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Chings Notes > HIGH YIELD RECALLS > Flashcards

HIGH YIELD RECALLS Flashcards

1
Q

Impaired ability to walk along a straight line touching the heel of one foot to the toe of the other

A

Cerebellar Dysfunction

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2
Q

Acute onset, severetesticular pain and swelling.
The testicle is tender and elevated

A

Testicular tosion

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3
Q

Milk coming out from nipple

A

Switch to Quetiapine
Dx; Risperidone - induce galactorrhea

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4
Q

Alcoholic patient, chronic, presented with abdominal pain tenderness,
distention, hepatomegaly, LFT abnormal, Abdominal Paracentesis done. What is the next appropriate test?

A

Neutrophils count

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5
Q

0.9 cm pituitary adenoma on treatment with Bromocriptine
Now she wants to conceive
Prolactin was 1315 and now 1135
nxt?

A

Cabergoline

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6
Q

bright red bleeding per rectum for 2 days
Daily - Furisemide and Spirolactone as well as water and sodium restriction
Abdominal distention@+ peripheral edema
Had variceal banding
urine sodium 5mmol
Cause of Acute kidney Injury?

A

Renal Hypoperfusion

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7
Q

Which of the ff is the most appropritate treatment for the dendritic ulcer shown in the above picture

A

Oral Valacyclovir

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8
Q

No passed motion and flatus for 3 days
Has abdominal pain with nausea
Vital signs stable
Diagnosis?

A

Sigmoid Volvulus

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9
Q

Menstruation associated itchyness and redness without any discharge

A

Do nothing

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10
Q

Given youg girl Bell’s palsy pic
come to ED within 6 hrs
mentioned Left ear examination (no rashes)

A

Oral Prednisolong and Oral Acyclovir

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11
Q

Middle age
Jaundice
RUQ pain
High ALP
Gamma GT
Bilirubin

A

ERCP

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12
Q

Joint pain
Morning stifness
symmetric join swelling
elevated anti-cyclic citrullinated peptide (anti-CCP) antbodies

A

Rheumatoid Arthritis

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13
Q

detected with PLSIL
Next step?

A

HPV DNA test in 12 months

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14
Q

Negative smear - No endocervical cells
Negative smear - Inflammatory cells

A

Repeat in 2 years

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15
Q

Unsatisfactory smear

A

Repeat smear in 6-12 weeks
(allow regeneration of cells)

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16
Q

Possible LSIL and definite LSIL

A

Repeat pap test at 12 months
If the woman is 30+ years and has no negative cytology in previous 2-3 years, refer for colposcopy or repeat the test in 6 months

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17
Q

Possible HSIL and definite HSIL

A

Refer for colposcopy

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18
Q

Glandular abnormalities including adenocarcinoma in situ

A

Refer to a gynaecologist

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19
Q

Invasive squamous cell carcinoma or adenocarcinoma

A

Refer to appropriate specialist gynaecologist or unit

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20
Q

nconclusive - raising possibility of high grade diease

A

Refer for colposcopy and possible biopsy

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21
Q

Advice most appropriate to the mother in regard to breast feeding

A

Frequent feeding from both side

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22
Q

The baby wakig up at nifht crying and consoled by breastfeeding
What to do next?

A

Add rice and other foods

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23
Q

Harsh Inspiratort stridor
Barking brassy
TX: Adrenaline
6 montha to 3 -6 years sometimes older
Org: parainfluenza, influenza

A

Croup
(Laryngotracheobranchitis)

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24
Q

Haemophilus type B
6 months - 6 years
Soft expiratory Stridor
Soft, cleat to muffled
Sitting forward,
Cherry red epiglottis
Tx: Cephalosporine, Ceftriaxone

A

Epiglottitis

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25
Q

RSV
2 wks - 9 months < 1 yr
Bilateral, Expiratory, wheeze
Barrel-shped, subcostal recession
Fine inspiratory crackles
Nasal flaring
Tx: 02

A

Bronchiolitis

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26
Q

Hemothorax, 1800 ml drained with 2 L crystalloid
What will you do?

A

Thoracotomy

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27
Q

Hyperresonant

A

Pneumothorax

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28
Q

Dull

A

Haemothorax

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29
Q

If intubation tried already and didn’t respond.’

A

Thoracotomy

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30
Q

Young female
Fever dysuria with lower abdominal pain
LaB pus cells
What is the diagnosis?

A

UTI

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31
Q

A case of RIsperiodone
What drug to counteract

A

Aripiprazole

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32
Q

Unilateral Undescended testis

A

Indirect inguinal Hernia

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33
Q

Post op Patient
Oliguric with indwelling catheter, fever 38.5
What is your most approp management?

