From the wall Flashcards
What can T wave inversion mean
Hypokalaemia
Atropine is a competitive/non-competative inhibitor
competitive
What is atropine a competitive inhibitor of
acetylcholine
What is the affect of atropine on the heart
speeds it up
Where does the LAD run
in the inter ventricular groove
How is angina described
a tight crushing retrosternal pain
What does amoxicillin treat
Gram positive
What does gentomycin act on
gram -
What does metronidazole
anaerobic
Where does the left phrenic nerve pass over
the pericardium of the left ventricle
What is polymorphic VT normally associated with
Torsades de pointes
What do you use to treat tornadoes de pointes
magnesium sulphate
What are the first three investigations for Angina
Exercise ECG
Perfusion imaging
CT angiography
What are 4 classic symptoms of crohns
abdo pain
diarrhoea
anorexia and weight loss
Malaise and fever
What are 3 symptoms of UC
Bloody diarrhoea, colicky abode pain and urgency
What is the acronym for pulmonary oedema treatment
SMINT
What does SMINT stand for
Sit up and give high flow oxygen Morphine and anti-emetic IV diuretics ( e.g. furesimide) Nitrates Try urgent haemodyalysis or haemofiltration if no response to above
What does TNM stand for and what are the possible numbers for each one
Tumour - T1 to T4
Nodes- NO to N3
Metastases- MO to M1
What is loperamide used for
to decrease the frequency of diarrhoea
What is glycogen breakdown catalysed by
glycogen phosphorylase
What group of antibiotics does doxycycline belong to
tetracyclines
What does the LENT score predict
the survival in malignant pleural effusion
The enzymes glucose-6-phosphate is only found in cells able to store…
glycogen
Strawberry tongue is typical of which condition
Kawasaki disease
What is the management for Kawasaki disease
High dose aspirin
What is the potential complication of Kawasaki disease
Coronary artery aneurysm
What doe the following symptoms describe
Strawberry tongue, bright red cracked lips, red palms of the hands and the soles of the feet which later peel
Where do the coronary arteries arise from
The right and left aortic sinuses of the ascending aorta
What channels does adenosine open
Aah sensitive K+ channels (GIRK)
What does Adenosine hyperpolarises briefly and what is the result of this
Hyperpolarises the AV node briefly, suppressing impulse conduction
What tachycardia is adenosine used to terminate
Paroxysmal SVT caused by re-entry
What are adrenaline and noradrenaline secreted by
posterior pituitary
What is the vertebral level for the visceral afferent nerve fibres
Foregut- T6-T9
Midgut- T8-T12
Hindgut- T10-L2
What bacteria is the most common cause of acute cholecystitis
Enterococcus
