HIGH YIELD RECALLS Flashcards
Impaired ability to walk along a straight line touching the heel of one foot to the toe of the other
Cerebellar Dysfunction
Acute onset, severetesticular pain and swelling.
The testicle is tender and elevated
Testicular tosion
Milk coming out from nipple
Switch to Quetiapine
Dx; Risperidone - induce galactorrhea
Alcoholic patient, chronic, presented with abdominal pain tenderness,
distention, hepatomegaly, LFT abnormal, Abdominal Paracentesis done. What is the next appropriate test?
Neutrophils count
0.9 cm pituitary adenoma on treatment with Bromocriptine
Now she wants to conceive
Prolactin was 1315 and now 1135
nxt?
Cabergoline
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?
Renal Hypoperfusion
Which of the ff is the most appropritate treatment for the dendritic ulcer shown in the above picture
Oral Valacyclovir
No passed motion and flatus for 3 days
Has abdominal pain with nausea
Vital signs stable
Diagnosis?
Sigmoid Volvulus
Menstruation associated itchyness and redness without any discharge
Do nothing
Given youg girl Bell’s palsy pic
come to ED within 6 hrs
mentioned Left ear examination (no rashes)
Oral Prednisolong and Oral Acyclovir
Middle age
Jaundice
RUQ pain
High ALP
Gamma GT
Bilirubin
ERCP
Joint pain
Morning stifness
symmetric join swelling
elevated anti-cyclic citrullinated peptide (anti-CCP) antbodies
Rheumatoid Arthritis
detected with PLSIL
Next step?
HPV DNA test in 12 months
Negative smear - No endocervical cells
Negative smear - Inflammatory cells
Repeat in 2 years
Unsatisfactory smear
Repeat smear in 6-12 weeks
(allow regeneration of cells)
Possible LSIL and definite LSIL
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
Possible HSIL and definite HSIL
Refer for colposcopy
Glandular abnormalities including adenocarcinoma in situ
Refer to a gynaecologist
Invasive squamous cell carcinoma or adenocarcinoma
Refer to appropriate specialist gynaecologist or unit
nconclusive - raising possibility of high grade diease
Refer for colposcopy and possible biopsy
Advice most appropriate to the mother in regard to breast feeding
Frequent feeding from both side
The baby wakig up at nifht crying and consoled by breastfeeding
What to do next?
Add rice and other foods
Harsh Inspiratort stridor
Barking brassy
TX: Adrenaline
6 montha to 3 -6 years sometimes older
Org: parainfluenza, influenza
Croup
(Laryngotracheobranchitis)
Haemophilus type B
6 months - 6 years
Soft expiratory Stridor
Soft, cleat to muffled
Sitting forward,
Cherry red epiglottis
Tx: Cephalosporine, Ceftriaxone
Epiglottitis
RSV
2 wks - 9 months < 1 yr
Bilateral, Expiratory, wheeze
Barrel-shped, subcostal recession
Fine inspiratory crackles
Nasal flaring
Tx: 02
Bronchiolitis
Hemothorax, 1800 ml drained with 2 L crystalloid
What will you do?
Thoracotomy
Hyperresonant
Pneumothorax
Dull
Haemothorax
If intubation tried already and didn’t respond.’
Thoracotomy
Young female
Fever dysuria with lower abdominal pain
LaB pus cells
What is the diagnosis?
UTI
A case of RIsperiodone
What drug to counteract
Aripiprazole
Unilateral Undescended testis
Indirect inguinal Hernia
Post op Patient
Oliguric with indwelling catheter, fever 38.5
What is your most approp management?
Blood Culture
A case of hyperkalemia, labs show 6. Everything was normal except urea ans. creatinine was high. What to do?
Resonium
Nephrotic Syndrome treated with Steroid
Developed Hypertension
Diffuse abdominal pain, vomiting for 1 week
What is the probable diagnosis?
Acute Pyelonephritis
Bipolar Hypomania
Lithuyn
External Hemorrhoids
Band Ligation
Complain pain in combing your hair
Steroid - Prednisolone
Studying efficacy
RCT
39 wks pregnancy with RUQ pain
Gallbladder removed
What to do next?
USG
Traveller, Hep A vaccine done
What is the possible infection?
Hepatitis E
71 yo lady presented first time in 5 years
What will you do
Cervical Screening
Positive bilateral Rinne Test
Weber lateralize to the Right ear
SNHL in the Left
Multiple rib fractures
Chest CT right side haemothorax
What’s next
Chest Drain
Vulval lump picture, discomfort while sitting and standing, no redness, no discharge , no fever what is next?
Sits Bath
RTA, xray fracture in the anterior pubic ramus
blood in urethral meatus
acute urinary retention
Supra Pubic Catheterization
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?
Amniotomy
Boy with aggressive behavior, involve in fights
ODD
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
Sterdomatoid tumour
Socially withdrawn for 12 months
No hallucinations or delusions
Shizophreniform psychosis? or Shizophrenia?
If there is pain and redness in the finger and has penicillin allergy
Clindamycin
Can’t see after closing her right eye
Central Retinal Vein Occlusion
Boy with enuresis and has wetting issue
mgt?
bell and pad
testicular lump
no tenderness
USS Cystic
Testicular tumor markers
What is the cause of Gynecomastia in 15yo
Physiological
What is the cause of gynecomastia in 17 yo
Idiopathic
What is the cause of gynecomastia in 21yo
Drug Related Anabolic Steroid
Bipolar hypomania tx?
Olanzapine
1 yo chld’s mother with domestic violence what will you do?
Report to Child’s protection services
Schizophrenic patient with knife in his hand and was stable on Clozapine hat will you do
Also I checked his Clozapine levels