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Y4 > Investigations > Flashcards

Investigations Flashcards

1
Q 
Bacterial meningitis lumbar puncture results
Neutrophils: high/normal/Low
Lymphocytes: high/normal/Low
Glucose: high/normal/Low
Protein: high/normal/Low
A

Neutrophils: high
Lymphocytes: normal
Glucose: Low
Protein: high

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2
Q 
Viral meningitis lumbar puncture results 
Neutrophils: high/normal/Low
Lymphocytes: high/normal/Low
Glucose: high/normal/Low
Protein: high/normal/Low
A

Neutrophils: normal
Lymphocytes: high
Glucose. Normal
Protein: high

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3
Q 
Tuberculosis lumbar puncture results
Neutrophils: high/normal/Low
Lymphocytes: high/normal/Low
Glucose: high/normal/Low
Protein: high/normal/Low
A

Neutrophils: normal
Lymphocytes: high
Glucose: Low
Protein: high

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4
Q

What is the diagnostic investigation used for someone with ?TB

A

Bronchoscopy with lavage

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5
Q

What is the best imaging investigation for ?appendicitis?

A

CT scan

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6
Q

Young patient presents with bloody diarrhoea and is found to be in renal failure. Which investigation would confirm the diagnosis?

  • stool toxin test
  • blood test
  • stool culture
A

Stool culture

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7
Q

What is the best investigation for PSC?

A

MRCP

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8
Q

You do routine blood tests for a patient in hospital and see that calcium is raised. Which bloods do you do next?

A

PTH
Alk phos
Phosphate
24 urinary calcium excretion

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9
Q

What would bloods look like for a patient with primary hyperthyroidism

A 
Calcium high 
PTH high 
Phosphate low
Alk phos normal 
24 urinary calcium excretion high
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10
Q

What would bloods look like for a patient with bony mets

A 
Calcium high 
PTH normal 
Phosphate high? 
Alk phos high 
24 urinary calcium excretion low
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11
Q

Pregnant woman with symptoms suggestive of PE. What is the investigation of choice?

A

CTPA

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12
Q

If you suspect a patient has lung cancer…what is the definitive investigation which will both confirm the diagnosis and help guide the treatment?

A

Bronchoscopy

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13
Q

What is the most useful test in acute asthma?

  • spirometry
  • peak flow
  • bloods
  • chest x-ray
A

Peak flow

- helps stratify patients into those with mild, moderate, severe or life threatening asthma.

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14
Q

Which investigation is needed to confirm a diagnosis of COPD?

A

spirometry

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15
Q

Diagnostic investigation for suspected achalasia?

A

Oesophogeal manometry

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16
Q

Patient with ?Haemachromatosis
Transferrin (high/low/normal)
Serum ferritin (high/low/normal)
TIBC (high/low/normal)

A

Transferrin - high
Serum ferritin - high
TIBC - low

17
Q

What is the first line imaging invesitgation in periphral arterial disease?

A

Duplex US

18
Q 
Patient with iron deficiency anaemia. What will the investigations show 
FBC 
Ferritin 
Serum iron 
TIBC 
Transferrin saturation
A 
FBC - reduced Hb 
Ferritin - low 
Serum iron - low 
TIBC - high 
Transferrin saturation - low
19
Q

Investigation for thalassaemia

A

Hb electrophoresis

20
Q

EBV / HIV increases likelihood of which cancer

A

Non hodgkins lymphoma

- burrkitts

21
Q

Primary hyperparathyroidism

  • calcium levels
  • phosphate levels
A

Calcium levels increased

Phosphate levels decreased

22
Q

Which kind of swab is done for chlamydia in female?

A

Vulvovaginal swab for NAATS

23
Q

Which kind of swab is done for gonorrhoea in female?

A

Vulvovaginal swab for NAATS

24
Q

Which kind of swab is done for trichomonas vaginalis in females?
And what is the testing modality?

A

High vaginal swab

Wet mount and microscopy

25
Q

85 year old frail female in care home has had episodes of passing PR blood and clots mixed with stool. What is most appropriate investigation?

  • CT colonography
  • Colonoscopy
  • Upper GI endoscopy
  • capsule endoscopy
A

CT colonography

- frailty and co-morbidities make colonoscopy unwarranted. and bowel prep would be distressing

Y4 (23 decks)

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