AMBA SAUCE Flashcards

1
Q

Anti-arhythmic that causes hyperthyroidism

A

Amiodarone

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2
Q

Pretibial myxoedema (rash on anterior lower legs) caused by …

A

Graves’ disease

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3
Q

Common lung problem caused by systemic sclerosis

A

Pulmonary fibrosis

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4
Q

Pulmonary fibrosis CT findings

A

Ground glass appearance or honeycombing

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5
Q

Erythema multiforme - appearance of lesions?

A

Target lesions

(Pale centre, pink edge)

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6
Q

What drug must be co-prescribed with methotrexate?

A

Folic acid 5mg weekly

Taken on a different day to the methotrexate

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7
Q

Erythroderma clinical definition

A

Erythema on over 90% of skin surfaces

“Red man syndrome”

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8
Q

GI symptoms + inflammatory arthritis

A

Enteropathic arthritis

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9
Q

Lung side effects of methotrexate

A

Pulmonary fibrosis
Interstitial pneumonitis

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10
Q

RA antibodies

A

Rheumatoid factor
Anti-CCP

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11
Q

MOA of aldosterone on the nephron

A

Increased reabsorption of sodium into blood
Increased secretion of potassium into urine

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12
Q

Treatment for acute flares of RA

A

Corticosteroids e.g. prednisolone

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13
Q

Treatment for RA when methotrexate and sulfasalazine aren’t working

A

Biologic e.g. Infliximab

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14
Q

High ESR, headaches, older patient

A

Temporal arteritis a.k.a. Giant Cell arteritis

(Temporal artery biopsy may show no abnormality due to skip lesions)

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15
Q

Fixed flexion deformity of the 4th and 5th digit in a man who drinks a lot

A

Dupuytren’s contracture

Causes:
Idiopathic (commonest)
Diabetes
Excess alcohol use with chronic liver disease
Family history
AIDS
Peyronie’s disease

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16
Q

Management of Dupuytren’s contracture

A

Physiotherapy.

Surgical management = fasciectomy with a z-shaped scar to prevent recurrence.

17
Q

Anti-dsDNA antibodies

A

SLE

18
Q

Eczema + herpes

A

Eczema herpeticum

Requires immediate treatment with antivirals e.g. IV aciclovir

19
Q

Eczema herpeticum presentation

A

Monomorphic vesicular rash which can ulcerate and crust.
Systemic effects, fever, malaise etc.

Diagnosis can be confirmed with a swab + Tzanck test.

20
Q

Why does impaired renal function lead to gout?

A

Reduced urate excretion therefore increased serum urate

21
Q

Signs of hypercalcaemia

A

Bones, Stones, Groans and Moans

Painful Bones

Renal Stones

Abdominal Groans - GI symptoms: Nausea, Vomiting, Constipation, Indigestion

Psychiatric Moans – Effects on nervous system: lethargy, fatigue, memory loss, psychosis, depression

22
Q

Primary hyperparathyroidism

A

Elevated PTH, elevated calcium, low phosphate

23
Q

Secondary hyperparathyroidism

A

Low calcium causes increased PTH secretion