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PPQ Learning > Acute Care/Infectious/MFE/Cancer > Flashcards

Acute Care/Infectious/MFE/Cancer Flashcards

1
Q

Jacksonian movement = pathology where?

A

Frontal lobe

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2
Q

Treatment of symptomatic chronic subdural bleeds?

A

Burr hole evacuation

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3
Q

Treatment of acute subdural haemorrhage?

A

Decompressive craniectomy

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4
Q

Which airway is unsafe to use in a patient who has eaten recently?

A

Laryngeal mask

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5
Q

Why is U&Es important to so in a post-SAH patient?

A

Hyponatraemia is very common

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6
Q

Fluctuating cognition indicates which type of dementia?

A

Lewy body

Could be easily mistaken for parkinson’s as it has similar features but if cognition failure comes before movement that makes it more likely lewy body

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7
Q

FEV1 for LTOT therapy in COPD patients?

A

<30%

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8
Q

Criteria for COPD LTOT?

A

-Cyanosis
-Polycythaemia
-Peripheral oedema
-Raised JVP
-O2 sats less than or equal to 92%

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9
Q

What do you give if bisphosphonates CIed in patient with T>-3.5? And tell me the reasons why they could be CIed (think obvious)

A

Denosumab

CIed due to adverse effects or to eGFR >35mL/min

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10
Q

Immunocompromised patient with Campylobacter. Do you want to treat?

A

Yea dummy

Clarithromycin

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11
Q

Salicylates cause what ABG?

A

Primary respiratory alkalosis + metabolic acidosis

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12
Q

Penicllin allergic patient with cellulitis in pregnancy?

A

Erythromycin

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13
Q

Contralateral hemiparesis + sensory loss with lower extremity being more predominant than upper? WHat is affected?

A

Anterior cerebral artery

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14
Q

Prostate with hard, asymmetrical, enlarged left lobe. What ya gonna do?

A

Multiparametric MRI

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15
Q

Don’t do an LP in sus meningitis if?

A

Rapidly evolving rash
Severe sepsis signs

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16
Q

InvgX for sus orbital cellulitis?

A

Contrast enhanced CT scan of orbits, sinuses, brain

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17
Q

Whooping cough 2 treatment options?

A

Azithromycin
Clarithromycin

If onset within 21 days

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18
Q

Ipsilateral facial pain and temp loss + contralateral limb pain and temp loss + ataxia?

A

Posterior inferior cerebellar artery

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19
Q

What type of rubber related dye substance is a risk factor for transitional bladder carcinoma?

A

Aniline dye

20
Q

Croup… oral or neb dexamethasone?

A

ORAL 1 DOSE (0.15mg/kg)

21
Q

FEV1/FVC >0.7 confirms what?

22
Q

Undercooked pork hepatitis?

23
Q

Non-falciparum malaria treatment and why?

A

Primaquine
-Destroys live hypozoites and prevents relapse

24
Q

Increased risk of which cancers with HNPCC?

A

Pancreatic
Endometrial
Colorectal and bowel

25
Q

Second line to treat MRSA?

26
Q

Contralateral homonymouse heminaopia with macular sparing + visual agnosia? Which artery affected?

A

Posterior cerebral artery

27
Q

Head CT findings for alzheimers?

A

Atrophy of cortex and hippocampus

28
Q

Locked in sydnrome affects which artery?

A

Basilar artery infarcy

29
Q

UTI pregnant woman, third trimester?

A

7 days amoxi or cefalexin

30
Q

Score for assessing patients risks of pressure sores?

A

Waterlow score

31
Q

What should be given as pre-treatment with Goserelin and why?

A

Goserelin may cause transient increases in prostatic cancer symptoms (flare effect) caused by initial increase in lutenizing hormone

SO

GIVE FLUTAMIDE (synthetic antiandrogen) to attenuate the tumour flare

32
Q

MRSA?

A

Vancomycin

33
Q

Most common organism to cause IECOPD?

A

H. Influenza

34
Q

Asymptomatic bacteria in catheterised patients. What you want to do?

A

No treatment

35
Q

Campylobacter disease progression?

A

Prodrome
Abdo pain
Bloody diarrhoea

36
Q

Patient with croup…what examination do you do?

A

Listen…NOT an airway examination = possible airway obstruction :((((((
Just do it off of clincial vibes or if you’re feeling really intense a CXR would show subglottic narrowing (steeple sign) on PA view

37
Q

Patient loses conciousness, gains it back, then loses it again after low impact head injury.
What’s up you think?

A

Extradural haematoma

38
Q

Paracetamol overdose extra risk factors?

A

Chronic alcohol
HIV
Anorexia
P450 inducers

39
Q

Cavitating lung lesions is likely of what cancer?

A

Squamous cell carcinoma

40
Q

Paraneoplastic feature of squamous cell carcinoma in lungs?

A

Hypertrophic pulmonary osteoarthropathy

41
Q

What is pulmonary oedema in a patient with AKI an indication for?

A

Haemodialysis

42
Q

Criteria for TACIs?

A

-Unilateral hemiparesis and/or hemisensory loss of face, arm and leg
-Homonoymous hemianopia
-Higher cognitive dysfunction (dysphagia)

43
Q

Dropping sats quickly following intubation, what do you think might have happened to cause this?

A

Oesophageal intubation

44
Q

1st line treatment for HAP pneumonia?

A

Co-amoxiclav

45
Q

Fever alternating days?

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