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Revision from notes > Every passmed question i ever got wrong > Flashcards

Every passmed question i ever got wrong Flashcards

1
Q

Treatment of asymptomatic first degree heart block in a young person

A

No treatment needed

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2
Q

The most common and important viral infection in solid organ transplant recipients

A

Cytomegalovirus

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3
Q

Which types of shock will cause warm peripheries?

A

Neurogenic, septic shock, anaphylactic

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4
Q

Main ECG abnormality in hypercalcaemia

A

Shortening of QT interval

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5
Q

Prominent U waves

A

Hypokalaemia

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6
Q

Does Bullous Pemphigoid or bullous pemphigus involve the mouth?

A

Bullous pemphigus involves the mouth

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7
Q

Treatment of bullous pemphigoid

A

Oral steroids

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8
Q

In bullous pemphigoid, what are the antibodies directed against?

A

Directed against the hemidesmosomal proteins

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9
Q

How to differentiate between HHS and DKA?

A

HHS does not cause hyperketonemia and metabolic acidosis (i.e. pH will be fine)

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10
Q

MEN I may also be linked with which condition?

A

Zollinger Ellison syndrome

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11
Q

What condition might people with Zollinger Ellison also have?

A

MEN 1

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12
Q

What do parotitis and spider navei suggest?

A

Suggest excessive alcohol intake

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13
Q

If you have a stroke, what side is the homonymous hemianopia on?

A

The homonymous hemianopia is always on the same side as the paresis

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14
Q

Treatment of intrahepatic cholestasis of pregnancy>

A

Urseodeoxycholic acid

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15
Q

What will LFTs show in intrahepatic cholestasis of pregnancy?

A

High gamma GT and high ALP (cholestatic picture), with a lesser rise in ALT
Patients may also be jaundiced with right upper quadrant pain and steatorrhoea

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16
Q

Investigation of choice to detect liver cirrhosis

A

Transient elastography

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17
Q

Anticoagulation and stroke

A

Right so, you give aspirin 300mg for 14 days

Then start your anticoagulation stuff (e.g. LMWH and warfarin)

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18
Q

Which condition is most strongly associated with H pylori infection?

A

Duodenal ulceration

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19
Q

What type of cells would you see in gastric adenocarcinoma?

A

Signet ring cells

20
Q

Treatment of mild croup

A

Oral dexamethasone

21
Q

Most common cause of death in infants greater than 1 month but less than one year old

A

Sudden infant death syndrome

22
Q

Most common cause of death in infants more than 1 year old

A

Accidents

23
Q

Name a medication you should avoid in bowel obstruction

A

Metaclopramide - it is a prokinetic and could cuase perforation in bowel obstruction

24
Q

Causes of Dupuytrens

A 
Phenytoin
Manual labour
Alcoholic liver disease
Trauma to the hand
(family history)
25
Q

What might low platelet counts and raised fibrin degradation products suggest?

A

DIC

26
Q

Treatment of acute cholecystitis

A

IV antibiotics and early laparoscopic cholecsytectomy within 1 week of diagnosis

27
Q

Diabetes management in pregnancy - which medications are okay to use?

A

Can use metformin/insulin

I.e. stop sulphonylurea

28
Q

A known complication of gastrectomy

A

Subacute combined degeneration of the cord (because you are removing the cells that secrete intrinsic factor)

29
Q

U waves on ECG

A

Hypokalaemia

30
Q

Causes of massive splenomegaly

A

CML
Myelofibrosis
Malaria
Visceral leishmaniasis

31
Q

Treatment of acute otitis media with perforation

A

Oral antibiotics

-review child with perforation in 4 weeks time

32
Q

Treatment for psoriatic plaques

A

Topical steroid and topical calcipotriol

33
Q

Treatment of erythema nodosum

A

No active treatment, arrange routine follow up

34
Q

Goserelin mechanism of action

A

GnRH agonist

35
Q

Which part of the ear is most important to visualise

A

The attic

36
Q

Management options for basal cell carcinoma

A 
Surgical removal
Curettage
Cryotherapy
Topical cream: imiquimod, fluorouracil
Radiotherapy
37
Q

Skin lesion that may occur at site of previous trauma

A

Dermatofibroma

38
Q

Meningitis treatment for infant <3 months

A

IV amoxicillin and IV cefotaxime

amoxicillin to cover for listeria

39
Q

Meningitis treatment for infant >3 months

A

IV cefotaxime

40
Q

The three D’s of pellagra

A

Dermatitis, dementia/delusions, leading to death

41
Q

Pellagra is a deficiency of which vitamin

A

B3 (niacin)

42
Q

Which condition might you see trident hands in

A

Achondroplasia

43
Q

What can ankylosing spondylitis be associated with

A

Achilles tendonitis

44
Q

Achilles tendonitis is associated with which joint condition?

A

Ankylosing spondylitis

45
Q

Which investigation is contraindicated in raised ICP?

A

Lumbar puncture is contraindicated - do CT head

46
Q

How should you prescribe maintenance fluids?

A

Maintenance fluids should be prescribed at 30ml/kg/24 hour

Revision from notes (16 decks)

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