June 2020 Big Mock Flashcards
“____ ____” fundus is associated with CMV retinitis
Pizza pie
HIV is associated with ___ retinitis
Cytomegalovirus (CMV)
There are 4 ____ muscle surrounding the eye
rectus (superior, inferior, lateral, medial)
What is the LR _ , SO __ , AO __ eye nerve mnemonic?
LR6, SO4, AO3
Lateral Rectal CN6, Superior Oblique CN4, All Others CN3
Meningitis has ____ type rash.
Petechial
Henoch-Schölein Purpura has ____ type rash
Purpuric
The ____ flexure is a watershed area.
Splenic
_____ jaundice is seen > 24hr up to 7 days.
Physiological
Breast Milk Jaundice, Hypothyroidism, Galactosemia are all ______ jaundice.
Prolonged (> 2 weeks)
____ antibody test is sensitive in SLE.
ANA (Antinuclear Antibody)
_____ antibody test is specific in SLE.
Anti-dsDNA
Bronze diabetes, Hepatomegaly, Bronze Hyperpigmentation is a triad of _______.
Hereditary Haemochromatosis.
Hereditary Haemochromatosis consists of triad of _____, hepatomegaly, bronze hyperpigmentation.
Bronze diabetes. (Iron deposits)
Hereditary Haemochromatosis consists of triad of bronze diabetes, ______, bronze hyperpigmentation.
Hepatomegaly
Hereditary Haemochromatosis consists of triad of bronze diabetes, hepatomegaly, ___________.
Bronze hyperpigmentation
________ antibiotic is used in first trimester of pregnancy to treat UTI.
Nitrofurantoin
________ antibiotic is used in third trimester of pregnancy to treat UTI.
Trimethoprim
Initial test for Guillain-Barre syndrome is ________
Nerve conduction studies
Neuropathic pain in Gullian-Barre syndrome is treated with _______
Gabapentin
Serial Troponin is used to confirm _____.
MI
_____ peaks at 12 hours post-MI
Troponin T
Mechanism of action of Cabergoline is Dopamine _____
Agonist
Heinz bodies and bite cells are found on a blood smear in ________
G6PD (Glucose-6-phosphate dehydrogenase deficiency)
Emergency management for Croup in a child is ________ nebulised and Oxygen
Adrenaline
Non-emergency management for Croup in a child is ____ dexamethasone
Oral
X-ray findings of croup is _______ sign.
Steeple
_______ virus causes Croup.
Parainfluenza
X-ray findings of Epiglottis is ______ sign.
Thumb
Red flag should be raised for walking or standing unsupported is at ____ months.
18 months
Red flag should be raised for meaningful speech is at ____ months.
18 months.
_______ are good for liver capsular pain.
NSAIDs (eg. Ibuprofen)
_______ is the most appropriate investigation for Acute Pyeonephritis.
Urine Culture
Unable to pass flatus (gas) + _____ bowel sounds are associated with Paralytic ileus.
absent bowel sounds.
Unable to pass flatus (gas) + _____ bowel sounds are associated with intestinal obstruction.
hyperactive bowel sounds.
Heart Failure medications include ____ and Beta-blockers.
ACE-inhibitors.
Anti-cyclic citrullinated peptide (anti-CCP), rheumatoid factor, CRP, ESR are checked in _________.
Rheumatoid Arthritis.
Autosomal _______ inheritance pattern for Neurofibromatosis.
dominant.
Megaloblastic Anaemia (raised MCV) include Cobalamin (B12) and ________.
Folic Acid (B9).
Recently becoming vegan is susceptible to ______ anaemia.
B12 anaemia.
________, family history and peripheral blindness are signs of Retinitis Pigmentosa.
Night blindness.
Drug user bites should be advised to _______ prophylaxis. Recheck serology in 3 months.
post-exposure
_______ study is we study if patient with disease already have been EXPOSED or not.
Case-controlled study.
______ study is when we expose patients and check if they have disease.
Cohort study.
First generation anti-histamines are ______, include Chlorphenirame and _______.
drowsy, and diphenhydramine (benadryl).
Second generation anti-histamine are ______, include Cetirizine and Loratidine.
non-drowsy
In order to give patient comfort when he dies, 10mg subcut _______ and 10mg subcut ___________.
morphine and midazolam.
Which is the more potent steroid? Mometasone or Clobetasone?
Mometasone.
Clobetasone is moderate steroid
Shiny, red nodule which is slow growing, central depression is ______ ________ carcinoma.
Basal Cell Carcinoma.
If ph > 5.5 in NG tube aspirate, we do the definitive test __________ to check placement of NG tube.
Chest X-ray.