A

Blood Culture

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34
Q

A case of hyperkalemia, labs show 6. Everything was normal except urea ans. creatinine was high. What to do?

A

Resonium

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35
Q

Nephrotic Syndrome treated with Steroid
Developed Hypertension
Diffuse abdominal pain, vomiting for 1 week
What is the probable diagnosis?

A

Acute Pyelonephritis

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36
Q

Bipolar Hypomania

A

Lithuyn

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37
Q

External Hemorrhoids

A

Band Ligation

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38
Q

Complain pain in combing your hair

A

Steroid - Prednisolone

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39
Q

Studying efficacy

A

RCT

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40
Q

39 wks pregnancy with RUQ pain
Gallbladder removed
What to do next?

A

USG

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41
Q

Traveller, Hep A vaccine done
What is the possible infection?

A

Hepatitis E

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42
Q

71 yo lady presented first time in 5 years
What will you do

A

Cervical Screening

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43
Q

Positive bilateral Rinne Test
Weber lateralize to the Right ear

A

SNHL in the Left

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44
Q

Multiple rib fractures
Chest CT right side haemothorax
What’s next

A

Chest Drain

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45
Q

Vulval lump picture, discomfort while sitting and standing, no redness, no discharge , no fever what is next?

A

Sits Bath

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46
Q

RTA, xray fracture in the anterior pubic ramus
blood in urethral meatus
acute urinary retention

A

Supra Pubic Catheterization

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47
Q

39 wks in labor
sudden abdominal pain, vaginal bleeding 1000 ml blood loss
BP 90/50
no fetal heart sound
After fluid resuscitation
What’s next?

A

Amniotomy

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48
Q

Boy with aggressive behavior, involve in fights

A

ODD

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49
Q

Mother felt lump in the lateral neck while bathing
lower 1/3 of lateral neck, neck tilted to the side of the lump no pain

A

Sterdomatoid tumour

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50
Q

Socially withdrawn for 12 months
No hallucinations or delusions

A

Shizophreniform psychosis? or Shizophrenia?

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51
Q

If there is pain and redness in the finger and has penicillin allergy

A

Clindamycin

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52
Q

Can’t see after closing her right eye

A

Central Retinal Vein Occlusion

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53
Q

Boy with enuresis and has wetting issue
mgt?

A

bell and pad

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54
Q

testicular lump
no tenderness
USS Cystic

A

Testicular tumor markers

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55
Q

What is the cause of Gynecomastia in 15yo

A

Physiological

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56
Q

What is the cause of gynecomastia in 17 yo

A

Idiopathic

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57
Q

What is the cause of gynecomastia in 21yo

A

Drug Related Anabolic Steroid

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58
Q

Bipolar hypomania tx?

A

Olanzapine

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59
Q

1 yo chld’s mother with domestic violence what will you do?

A

Report to Child’s protection services

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60
Q

Schizophrenic patient with knife in his hand and was stable on Clozapine hat will you do

A

Also I checked his Clozapine levels

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61
Q

Blood in urethra
Bladded distended on palpation
next step?

A

Suprapubic catheter

62
Q

Agraphia, alcalulia, inability to tell left from Right side

A

Left Parietal Stroke

63
Q

Dyslexia
Apraxia
Agnosia
Dysphasia
Dyscalulia

64
Q

Foot ulcer 1 cm with pus discharge
cellulitis present till mid shin
After irrigation and debridement what will you do

A

Inj Ticarcilling Calcinate IV

65
Q

Nonhealing DM foot ulcer more than 6 weeks
Inv?

66
Q

Less than 6 wks

67
Q

1 wk URTI with amoxicillin , enlarged tonsils and adenopathy

A

Stop Antibiotics

68
Q

Red velvety Patch

A

Erythroplakia

69
Q

Precancerous yellow white lesion

A

Leukoplakia

70
Q

Chronic Pancreatitis in heavy alcoholic liver
Inv?

71
Q

Female pt 60yo with pain in the First Metacarpophalangeal joint and DIP joints

A

Idiopathic OA
Early stage of OA

72
Q

EF 35%
Aortic stenosis with systolic gradient 45mmHg
Symptoatic

A

Aortic Valve replacement

73
Q

ECG Afib With rate 130 and CHADsVAs > 2

74
Q

Picture of Granuloma in the finger nail
dx?
mgt?

