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eMedica AKT Prep Course > Day 1 > Flashcards

Day 1 Flashcards

1
Q

Heart sounds louder on Expiration?

A

Left sided - Aortic and Mitral

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2
Q

Heart sounds louder on inspiration?

A

Right sided
- Tricuspid
- Pulmonary

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3
Q

Murmur with loud opening snap?

A

Mitral stenosis

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4
Q

MoA of spironolactone?

A

Aldosterone antagonist.
K+ sparing diuretic.

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5
Q

smell before seizure? Ref?

A

?temporal lobe epilepsy.
Ref neuro 2wks (urgent)

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6
Q

Who is offered AAA screening?

A

Men > 65y.o

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7
Q

Cut off criteria at AAA screening?

A

(i). <3cm 0 no further screening
(ii). 3 - 5.5cm - repeat / check progression
(iii). > 5.5cm - Ref vascular.

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8
Q

MoA Triptans?

A

Vasoconstriction Cranial vessels (migraine they vasodilate)

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9
Q

Contraindication for Triptans and why?

A

Why: potential to vasoconstrict other vessels
Contraindications - IHD/CAD, Stroke/TIA, uncontrolled HTN

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10
Q

What causes Shingles?

A

Varicella Zoster Virus (VZV)

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11
Q

What virus causes Chickenpox

A

Varicella Zoster Virus (VZV)

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12
Q

How many times typically does someone get shingles?

A

Once

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13
Q

MCC pericaditis?

A

Virus

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14
Q

Is DM a risk factor for AAA?

A

No

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15
Q

Alternative to Allopurinol for gout treatment?

A

Febuxostat

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16
Q

Uric acid target for pt on allupurinol / febuxostat for chronic gout?

A

<360 umol/l
< 300 if repeated attacks.

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17
Q

Two Thiazide like diuretics?

A

Indapamide
Chlorthalidone

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18
Q

Why do DM have increased risk of vitreous haemorrhage?

A

New blood vessle formation

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19
Q

Presentation of vitreous haemorrhage?

A

p/w sudden painless vision loss - e.g., curtain/flatters/black specs, cobweb vision (tunnel vision).

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20
Q

What does keratitis mean?

A

Inflammation of the cornea

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21
Q

Other name for Dendritic Keratitis?

A

Dendritic (corneal/Branching pattern) ulcer

22
Q

What causes dendritic ulcer?

A

Herpes simplex virus

23
Q

Mx dendritic ulcer?

A

Admit, risk of scaring.

24
Q

Another name for Shingles?

A

Herpes Zoster

25
Q

neuritis meaning?

A

inflammation / degeneration of nerve

26
Q

SM associated presentation of optic neuritis?

A

Unilateral, moderate, plainFULL visionLOSS.

27
Q

symptoms of Retinosa pigmentosa?

A

Child, night blindness and tunnel vision. Inherited.

28
Q

Central Artery occlusion presentation?

A

Cheery red spot Macula. Sudden painless vision loss.

29
Q

Rx embarrassing generalised erythema?

A

Propranolol
Clonidine

30
Q

dermatitis defintion?

A

Inflammation of skin

31
Q

cellulitis defintion

A

Infection fot he skin

32
Q

Name of condition what causes life threatening inflammation of whole body?

A

Erythroderma

33
Q

Other name for exfoliative dermatitis?

A

Erythroderma

34
Q

polycythaemia defintion?

35
Q

Other name for polycythaemia?

A

Erythrocytosis

36
Q

Whjats condition causes bilaterally tender red bumps over shines?

A

Erythema nodosum

37
Q

Nodule defintion?

A

Small red bumps 1-2cms.

38
Q

mucocutaneous definition?

A

Skin and mucous membranes.

39
Q

Another name for mucos membrane?

40
Q

What skin conditions presents with target lesion on hands and feet?

A

Erythema multiforme.

41
Q

Rosacea Rx options (3):

A
  1. Metronidazoel 0.75% gel/cream BD 3/12
  2. Lymecycline 408 PO OD 3/12
  3. Topical Ivermectin OD 3/12
42
Q

What is + cause of Livedo reticularis

A

Marble cyanotic pattern Bilat shine b/c cold exposure.

43
Q

Skin condition from repeating heating i.e., hot water bottle, called?

A

Erythema ab igne

44
Q

maculopapular meaning?

A

Rash with both flat and raised parts.

45
Q

Viral rash presentation?

A

blanching maculaopapular rash + viral symptoms

46
Q

Name of bug that causes Lyme disease?

A

Borrelia burgdorferi, tick bite from deer/sheep

47
Q

Rx lyme disease?

A

Doxycyline 3/52

48
Q

NAme of rash in lyme disease?

A

Erythema migrans.

49
Q

Defintion of eczema?

A

Itchy dry inflammed skin

50
Q

Ulcers defintion?

A

Painfull erosions

eMedica AKT Prep Course (1 decks)

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