IM Flashcards

1
Q

Most common drugs to cause SJS/TEN

“So if hindi pwede ang muni na drugs kay ga casue sila SJS- SAAN Na Lang?

A
Sulfonamides
Allopurinol
Anticonvulsant 
NSAID
Lamotrigine
Nevirapine
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2
Q

Dewdrops on a rose petal

A

Chickenpox

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3
Q

Ramsay hunt syndrome

A

Losst of taste ant 2/3 of tongue
Ipsilateral facial palsy
Pain and vesicle on external auditory canal

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4
Q

Herald patch?

A

Pityriasis Rosea

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5
Q

Salmon colored lesions with fine scale

A

Aka CIGARETTE PAPER

PITYRIASIS ROSEA

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6
Q

Christening tree patterns on the back

A

Pityriasis rosea

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7
Q

Best initial test for Primary syphilis?

A

Darkfield micoscopy

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8
Q

Scabies best initial therapy?

A

Permethrin

Ivermectin

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9
Q

KOH prep shows SPAGGHETI AND MEATBALLS

A

Tinea versicolor

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10
Q

ABCDE of Melanoma

A
A assymetric shape
B borders irregular
C color varigated
D diameter >6mm
E evolving
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11
Q

Nose+ sun exposure

A

Basal cell CA

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12
Q

Multiple violaceous papules

A

Kaposi sarcoma

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13
Q

What are the clinical features of biliary colic?

A
History
Abdo pain (SOCRATES)
S - RUQ, chest.
O - after fatty meal.
C - dull, intense.
R - to back or right shoulder blade.
T - severity increases over <1h, plateaus for >1h, then decreases over several hrs.

Exam
Usually no signs.

NOTES
May present as chest pain.
Murphy’s sign is negative.
SOCRATES = site, onset, character, radiation, associations, timing, exacerbating factors, severity.

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14
Q

What are the clinical features of acute cholecystitis?

A
History
Abdo pain (SOCRATES)
S - RUQ.
O - after fatty food.
C - steady and severe.
R - to shoulder or back.
A - fever, anorexia, N&amp;V.

Exam
Obs: fever, tachycardia.
Inspection: lying still.
Palpation: guarding, may be Murphy’s sign.

NOTES
Patient usually lies still because local peritoneal inflammation is aggravated by movement.
SOCRATES = site, onset, character, radiation, associations, timing, exacerbating factors, severity.
RUQ = right upper quadrant.
N&V = nausea and vomiting.

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15
Q

What is Grey Turner’s sign?

A

Bruising of the flanks

NOTES
May be seen in acute pancreatitis, blunt abdominal trauma, ruptured AAA, or haemorrhagic ectopic pregnancy.
AAA = abdominal aortic aneurysm.

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16
Q

5H of neuroprotection?

A

Prevent!

Hypoglycemia 
Hyperglycemia 
Hypotension 
Hypoxemia
Hyperthermia
17
Q

5H of neuroprotection?

A

Prevent!

Hypoglycemia 
Hyperglycemia 
Hypotension 
Hypoxemia
Hyperthermia
18
Q

Gold standard for SAH diagnosis?

A

XANTHOCHROMIA

19
Q

Mania sxs

A

DIGFAST

Distractability
Indulgence
Grandiosity
Flight of ideas
Agitation
Sleep insomnia 
Talkativeness
20
Q

Impacted 3rd molar?

A

Dentigirous cyst

21
Q

Flask shaped ulcer

A

Amoebic liver abscess

22
Q

Signet ring?

A

Bronchoectasis