A

Pyogenic Granuloma
Mgt: Excision

75
Q

child knee pain and tenderness and blood picture of lymphoma

A

Bone marrow biopsy

76
Q

COPD patient 28% supplemental Oxygen

A

Increase Oxygen

77
Q

In type 2, Resp failure increasing oxygen would worsen the condition

A

First decrease the O2 then give assisted ventilation
NIV, Bpap

78
Q

Trauma patient with hemorrhagic pleural effuison what will you do

A

Pass Chest tube

79
Q

COVID patient wife, husband also develop features what will you do?

80
Q

Nurshing home patient violent with carer and fellows

A

Shift to emerfency

81
Q

41 with PCOS features, sugar 6.1, obese
Treatment?

A

Serial USGs

82
Q

2 large stones in the GB
What will you do?

83
Q

Acute RUQ pain with stone in the neck of bladder
Cholangitis features present, antibiotics started but condition worsens
What will you do?

A

Percutaneous Cholecystectomy

84
Q

Frank blood stool
Abdominal cramping

A

Mecke’s diverticulum

85
Q

PSGN 3-4+ proteinuria
inv?

86
Q

2 ks old baby developed jaundiced on the 3rd day

A

Phototherapy

87
Q

1 cm solid tumor of the kidney in lower pole

A

Partial Nephrectomy

88
Q

Child 2 -3 years with neck swelling and child keeps his head tilted

A

Sternocleidomastoid tumor

89
Q

Young male with history of orchidopexy of Right Testis present with Right testis larger than the left one
On USG there is cystic lesion

A

Blood tumor marker

90
Q

4 yo child with knee pain and tenderness and blood picture of lymphoma

A

Bone Marrow biopsy

91
Q

Multiple Spider bites with pain and erythema
BP 30/90 what to give?

92
Q

Cocaine sniffing with bulging under neck muscle and subcutaneous emphysema, crepitations during auscultation

A

Pneumothorax

93
Q

Head lice and nits treated with Permethrin lotion still persisting nits what to do next?

A

Treat their pet dog

94
Q

BP . 140/90 - 2019 (45 cases) - 2022 (50 cases) - in a populatoon of 200. What is the incidence of Hypertensin in a population of 1000

95
Q

feeling of food getting stuck in the throat everytime she eats
No abnormal findings
mild eczema
Diagnosis?

A

Eosinophilic Esophagitis

96
Q

Ilove you, I love you you are my life

97
Q

Risk percentage of radiation in CT scan

98
Q

Bright red vaginal bleeding after vaginal delivery blood loss of 1500 ml complete removal of placenta
No signs of infection
Uterus palpable below umbilicus
What to do next?

99
Q

Elderly man with rectal bleeding and anemia
Source of bleeding could not be identified after endoscopy
What to do next?

A

Capsule Endoscopy

100
Q

Elderly man with pain in the R upper quadrant USG reveals inflammation of the Gallbladder with stone
obstructinng the bile duct
IV fluids and Antibiotics give
Symptoms didn’t resolve
What is next?

A

Laparoscopic Cholecystectomy

101
Q

Middle age man requiesting for colon cancer screenig no family no signs
of colon ca
What do you recommend?

A

FOBT 2 yearly

102
Q

Incidental mass foud by mother in 1 yo baby on the Left sided flank

A

Wilm’s tumor

103
Q

Middle age man with norexia, weight loss and mass on the supraclavicular region
What to do next?

104
Q

2 yo child with painless lateral neck mass with nexk extension

A

Cystic hygroma

105
Q

17yo recently sexuallya active
BMI 31
Screening?

106
Q

6yo with abdominal pain and low mood
skipped school for many days due to this and father recently remarried
Most approp tx?

A

Behavioral therapy

107
Q

Soiling underwear everyday for the past 3 months
Vague abdominal pain
Not coping well in school and is one year behind compared to peers
What is the cause

A

Sexual abuse

108
Q

Total loss of reflexes sensation and movement of the lower limbs starting from 3 cm below the umbilicus
What is the cause?

A

Cauda Equina Syndrome

109
Q

Severe lower back pain
Leg weakness or numbness
Loss of bowel or bladder control
Sexual dysfunction
Saddle Anesthesia (numbness in the inner thigh and groin area)

A

Cauda Equina Syndrome
tx: Surgical decompression

110
Q

20 yo presents to the ED with a 5 cm laceratin on his thigh and a lot of pain
Doctor instructed nurse tob give Codeine
Patient complains of pain and the nurse said she didnt codeine so give her PCM instead
What should the doctor do next?

A

Discipline the nurse for her actions

111
Q

Svere pain, redness and the formation of pus filled blisters

A

Pyoderma Gangrenosum

112
Q

Treatment of Pyoderma Grangrenosum

A

Cautery and Excision
Combination of Medications
Wound care and Addressing the Underlying cause

113
Q

Dyspareunia and lower abdominal pain for 2 years
Retroverted uterus, tenderness on palpating on bilateral adnexa but no mass felt and a haemorrhagic lesion seen in the posterior fornix of the vagina
Dx?

