Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

FRACGP > For Review > Flashcards

For Review Flashcards

1
Q

What is the discharge management post AMI?

A
  • Aspirin 100mg indefinitely
  • Dual antiplatelets (aspirin + clopidogrel) in ACS for 12months +- longer if ischemic risk > bleeding risk
  • highest tolerated Statin dose
  • ACEI (if evidence of HF, LV dysfunction, DM, HTN)
  • Beta Blocker (if reduced LV sys function)
  • cardiac rehab (education, risk factor mods, exercise)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the top 3 causes of sterile pyuria

A
  • Infectious (atypical)
    • atypical infection (eg Mycobacteria / TB)
    • STIs (chlamydia)
    • parasites
  • Non-Infections
    • renal disease (calculi, cysts, IN, malignancy)
    • renal instrumentation (cystoscopy)
    • SLE
    • Malignancy
    • Post - ABx (eg penicillin, vancomycin)
    • Medications
  • – NSAIDs
  • – Steoroids
  • – Olsalazine
  • – PPI
  • Genital Cause (if epithelial cells present on MSU)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the signs and symtpoms of a bacterial COPD exacerbation?

A
  • increased sputum volume
  • sputum purulence or a change in sputum colour
  • fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the top 3 signs and symptoms of a bacterial COPD exacerbation?

A
  • increased sputum volume
  • sputum purulence or a change in sputum colour
  • fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the top 3 signs and symptoms of a bacterial COPD exacerbation?

A
  • increased sputum volume
  • sputum purulence or a change in sputum colour
  • fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are 3 features of a COPD exacerbation?

A
  • increasing dyspnoea
  • reduced exercise tolerance
  • tachypnoea.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the mechanism of damage of H.pylori?

A

Chronic inflammation leads to chronic gastritis

  • in most individuals is aSx without progression
  • in some cases: altered gastric secretion + tissue injury –> PUD
  • in other cases, gastritis progresses to atrophy, intestinal metaplasia, and eventually gastric carcinoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is your approach to ARF

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Approach to rheumatic heart disease

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

5 signs of Kawasaki’s

A
  1. fever
  2. conjunctivitis
  3. strawberry tongue
  4. rash
  5. lymphadenopathy (usually unilateral)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Reyes syndrome

A

aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Symptoms of scabies

A
  • Worsens at night

- worse itch of their life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are differerntials for HYPO-pigmented lesions

A 
post inflammatrory
pityriasis alba
pityriasis versicolor
vitligo
lichen sclerosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the common cholestatic pattern of LFTs?

A
  • ALP >200 IU/L –> Look at GGT to confirm liver origin
    • ALP also from bone (think Paget, mets, VitD defn)
  • ALP more than three times ALT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the common hepatocellular damaged pattern of LFTs?

A
  • ALT >200 IU/L
  • ALT more than three times ALP
  • in EtOH: (AST often >2 times ALT)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are your top 3 differentials for mildly elevated transaminases in an aSx patient?

A
  • NAFLD
  • Heamachromatosis
  • Medications
  • Alcoholic Liver Disease
  • Chronic hepatitis (B,C)
  • Autoimmune hepatitis
17
Q

What are the major features of the “Metabolic Syndrome”

A
  • elevated serum triglycerides (TG)
  • lowered serum (HDL-C)
  • impaired glucose tolerance
  • central adiposity
  • hypertension
18
Q

What is the common pattern of LFTs for NAFLD

A
  • raised ALT and AST (preserved ALT: AST of 1.5)
  • raised GGT
  • +/- raised ALP
19
Q

What are the concerning features for progression to cirrhosis

A
  • spider naevi
  • low/falling platelets (thrombocytopenia)
  • low albumin
  • reversal in ALT:AST ratio (so AST > ALT)
    • > later stage Sx of portal hypertension and decomp.
20
Q

What is the management of NAFLD?

A 
Reduce CV risk factors:
1. Weight control and reduction
2. Cessation of Smoking
3. Managing diabetes
4. Treat assoiciated dyslipidemia
Monitor 6-monthly: FBC, LFTs, INR, Lipids, BSL, BP
21
Q

What are the signs and symptoms of CF

A

EDIT

22
Q

What’s your first line management of a person with cystic fibrosis?

A

EDIT

23
Q

What are your top 3 differentials for a chronic cough?

A

EDIT

FRACGP (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions