First Year Buzzwords Flashcards
what is the most common immunoglobulin antibody in the body
IgG
where is the trachea palpated
suprasternal/jugular notch
which nerve supplies the diaphragm
phrenic nerve - C3, 4, 5
which bone has no articulations in the body
hyoid bone
which Ig is found in breast milk
IgA
which Ig is associated with hypersensitivity
IgE
Ziehl Neelson stain positive for acid fast bacilli shows
TB
caseous necrosis shows
TB
diarrhoea and dry cough after being on holiday
Legionella - urinary antigen test
tall, thin young male who smokes cannabis with chest pain is most likely due to
pneumothorax
bilateral hilar lymphadenopathy, erythema nodusum, non-caseating granulomas, uveitis shows
sarcoidosis
bronchiole wider than neighbouring arteriole (signet ring sign) shows
bronchiectasis
D sign on X-ray shows
Empyema
child with barking cough is most likely
Croup
alcoholic with aspiration pneumonia - most likely pathogen is
Klebsiella Pneumonia - anaerobe and treat with metronidazole
ADH and ACTH secreting lung cancer
small cell lung cancer
small cell lung cancers are derived from
neuroendocrine cells
nerve that supplies the rectum
pudendal nerve
S2, 3, 4 keeps penis, pee and poo off the floor
pneumonia associated with sheep and goats
coxiella burnetti
increased Ca2+ and serum ACE
sarcoidosis
acute management of asthma
Oxygen 100% non-rebreather Salbutamol nebulised Hydrocortisone/Prednisolone Ipratropium nebulised hourly Theophylline/aminophylline IV Magnesium Anaesthetist
management of exacerbation of COPD
Ipratropium Salbutamol Oxygen Amoxicillin Prednisolone
non-smoker with lung cancer is likely to have
adenocarcinoma
low D-dimers excludes PE
true
treatment for large PE
thrombolysis
treatment for small PE
low molecular weight heparin
obstructive lung disease + high eosinophils =
asthma
obstructive lung disease + high neutrophils =
COPD
saw tooth ECG
atrial flutter
irregularly irregular pulse
atrial fibrillation
side effects of ACEi
dry cough and hyperkaeaemia
radial radial delay is sign of
aortic dissection
collapsing pulse found in
aortic regurgitation
malar flush found in
mitral stenosis
ejection systolic murmur radiating to the carotids
aortic stenosis
pansystolic murmur radiating to the axilla
mitral regurgitation
signs of infective endocarditis
splinter haemorrhages
janeway lesions
osler nodes
roth spots
staph aureus causes endocarditis in ___
IVDU and prosthetic valves
what 4 conditions make up tetralogy of fallot
overriding aorta
VSD
ventricular hypertrophy
pulmonary stenosis
anticoagulant examples are
warfarin
epixaban
rivaroxaban
anticoagulants treat venous/arterial clots
venous
antiplatelet example are
aspirin
clopidogrel
ticagrelor
antiplatelets treat venous/arterial clots
arterial
atropine treats
severe bradycardia
acute treatment for supraventricular tachycardia
vagal manoeuvres
IV adenosine and verapamil
first line treatment of ascites
spirnolactone
what are the side effects of spirnolactone
gynaecomastia
hyperkalaemia
where does the vena cava pass through the diaphragm
T8 (eight letters)
where does the oesophagus pass through the diaphragm
T10 (10 letters)
which vertebral level does the aortic hiatus pass through diaphragm
T12 (12 letters)
antibody found in coeliacs disease
anti-transglutaminase antibody
air cresent sign on chest x-ray sign of
aspergillus infection
gingival hypertrophy side effects of
calcium channel blocker
bird beak appearance and difficulty swallowing solids and liquids
achalasia
Grey turners sign and Cullens sign
acute pancreatitis
Murphys sign positive
cholecyctitis
pale stools, dark urine, jaundice and abdo pain
biliary obstruction
abdo distension, caput medusae, shifting dullness, spider naevi and gynaecomastia
portal hypertension
ascites
extraintestinal manifestations of Crohns disease and UC
apthous ulcers - crohns only
anal fissures - crohns only
erythema nodosum
pyoderma gangrenosum
tingling bowel sounds
bowel obstruction
urea breath test
H. Pylori
presence of anti-mitochondrial antibodies
primary biliary cholangitis
presence of anti-smooth muscle antibodies
autoimmune hepatitis
+ve pANCA
primary sclerosing cholangitis
presence of alpha feto protein
hepatocellular carcinoma
diuretic used for ascites
spirnolactone
most common cause of gastroenteritis
campylobacter
Russels sign
self-induced vomiting
non-smoker lung cancer and where it appears
adenocarcinoma in the peripheries
2 central lung cancers
small cell and squamous cell
tall tented T waves
hyperkalaemia
ST depression
myocardial ischaemia
delta waves
wolf-parkinson white syndrome
parathyroid secreting lung tumour
squamous cell carcinoma of the lung
exudate protein is
> 30g/l usually malignancy or pneumonia remember Extra
transudate protein is
<30g/l left ventricular failure and cirrhosis
large cell lung cancer secretes ___ causing __
sex hormones causing gynaecomastia
causes of hypercalcaemia
moans - GI eg constipation
bones - fractures
groans - psychological
stones - kidney stones
machine gun like murmur
patent ductus arteriosus
slow rising pulse
aortic stenosis
strep viridans causing endocarditis after
dental surgery
onion skinning fibrosis, beading of bile ducts and patient has UC
primary sclerosing cholangitis
charcots triad for acute cholangitis
fever
abdominal pain
jaundice
side effect of spirnolactone
gynaecomastia
replacement of stratified squamous epithelium with simple columnar epithelium
Barrets Oesophagus
bronzed diabetic with slate grey appearance
haemochromatosis
treatment for haemochromatosis
regular venesection
kaiser fleischer rings in eyes + liver disease and family history
Wilsons disease
inherited condition causing emphysema and liver disease
alpha 1 anti-trypsin deficiency
low cereuloplasmin
Wilsons disease
jaundice and hepatomegaly of woman on oral contraceptive
Budd-Chiari
treatment of mild C Diff
metronidazole
treatment of severe C Diff
oral vancomycin
duration of P wave
0.08-0.10 seconds
duration of PR interval
0.12-0.2 seconds
duration of QRS complex
0.12 seconds
calculating a regular heart rate
300/(number of large squares in RR interval)
calculating an irregular heart rate
300/(number of RR peaks in 6 large boxes)
ST depression is sign of
myocardial ischaemia
tall T waves is a sign of
hyperkalaemia
pathological Q waves are a sign of
previous MI
STEMI in leads II, III and aVF is where and affects which artery
inferior MI
affecting right coronary artery
STEMI in leads I, aVL, V2-V6 is where and affects which artery
anterolateral
affects LAD/left circumflex
STEMI in leads V2-V5 is where and affects which artery
anterior
LAD
STEMI in leads V1-V4 is where and affects which artery
anteroseptal
LAD
STEMI in leads V1-V2 is where and affects which artery
posterior
right coronary
name a potassium sparing diuretic and side effects
spirnolactone - gynaecomastia and hyperkalaemia