A

Ebdometriosis

114
Q

Painful perios, painful sex, painful bowel movement and infertility for 2 years

A

Endometriosis

115
Q

Second most common site of endometriosis

A

cul de sac

116
Q

Full thickness burn on a 5yo child
Resgistrar suggests to transfer the patient to a tertiary hospital for tx
Head surgeon said the patient can be managed at that hospital
What should the registrar do?

A

Ask surgeon to justify his decision

117
Q

8 wks primigravida pt
lesion on her vula
past hx HSV infection
mgt?

A

Give antiviral now and continue for 5 days

118
Q

Painful swelling anterior to the Tragus of Left ear
Pain increases when cheweing food
Dx?

A

Sialolithiasis

119
Q

Pain and swelling if teh affected gland on eating and drinking
Best initial test

A

USG
accurate CT scan

120
Q

Early, debilitated, dehydrated patients with poor oral hygiene
History of recurrent, intermittent swelling of the gland
Patient may be toxic with fever and raised WCC
What is the dx?

A

Acute Parotitis

121
Q

Patient present with a slow-gorig salivary lump or painless solid lump
Inv of choice

122
Q

Man who is alcoholic (stopped drinking 2 yrs ago)
Presents with umbilical veins, mild ascitis, confusion and fatigue
Investigation?

A

Serum Ammonia Levels

123
Q

MOther saying he doesn’t concentrate on his tasks, can’t sit and watch Tv for too long
He’s always running around and doesn’t concentrate during lessons
Mgt?

A

Methyphenidate - ADHD

124
Q

What are the treatments for ADHD

A

Methyphenidate - Ritalin , Concerta
- increases the availability of Dopamine and Norepinephrine in the brain,
improving attention focus and impulse control.

Amphetamines - Adderall and Vyvanse -
improving attention and reducing hyperactivity

125
Q

SFH is measuring 36m
Blood group ) positive
Previous visit at 18 wks gestation and everything was normal

A

Polyhydramnios

126
Q

Displaced scaphoid frscture management

127
Q

Picture of a man’s cheek and a brown black lesion about 4 cm. The lesion has been there for the past 10 years and it didn;t bother him until 3 wks ago when it started becoming itchy. What’s the next best step?

A

Excisional Biopsy

128
Q

Multiple Atypical naevi

129
Q

sebaceous nevus

130
Q

Bowen’s disease

131
Q

What is the most common melanoma

A

Superficial spreading

132
Q

What is the initial mgt of Superficial Spreading

A

Excisional Biopsy
theb 2mm margin removal always minimum

133
Q

73M complains ear pai past 1 wk
Tympanic membrane appeared normal, and no discharge
No rash seen on the face
Dx?

A

Tongue Carcinoma

134
Q

Man underwent surgery for fracture of femur
Developed Pulmonary embolism and subsequently dies of cardiac arrest
Primary cause of death?

A

Cardiac Arrest

135
Q

Bradykinesia, ttremors on fine motor movements of fingers, blunted facial espressions and slow speech
bext dx inv?

136
Q

ECG with no P waves and heart rate of about 60 bpm

137
Q

22yo no palpitations, chest pain or dyspnea
no complaints
ECG shows bradycardia with delta aves in Lead 2

A

Wolff-Parkinson White syndrome

139
Q

Serum osmolality

A

Hypotonic Hyponatremia

140
Q

Urine osmolality low
Serum Osmolality low

A

Primary Polydipsia

141
Q

Serum osmolality is low
Urine osmolality is increased

142
Q

Inappropriate water retention

A

Dilutuial hyponatreamia

143
Q

Most common cause of hemorrhagic stroke

A

Uncontrolled high blood pressure

144
Q

2 types of weakened blood vessels

A

Brain aneursysms
Arteriovenous malformations

145
Q

Has breast cancer, 58F
She is on Procholorperazine only
Cause of her vomiting

A

Hypercalcemia

146
Q

Hyperkalemia
Hyperphosphatemia
Hyperuricemia
HYpocalcemia

A

Tumor Lysis Syndrome

147
Q

Boy with autism showed violent behaviour
towards younger sister
tX?

A

Risperidone

148
Q

First line for children with Tourette Syndrome

149
Q

Irritability and Aggression
tx?

A

Risperidone

150
Q

Hematuria
Proteinuria
Polyuria
Hypertension

A

Adult Polycystic Kidney Disease

Chings Notes (39 decks)

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