- diarrhoea becomes bloody after 1-3 days - haemolysis - anaemia - thrombocytopaenia - raised LDH - raised Urea - raised creatinine

Day 3 Flashcards by Olivia McNee

What is Finkelstein’s test?

Hand should be deviated medially rapidly, if sharp pain occurs across distal radius- de quervain’s tenosynovitis is likely

How well did you know this?

Not at all

Perfectly

Diabetes mellitus- HbA1c of __ mmol/mol (___%) or greater is diagnostic

6.5

How well did you know this?

Not at all

Perfectly

What dose of statin is used as primary prevention against cardiovascular disease?

Atorvastatin 20mg

How well did you know this?

Not at all

Perfectly

What dose of statin is used as secondary prevention against cardiovascular disease?

Atorvastatin 80mg

How well did you know this?

Not at all

Perfectly

What is anticipation in trinucleotide repeat disorders?

Earlier onset in successive generations

How well did you know this?

Not at all

Perfectly

Liver + Neurological disease

Wilsons

How well did you know this?

Not at all

Perfectly

HIV seroconversion occurs from _-__ weeks

3-12 weeks

How well did you know this?

Not at all

Perfectly

When is elisa test recommended for confirmation of HIV -ve

3 months after exposure

How well did you know this?

Not at all

Perfectly

Features of acute severe asthma

PEFR 33-50%
inability to complete full sentences
RR > 25/min
Pulse >110bpm

How well did you know this?

Not at all

Perfectly

Management of chickenpox

Topical calamine lotion

How well did you know this?

Not at all

Perfectly

Contraindications to cochlear implant

History of chronic infective otitis media
lesions of cranial nerve VIII or in brain stem causing deafness
cochlear aplasia

How well did you know this?

Not at all

Perfectly

In anaphylaxis how should adrenaline be delivered

Intramuscularly

How well did you know this?

Not at all

Perfectly

What is FSGS?

Cause of nephrotic syndrome and CKD
Hyalinosis on light microscopy
effacement of foot processes on electron microscopy

How well did you know this?

Not at all

Perfectly

Management of FSGS

Steroids +/- immunosuppressants

How well did you know this?

Not at all

Perfectly

Management of rabies exposure if not vaccinated

Immunoglobulin + vaccination

How well did you know this?

Not at all

Perfectly

Management of rabies exposure if vaccinated

give 2 further doses of vaccine

How well did you know this?

Not at all

Perfectly

What should be ruled out in dermatomyositis

Underlying malignancy

How well did you know this?

Not at all

Perfectly

Signs of HUS

diarrhoea becomes bloody after 1-3 days
haemolysis
anaemia
thrombocytopaenia
raised LDH
raised Urea
raised creatinine

How well did you know this?

Not at all

Perfectly

Management of c-diff

mild= oral metronidazole 
severe = oral vancomycin 
life-threatening= oral vancomycin and IV metronidazole

How well did you know this?

Not at all

Perfectly

Management of PDA

Indomethacin in postnatal period

What is required under 2 week wait referral for unresolving varicoceoele

renal tract ultrasound

Features of limited systemic sclerosis

Calcinosis
Raynauds
Oesophageal dysmotility
Sclerodactyly
Telangectasia

Meningitis in 6- 60 yrs

streptococcus pneumonia

Most common complication of gonorrhoea

Infertility secondary to PID

Salter harris I

Physis only (x-ray normal)

Salter harris II

Fracture through physis and metaphysis

Salter haris III

Fracture through the physis and epiphysis to include the joint

Salter harris IV

Fracture involving physis, metaphysis and epiphysis

Salter harris V

Crush injury involving the physis (x-ray may resemble type I and appear normal)

Which UTI antibiotic should be avoided in 1st trimester?

Trimethoprim

Management in acute exacerbation of COPD without purulent sputum

Oral prednisolone for 5 days

Prophylaxis for contacts of patients with meningococcal meningitis

Oral ciprofloxacin or rifampicin

Clues to hyperglycaemic hyperosmolar state

Hyperglycaemia with increased serum osmolarity and no ketosis

What are focal seizures?

``` "parietal seizures" start in a specific area level of awareness can vary; Focal aware or focal impaired awareness Motor= jacksonian march non-motor= deja vu ```

What are generalised seizures

Engage or involve networks on both sides of the brain at the onset consciousness lost immediately Motor= tonic clonic Non-motor= absence

What are focal to bilateral seizures

Starts on one side of the brain in a specific area and then spreads

Pseudogout crystals

Weakly +ve bifringent crystals

Recognised causes of pancreatitis

``` G allstones E thanol T rauma S teroids M umps A utoimmune, ascaris venom S corpion sting H ypertriglyceridaemia, hyperchylomicronaemia, Hypercalcaemia, hypothermia E RCP D rugs (azathioprine, mesalazine, didanosine, bendroflumethiazide, furosemide, pentamidine, steroids, sodium valproate) ```

Features of temporal lobe seizures

``` HEAD Hallucinations Epigastric rising/emotional Automatisms (lip smacking) Deja vu ```

Features of frontal lobe seizure

Head/leg movements, posturing, post-ictal weakness, jacksonion march

Features of parietal lobe seizure (sensory)

Paraesthesia

Features of occiptal lobe (visual)

Floaters/flashes

Feature of bronchopulmonary asperillosis

Eosinophilia

Chickenpox is at risk of which soft tissue infections

Invasive GAS

Management of acute gout with peptic ulcer

NSAIDs containdicated if peptic ulcer | give colchicine

What is hairy leukoplakia?

EBV-associated lesion on the side of the tongue, and is considered indicative of HIV

What deficiency is caused by ileocaecal resection?

Vitamin B12

Signs of acute tubular necrosis?

- worsening renal function | - muddy brown casts