gen med Flashcards

1
Q

Liver pathology that causes:
patient may be systemically unwell. Also, there may be other features of acute liver failure e.g. jaundice, hepatic encephalopathy

A

Viral Hepatitis

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2
Q

Liver pathology that causes: non-tender, firm liver, on Hx of heavy drinking

A

Alcoholic Liver Disease

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3
Q

Liver pathology that causes: hard, irregular liver edge.

A

Liver metastases

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4
Q

Liver pathology that causes: firm, smooth, tender and pulsatile liver edge

A

hepatomegaly secondary to Right heart failure

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5
Q

most common causes of nephritic syndrome in adult (X2)

A
  • Membranous glomerulonephritis - +ve PLA2 antibodies

- Focal segmental glomerulosclerosis

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6
Q

Amoebiasis Tx

A

metronidazole

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7
Q

Tx of variceal haemorrhage

A

Terlipressin

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8
Q

Cluster headache

  • duration?
  • characteritic?
  • Mx
A

a. Lasts 15 min - 2 hours each epi
b. intense sharp, stabbing pain around one eye (recurrent attacks ‘always’ affect same side)
c. Mx
a. Acute - 100% O2 + subcut triptan
Prophylaxis- verapamil -s/e heart block

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9
Q

when should warfarine be stopped before the surgery?

A

5 days pre-operatively, and substituted with LMWH

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10
Q

paraneoplastic features of small cell ling cancer

A

○ ADH
○ ACTH - cushing’s syndrome
○ Lambert -Eaton syndrome

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11
Q

paraneoplastic features squamous cell carcinoma

A

○ Parathyroid hormone related protein (PTH-rp) secretion – causing hypercalcemia
○ Clubbing
○ hypertrophic pulmonary osteoarthropathy (HPOA)
hyperthyroidism due to ectopic TSH

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12
Q

Most common tumour causing bone metastastases

A

a. Protate
b. Breast
c. lung

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13
Q

Status epilepticus Tx

A

a. 1st- benzodiazopine

b. 2nd- phenytoin infusion given after 2 attempts of any kind of benzo (diazepam, lorazepam)

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14
Q
  1. Buerger’s disease( thromboangiitis obliterans) Mx
A

stop smoking

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15
Q

ECG characterisitc of hypothemia

A

J-wave

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16
Q

ECG characterisitc of hypocalcemia

A

Prolonged QT interval

17
Q

ECG characterisitc of hypercalcemia

A

Shortened QT interval

18
Q

ECG characterisitc of hyperkalemia

A

Peaked T wave

19
Q

ECG characterisitc of hypokalemia

A

U-wave

20
Q

What is the latest time that HIV post-exposure prophylaxis may be given

A

72 hr after the event

21
Q

Nitrates are contraindicated

A

aortic stenosis