Exemplar Questions Flashcards

1
Q

What risk factors may contribute to an acute attack of gout at the 1st MTPJ?

A

Metabolic Syndrome - Hypertension, Diabetes, Obesity, High Triglyceride Level

Diuretic Medications (Often used to manage hypertension, heart failure, oedema)

Dehydration

High Alcohol Intake

Purine Rich Diet (Seafood, red meat, fruit juices)

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2
Q

What key features should be considered when examining a suspected melanoma?

A

Asymmetry

Irregular Borders

Non-uniform colour

Diameter of >6mm

Evolution - Has the lesion changed shape, size and/or colour?

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3
Q

Name 5 clinical features of an upper motor neurone lesion

A

Increased Muscle Tone - Hypertonia or Spastic Paralysis

Reduced Muscle Power - Pyramidal Pattern of Weakness

Positive Babinksi’s Sign/ Plantar Extensor Response

Increased or Clonus Reflexes - Hyperreflexia

Scissored Gait

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4
Q

Name 6 clinical features of a lower motor neurone lesion

A

Decreased Muscle Tone - Hypotonia

Reduced Muscle Power - In musculature supplied by affected motor nerve/root

Reduced Muscle Bulk - Atrophy of muscles suppled by affected motor nerve/root

Fasiculations

Negative Babinski’s Sign/ Plantar Flexor Response

Reduced or Absent Deep Tendon Reflexes - Hyporeflexia or Areflexia

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5
Q

What neurological conditions are associated with upper motor neurone lesion?

A

Cerebral Palsy

CVA/ Ischaemic or Haemorrhagic Stroke

Traumatic Brain Injury

Parkinson’s disease

Spinal Cord Injury

Multiple Sclerosis

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6
Q

What neurological conditions are associated with lower motor neurone lesions?

A

Poliomyelitis

HMSN

Spinal muscular atrophy

Bell’s Palsy

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7
Q

What neurological conditions are associated with both upper and lower motor neurone lesions?

A

Amyotrophic Lateral Sclerosis

Vitamin B12 Deficiency

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8
Q

What is the primary function of the spleen?

A

To filter blood and control the levels of blood cells (thrombocytes, leukocytes and platelets) within the body

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9
Q

A deficiency in what vitamin can cause blindness?

A

Vitamin A

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10
Q

Which structures are commonly found in the brain of patients affected by Alzheimer’s disease?

A

Neurofibrillary Tangles

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11
Q

Which is a hallmark feature of asthma in the bronchi?

A

Mucus hypersecretion

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12
Q

Parkinson’s disease involves the loss of dopaminegeric neurons in which area of the brain?

A

Substantia Nigra

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13
Q

What process within the lungs is disrupted in cystic fibrosis?

A

Mucus secretion

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14
Q

The pathophysiological process of glaucoma primarily involves?

A

Decreased aqueous humor drainage

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15
Q

Deficiency of the dystrophin protein is the primary aetiological factor in what disease?

A

Duchenne Muscular Dystrophy

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