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Year 6 > 8th PM revision > Flashcards

8th PM revision Flashcards

1
Q

A 33 year old woman has had pruritus for 1 year. Her weight and appetite are normal. She is a previous intravenous drug user.
Investigations:
Albumin 39 g/L (35-50)
ALT 105 IU/L (10-50)
AST 29 IU/L (10-40)
ALP 95 IU/L (25-115)
Bilirubin 34 µmol/L (<17)
Which virus is the most likely cause of her abnormal liver chemistry?

A

Hep C

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2
Q

contra-indication to spinal anaesthesia?

A

ITP

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3
Q

A 19 year old man has 3 weeks of diarrhoea. He is a student and has just returned from a gap year in Thailand.
Investigations:
Haemoglobin 96 g/L (130-175)
MCV 76 fL (80-96)
White cell count 10.2 x 109/L (3.0-10.0)
Platelets 240 x 109/L (150-400)
Eosinophils 3.1 x 109/L (0-0.4)
Which is the most likely diagnosis?

A

Hookworm

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4
Q

Tumour lysis syndrome: Which are elevated?

A

Phosphate and urate

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5
Q

Multiple myeloma is cancer of which cell?

A

Plasma cells

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6
Q

Pain in calves on walking?

A

Right superficial femoral artery

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7
Q

Smear cells?

A

CLL

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8
Q

Philadelphia chromosome?

A

CML

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9
Q

Aortic dissection investigation of choice?

A

Contrast enhanced CT scan of thorax

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10
Q

Hernia locations

A

A femoral hernia is typically inferior and lateral to the pubic tubercle.
Inguinal hernia = superior and medial

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11
Q

Strangulation vs incarceration?

A

Strangulation is painful

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12
Q

Abx for copd exacerbation

A

Amoxicillin, doxycycline, erythromcin, clarithromyicn

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13
Q

Man with 3 episodes of blackouts, 12 lead ECG was normal, next investigation?

A

EEG

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14
Q

Women with headaches, pushing on the frontal lobe. Which brain tumour?

A

Plioglioma

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15
Q

Most common side effect of radiotherapy for SCC lung cancer?

A

Oesophagitis

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16
Q

What cell is primarily affected in MS?

A

Oligodendrocytes

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17
Q

gold standard investigation for a suspected spinal cord compression?

A

Spinal MRI

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18
Q

Gram negative bacteria causing pneumonia in CF patient?

A

Pseudomonas aeruginosa

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19
Q

Blood supply to 2nd part of duodenum.

A

Cephalic artery

20
Q

Lacunar infarct, what drug to give in addition to aspirin?

A

Aspirin

21
Q

Broca’s aphasia?

A

Expressive

22
Q

Wernicke’s aphasia?

A

Receptive

23
Q

Breastfeeding women with hyperthyroidism. Tx?

A

PTU

24
Q

Which lung cancer produces PTHrp?

A

Squamous cell carcinoma

25
Q

Non smoker lung cancer?

A

Adenocarcinoma

26
Q

MI which caused bradycardia and heart block. Which artery is involved?

A

Right coronary artery

27
Q

Diuretic of choice in ascites?

A

Spironolactone

28
Q

Nail pitting, back pain, DIP involvement

A

Psoriatic arthritis

29
Q

Autoimmune hepatitis?

A

Anti-smooth muscle antibody

30
Q

LP in MS?

A

Oligoclonal bands

31
Q

19yo girl inverted her ankle during football practice. WHat ligament is most likely to be damaged?

A

Anterior tabofibular ligament

32
Q

stromal and epithelial elements breast?

A

Fibroadenoma

33
Q

Gram positive bacilli causing meningitis.

A

Listeria monocytogenes

34
Q

Interstitial nephritis?

A

Kidney injury after drugs (NSAIDs)

35
Q

Woman on recreational drugs has hypokalaemia and hyponatraemia?

A

MDMA/ecstasy

36
Q

Pt with pyelonephritis and raised APTT, PT and thrombocytopenia. What tests to do?

A

d-dimer and fibrinogen

37
Q

Sickle cell pt with severe pain leg

A

IV morphine

38
Q

Pain at 80-120 degree

A

Subacromial bursitis

39
Q

Hodgkin lymphoma diagnosis?

A

Excision biopsy

40
Q

Swimmer’s ear?

A

otitis externa

41
Q

Saturday night palsy?

A

Radial nerve (same as wrist drop)

42
Q

Woman with SOB, fever, ?anaemia, blood and protein 2+ on urine dip. What’s the cause?

A

SLE

43
Q

Unilateral testicular swelling. Disappears when deep inguinal ring canal blocked with finger.

A

Indirect inguinal hernia

44
Q

Patient asks what is likelihood of having a condition even if test is negative. Which value to look at?

A

Negative productive value

45
Q

Weight gain T2DM drugs?

A

sulfonylureas typically cause weight gain I agree

46
Q
A

Year 6 (26 decks)

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