Every passmed question i ever got wrong Flashcards
Treatment of asymptomatic first degree heart block in a young person
No treatment needed
The most common and important viral infection in solid organ transplant recipients
Cytomegalovirus
Which types of shock will cause warm peripheries?
Neurogenic, septic shock, anaphylactic
Main ECG abnormality in hypercalcaemia
Shortening of QT interval
Prominent U waves
Hypokalaemia
Does Bullous Pemphigoid or bullous pemphigus involve the mouth?
Bullous pemphigus involves the mouth
Treatment of bullous pemphigoid
Oral steroids
In bullous pemphigoid, what are the antibodies directed against?
Directed against the hemidesmosomal proteins
How to differentiate between HHS and DKA?
HHS does not cause hyperketonemia and metabolic acidosis (i.e. pH will be fine)
MEN I may also be linked with which condition?
Zollinger Ellison syndrome
What condition might people with Zollinger Ellison also have?
MEN 1
What do parotitis and spider navei suggest?
Suggest excessive alcohol intake
If you have a stroke, what side is the homonymous hemianopia on?
The homonymous hemianopia is always on the same side as the paresis
Treatment of intrahepatic cholestasis of pregnancy>
Urseodeoxycholic acid
What will LFTs show in intrahepatic cholestasis of pregnancy?
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
Investigation of choice to detect liver cirrhosis
Transient elastography
Anticoagulation and stroke
Right so, you give aspirin 300mg for 14 days
Then start your anticoagulation stuff (e.g. LMWH and warfarin)
Which condition is most strongly associated with H pylori infection?
Duodenal ulceration
What type of cells would you see in gastric adenocarcinoma?
Signet ring cells
Treatment of mild croup
Oral dexamethasone
Most common cause of death in infants greater than 1 month but less than one year old
Sudden infant death syndrome
Most common cause of death in infants more than 1 year old
Accidents
Name a medication you should avoid in bowel obstruction
Metaclopramide - it is a prokinetic and could cuase perforation in bowel obstruction
Causes of Dupuytrens
Phenytoin Manual labour Alcoholic liver disease Trauma to the hand (family history)
What might low platelet counts and raised fibrin degradation products suggest?
DIC
Treatment of acute cholecystitis
IV antibiotics and early laparoscopic cholecsytectomy within 1 week of diagnosis
Diabetes management in pregnancy - which medications are okay to use?
Can use metformin/insulin
I.e. stop sulphonylurea
A known complication of gastrectomy
Subacute combined degeneration of the cord (because you are removing the cells that secrete intrinsic factor)
U waves on ECG
Hypokalaemia
Causes of massive splenomegaly
CML
Myelofibrosis
Malaria
Visceral leishmaniasis
Treatment of acute otitis media with perforation
Oral antibiotics
-review child with perforation in 4 weeks time
Treatment for psoriatic plaques
Topical steroid and topical calcipotriol
Treatment of erythema nodosum
No active treatment, arrange routine follow up
Goserelin mechanism of action
GnRH agonist
Which part of the ear is most important to visualise
The attic
Management options for basal cell carcinoma
Surgical removal Curettage Cryotherapy Topical cream: imiquimod, fluorouracil Radiotherapy
Skin lesion that may occur at site of previous trauma
Dermatofibroma
Meningitis treatment for infant <3 months
IV amoxicillin and IV cefotaxime
amoxicillin to cover for listeria
Meningitis treatment for infant >3 months
IV cefotaxime
The three D’s of pellagra
Dermatitis, dementia/delusions, leading to death
Pellagra is a deficiency of which vitamin
B3 (niacin)
Which condition might you see trident hands in
Achondroplasia
What can ankylosing spondylitis be associated with
Achilles tendonitis
Achilles tendonitis is associated with which joint condition?
Ankylosing spondylitis
Which investigation is contraindicated in raised ICP?
Lumbar puncture is contraindicated - do CT head
How should you prescribe maintenance fluids?
Maintenance fluids should be prescribed at 30ml/kg/24 hour
