

topical aciclovir

22
Q

invx if wet ARMD suspected

A

fluorescein angiography

23
Q

which eye drops result in fungal infections -> corneal ulcers

A

steroid

24
Q

peripheral curtain over vision/peripheral darkening

A

retinal detachment

25
Q

contralateral hemiplagia and hemiparesis + ipsilateral 3rd nerve palsy

A

webers syndrome

26
Q

hypercalcaemia ecg

A

short QT

27
Q

paracetamol LFT findings

A

hepatocellular picture
High ALT
Normal ALP
ALT/ALP ratio high

28
Q

DVT tx when GFR<15

A

unfractionated heparin

29
Q

kallman syndrome

A

LH FSH and testosterone low

30
Q

klinefelters

A

LH FSH high
testosterone low

31
Q

MI bundle branch block affected artery

A

LAD

32
Q

3rd nerve palsy

A

eye is down and out

33
Q

bilous vomiting on the first day

A

intestinal atresia

34
Q

most common cause of bacterial tonsilitis

A

strep pyogenes

35
Q

cocaine toxcity

A

benzo

36
Q

ejection systolic murmur

A

pulmonary stenosis

37
Q

anti emetic in parkinsons

A

domperidone

38
Q

emergency colon surgery

A

hartmanns procedure

39
Q

what should be co-prescribed for first 3 weeks of goserelin tx

A

Anti-androgen treatment eg cyproterone acetate

40
Q

marker assoc with testicular seminomas

A

HCG

41
Q

prostatitis tx

A

quinolone eg ciprofloxacin for 14 days

42
Q

ACEi drops eGFR

A

renal artery stenosis
or fibromuscular dysplasia in young women

43
Q

surgical tx of achalasia

A

Heller cardiomyotomy

44
Q

marker assoc with testicular teratomas

A

HCG and AFP