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Exam book questions > Get Ahead Medicine > Flashcards

Get Ahead Medicine Flashcards

1
Q

Schistomiasis

A

Comon in Middle east and parts of Africa

Granulomas forming around eggs of schistosomes in urinary tract can obstruct urinary tree

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2
Q

Actinic keratosis

A

Flat lesion

Small mildy erythematous patch with keratotic hypertrophy

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3
Q

Leukotriene receptor antagonists in management of acute asthma

A

No

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4
Q

Psoriasis 5 characteristic patterns

A 
Distak interphalangeal arthritis
Symmetrical polyarthritis 
Asymmetrical oligoarthritis 
Spondyloarthropathy 
Arthritis mutilans  (severe destructive arthropathy mainly affecting the hands)
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5
Q

Ezcema vs psoriasis location

A

Ezcema more commonly localised to flexures

Psoriatic plaques more typically localised to extensor surfaces

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6
Q

Psoriasis annual changes

A

Worse in winter months as it responds well to sunlight

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7
Q

MRI findings of MS

A

Periventricular white matter lesions not necessarily matching the clinical picture

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8
Q

Causes of LBBB

A

Aortic stenosis
Dilated cardiomyopathy
Chronic HTN
Extensive CAD without MI

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9
Q

Blood test results Legionella pneumophila

A

Hyponatramia
Abnormal LFT (elevated liver enzymes, hypoalbuniamaia)
Elevated Creatinine kinase

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10
Q

BPPV pathophysiology

A

Debris blocking normal flow of endolymph in labyrinth

Only happens when head moves

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11
Q

Hallpike manouvere

A

Reveals nystagmus when pts head is tilted back whilst they face one side and not other

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12
Q

Treatment of BPPV

A

Epley manouvere

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13
Q

Wegener granulomatosis

A

Systemic vasculitis that involves small and medium vessels

TRIAD:
Upper & lower resp tract involvement
Pauci immune glomerulonephritis

pANCA

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14
Q

Diagnosis of malaria

A

3 thick & thin blood films on consecutive days

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15
Q

Hepatomegaly with smooth margin

A 
Viral hep 
Biliary tract obstruction 
Hepatic vein thrombosis (budd-chiari syndrome)
Right heart failure 
Myeloproliferative disease
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16
Q

Hepatomegaly with craggy border

A

Hepatic metastatic disease

Polycystic disease

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17
Q

Blood vessel supplying SAN, AVN, Right ventricle and inferior part of left ventricle

A

Right CA

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18
Q

Blood vessel supplying LV and Inter-ventricualr septum

A

LAD

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19
Q

N. gonorrhoea shape

A

Gram -vs cocci

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20
Q

N. meningitidis shape

A

Gram -ve cocci

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21
Q

E.coli
Salmonella
H.influennzae
H. pylori

SHAPE

A

Gram-ve rods

22
Q

C.diff
Listeria

SHAPE

A

Granm +ve rods

23
Q

Staphylococci
Streptococci

SHAPE

A

Gram +ve cocci

24
Q

Signs of mitral stenosis

A

Bifid P-wave
Diastolic opening snap heart sound
Mid-diastolic murmur
Peripheral cyanosis

25
Q

DOuble impulse apex beat

A

HoCM

26
Q

Bell’s Plasy treatment

A

Steroids, antiviral therapy and eye protection

27
Q

Forehead not spared meaning…

A

LMN;

28
Q

Imunoglobulin light chains in blood

A

Multiple myeloma

29
Q

Diagnosis of multiple myeloma

A

2/3 of the following:

1) Marrow plasmcytosis
2) Serum/urinary Ig-light chains (Bence-Jones protein)
3) Skeletal lesions

30
Q

Indication for commencing HAART in HIV

A

CD4 < 200 cells/mm^3

31
Q

Most common cause of acute confusion in elderly pt

A

Chest/urinary tract infeciton

32
Q

Conditions associated with HLA-B27

A

IBD
Psoriasis
Uveitis

33
Q

Scleritis

A

Inflammation of sclera

34
Q

Causes of non-pitting oedema

A

Lymphoedema

Pretibial myodema

35
Q

Gold standard Ix for GCA

A

Temporal artery biopsy

36
Q

Management of hypercalcaemia steps

A

Check pts U+Es BD
IV bisphosphonate (causes bone reabsorption)
Start loop diuretics
Rehydrate with IV saline

37
Q

Clinical features of thalassaemia major

A

Failure to thrive (insufficient weight gain)
lethargy
Pallor
Jaundice

Hepatosplenomegaly
Bossing of the skull
Maxillary prominence
Long bone deformity

38
Q

Osteophytes at DIP joints

A

Heberden nodes

Osteoarthritis

39
Q

Osteophytes at PIP joints

A

Bouchard nodes

Osteoarthritis

40
Q

Trigger finger

A

Psoriatic arthritis

Rheumatoid arthritis

41
Q

Aphthous ulcers

A

Common idiopathic benign condition

Small, grey, shallow ulcers that dissapear spontaneously

Incidence rises dramatically with IBD

42
Q

Impetigo

A

contagious, superficial infection caused most commonly by Staphylococcus aureus. The infection spreads when lesions burst to release an exudate, which spreads the bacteria outwards and leaves behind the crust.

43
Q

Torsades de pointes causes

A 
TCA
Amiodarone 
Long QT syndrome
Malnutrition
Anti-arrhythmics
44
Q

Blast cells

A

ALL

45
Q

Hyponatraemia and hyperkalaemia in pt with postural hypotension

A

Possible primary adrenal insufficiency

46
Q

SBP

A

Pts with ascites are at risk of developing SBP

Most common organisms are E.coli and Kleb. Spp

47
Q

Diagnosis of sarcoidosis

A

Biopsy and histoly showing non-caseating granulomas

48
Q

Diagnosis of Multiple Sclerosis on LP

A

Oligoclonal bands on electrophoresis

49
Q

Budd-Chiari syndrome

A

Sudden onset ascites with tender hepatomegaly in absence of jaundice should hold high degree of suspicion

50
Q

Budd-Chiari syndrome aetiology

A

Effects of hepatic vein outflow obstruction, caused by thrombosis or malignancy

RFs:
Malignancy 
Thrombophilias 
Trauma 
OCP
51
Q

B12 deficiency Sx

A

Macrocytic anaemia
Glossitis
Peripheral neuropathy

Exam book questions (4 decks)

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