Long term management of TIA in patient with A fib include _________ and atorvastatin,
Warfarin.
Which is the more potent steroid? Hydrocortisone butyrate or hydrocortisone acetate?
hydrocortisone BUTyrate.
Cafe-au-lait, frecking armpit, tumours of peripheral nerves are the autosomal dominant condition _______________ type 1.
Neurofibromatosis Type 1.
Acoustic Neuroma, Tumours of schwann cells are the autosomal dominant condition Neurofibromatosis type ____.
Neurofibromatosis Type 2.
What type of epithelial metaplasia is associated with Barret’s oesophagus?
Squamous to columnar.
Laxative to use with Impacted stool is ________ enema.
Phosphate enema
Laxative to use with _______ stool is stool softeners eg: docusate.
Hard stool.
In constipation with soft stools, 1st line laxative to use is a stimulant called __________
Senna.
2nd line laxative to use in constipation of soft stools is _________ or Macrogol.
Lactulose.
In pregnancy, Lactulose should be treated _____ line for constipation.
1st line.
PC-DL When to test
_______:Cyclosporin - Digoxin:Lithium
Prior to next dose - 6 hours:12 hours post dose
Phenytoin.
PC-DL When to test
Phenytoin:Cyclosporin - Digoxin:Lithium
Prior to next dose - _______:12 hours post dose
6 hours post dose.
PC-DL When to test
Phenytoin:Cyclosporin - Digoxin:Lithium
Prior to next dose - 6 hours:_______ post dose
12 hours post dose.
Hyperkalaemia, Hypotension, Hyponatremia are signs of __________ disease.
Addison’s disease.
___________, Hypotension, Hyponatremia, are signs of Addison’s disease.
Hyperkalaemia.
Hypertension and Hypokalaemia are signs of ________ syndrome.
Conn’s syndrome.
Dark pigmentation on neck and severe acne are signs of _________ syndrome.
Cushing's syndrome. Dark pigmentation (acathosis nigrans)
Medications to treat menopausal symptoms in previous breast cancer patient include SNRI such as _________.
Venlafaxine
hormones contraindicated in breast cancer history!
Meningitis prophylaxis for close contacts include 1st line oral ___________. 2nd line Rifampicin.
1st line Ciprofloxacin.
Codeine, Furosemide, Spironolactone and Fluoxetine all causes side effect of _________ dysfunction.
Erectile dysfunction.
Oligospermia is the side effect of 5’ ASA eg ___________.
Sulfasalazine.
Post-myocardial infarction pericarditis occurs within a few ________.
days. (1-3 days)
Post-MI ______ ________ aneurysm occurs 4-6 weeks.
Left Ventricular aneurysm.
Central (eg brain tumour) cause hiccups 1st line is _________ and 2nd line is haloperidol.
Chlorpromazine.
Phrenic nerve irritation causing hiccups we give __________.
Metoclopramide.
Prolonged bleeding time and aPTT, reduced Factor VIII levels is associated with ______ _______ disease.
von Willebrand disease.
Treatment of Lyme disease in normal patient is the antibiotic _______.
Doxycycline.
In pregnancy Lyme disease is treated with _________.
Amoxicillin.
Next line investigation if anti-tissue transglutaminase antibodies is inconclusive for Coeliac disease is ______ __________ antibodies.
anti-endomysial antibodies.
Bilateral serous otitis media (glue ear) is _________ hearing loss.
Conductive hearing loss. (CHL).
L3,L4 ______ jerk.
knee jerk.
S1, S2 _______ jerk.
ankle jerk.
Relief for cluster headache is nasal _________.
nasal sumatriptan.
Prevent ongoing episodes of cluster headaches is _________.
Topiramate.
Low ADAMTS13 level, thrombocytopenia, haemolytic anaemia, uraemia is related to _______ ________ purpura.
thrombotic thrombocytic purpura TTP.
S3, S4 is ________ sphincter.
anal sphincter.
Faecal calprotectin is ________ in Inflammatory bowel disease (IBD) and ________ in Irritatable Bowel syndrome.
positive in IBD and negative in IBS.
Most common area of occlusion in TIA is _______ artery.
carotid artery.
sensitivity = True pos / (true pos + ______)
true pos / (true pos + false neg)
No bleeding and INR > 8, we would give oral _________ __.
oral Vitamin K.
We give __________ acid in gum bleeds.
Tranexamic acid.
Enzyme inducers of cytochrome P450 ________ INR.
decreases INR. (low INR clots fast)
Enzyme inhibitors of cytochrome P450 ________ INR.
increases INR. (high INR clots slow-blood thin)
Glucagon is given in __________ toxicity.
Bisoprolol.
