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1Two Eighteen MM > Kings 19 > Flashcards

Kings 19 Flashcards

1
Q

Photo of hand with lesions

A

Lichen Planus

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2
Q

What causes a lucid interval?

A

EDH

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3
Q

Asthma exas. most likely cause?

A

Viral infection

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4
Q

17 girl visual loss after witnessing RTA

A

Acute stress reaction?

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5
Q

Lung Cancer on CXR and flushing?

A

5HT from carcinoid

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6
Q

SIADH sodium?

A

hyponatraemia

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7
Q

What’s a poor prognostic indicator in a icu pt who’s incubated?!

A

I went for brainstem reflexes but surely it’s in the Apache II??

Apache ii:
AaDO2 or PaO2 (depending on FiO2)
Temperature (rectal)
Mean arterial pressure
pH arterial
Heart rate
Respiratory rate
Sodium (serum)
Potassium (serum)
Creatinine
Hematocrit
White blood cell count
Glasgow Coma Scale

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8
Q

2.5 Cm breast lump encapsulated with a septum excised?

A

cyst - actually this could be fibroadenoma?

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9
Q

Intermittent breast bleeding?

A

Duct Papilloma

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10
Q

Palliative care, breathlessness?

A

morphine

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11
Q

non haemolytic febrile reaction, increase in temp when giving blood products

A

give paracetamol

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12
Q

headache, unilateral poor vision over a few days

A

glaucoma

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13
Q

left red eye and fixed dilated pupil, pain?

A

glaucoma (uveitis is constricted)

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14
Q

treatment for complete heart block

A

pacing

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15
Q

VT on ECG and BP 80/60. Treatment?

A

Cardioversion

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16
Q

Ketones from breakdown of fat or proteins?

A

fat

17
Q

What artery supplies left colon?

A

IMA

18
Q

Sever epigastric pain, collapsed, regains conscious after fluid. BP 56/40. What is it?

A

AAA

19
Q

Woman with palm lacerations. Weak flexion of MCP and PIP middle finger. What is it?

A

FDS

20
Q

What are the lumbricals?

A

intrinsic muscles of the hand that flex the metacarpophalangeal joints and extend the interphalangeal joints.

21
Q

haemarthrosis and pain on lateral aspect of knee?

A

ACL but can be collateral

22
Q

Achilis tendon rupture investigation

A

USS

23
Q

Ascites and liver failure but no symptoms. Treatment?

A

Spironolactone/can just fluid restrict

24
Q

Open sucking chest wound and SOB? What is it?

A

Tension pneumothorax

25
Q

visuospatial problems lobe?

A

Parietal lobe

26
Q

Delirium treatment?

A

Lorazepam

27
Q

Diabetes with slurred speech. Most important Ix

A

BM

28
Q

Repeated Diabetes with slurred speech.

A

TIA?

29
Q

gram positive cause of pneumonia diplococcus?

A

S. pneumonia

30
Q

Gram negative diplococcus causes an STI?

A

Gonorrhoea

31
Q

ECG showing massive tall tented t waves. what is it?

A

hyperkalemia

32
Q

Elderly lady - new microcytic anaemia (hb 95). low ferritin, normal iron and no other symptoms. refuses endoscopy. What is next option?

1) remove all treatment
2) blood transfusion
3) oral ferrous sulphate
4) CT abdo
5) colonoscopy

A

CT abdo

33
Q

Pt fluctuating between diarrhoea and constipations. Has irregular eating pattern so is changing it to be more normal. What diet mods can the make to help with symptoms?
1) olive oil and oily fish
2) pulses and legumes
3) whole wheats and whole grains
4) dried and fresh fruit
5) oats and lineseed

A

oats and lineseed (IBS)

34
Q

65 year old woman from Afghanistan to the UK recently with a hx of HTN and hypercholesterol. Complains of bilateral reduction of visual acuity. Image shown.

1) diabetic maculopathy
2) central retinal artery thrombosis
3) central retinal vein thrombosis
4) HTN retinopathy
5) idiopathic intracranial HTN

A

probs the HTN one?

35
Q

ECG with tented t waves

A

hyperkalemia

36
Q

diabetic obese woman with necrotosing fascitis
- surgical debridement
- hydrocortisone

A

debridment (though dont know if diff in DM)

37
Q

Lady with recent IV abx for infection. Now c.diff with diarrhoea. What treatment?
1) Clindamycin PO
2) Ciprofloxacin PO
3) Loperamide PO
4) Metronidazole PO
5) Vancomycin IV

A

met PO

38
Q

Best way for BMI 35 to lose weight pre elective cholecystectomy?
1) Join a gym
2) Advise healthy eating
3) Join a diet support group
4) Reduce salt
5) Get bariatric surgery

A

healthy eating

1Two Eighteen MM (3 decks)

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