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MS3 - Clinical biochem > Cram > Flashcards

Cram Flashcards

1
Q

vWF disease Ix

A

Bleeds

F8, Raised APTT

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2
Q

Rx of vWF disease

A

Tranexemic acid
Desmopressin
F8

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3
Q

3rd nerve palsy

A

ptosis + dilated pupils

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4
Q

Horners

A

ptosis + constricted pupils

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5
Q

MGUS Ix

A

<30 IgG

<20 IgA

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6
Q

Myeloma Ix

A

Raised serum M protein

30% plasma cells (or 10-30)

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7
Q

Post virtuous detachment sx

A

flashes/floater

Painless sudden loss of vision

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8
Q

Retinal detachment sx

A

Curtain shutting

Painless sudden loss of vision

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9
Q

Retinal artery occlusion

A

Cherry red spot

Painless sudden loss of vision

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10
Q

Retinal vein occlusion

A

Flame haemorrhages
Blot haemorrhages
Painless sudden loss of vision

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11
Q

Richter’s transformation

A

CLL to B cell lymphoma (high grade lymphoma)

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12
Q

Reed sternberg cells

A

Hodgkin lympho

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13
Q

Cataract association

A 
Low Ca
Steroid
DM
Uveitis 
Downs
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14
Q

Glaucoma sx

A

Semi-dilated pupil
Severe pain
Halo

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15
Q

Uveitis sx

A

Small, fixed oval pupil

Ciliary flush

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16
Q

t9,22

A

CML mainly

but also ALL

17
Q

Tranaxemic acid route

A

IV bolus

Followed by slow infusion

18
Q

Amiodarone complication

A

pulmonary fibrosis
thyroid
liver (tom thinks)

19
Q

Boerhaave’s syndrome

A

oesophageal rupture

Surgical emphysema in neck

20
Q

Pirolactinoma mx

A

<1 cm; Carbagoline (dopamine agonist)

>1: cm: surgery

21
Q

Monitoring of neruological resp function

22
Q

Mx of superficial thrombophlebitis

23
Q

Plummer vinson

A

Fe deficiency anaemia

Dysphagia

24
Q

Inducers of P450

A 
Carbamezapine
rifampicin
antiepileptics
barbiturates
st johns wart
25
Q

Raised anion gap

A

DKA
Lactate
Renal failure (urate)
Acid poisoning (aspirin, methanol)

26
Q

Sick euthyroid

A

TSH low/normal

T3/T4 low

MS3 - Clinical biochem (11 decks)

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