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last push Flashcards

1
Q

side effects of haliperidol

A

dizzy/ low bp

constipation

dry mouth

blurred vision

drowsy

insomnia

tardive dyskinesia

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2
Q

what is mental state exam testing

A

cognition, not used for GAD

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3
Q

psych exam for confusion

what score is significant

A

mini mental state exam

<25 significant

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4
Q

risk factor for polyhydramnios

A

gestational diabetes

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5
Q

Lhermitte’s sign

A

patient’s neck is flexed, causing an uncomfortable electrical sensation to pass down through the back and into the limbs.- MS

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6
Q

reffered pain from ovaries where

A

periumbilical region and inner thigh

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7
Q

diagnostic test for multiple myeloma

A

serum and urinary electropheresis

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8
Q

Treponema pallidum organism for what

A

syphalis painless lump

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9
Q

carpal tunnel

A

phalens and tinels test, median nerve

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10
Q

cubital tunnel

A

ulnar nerve

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11
Q

lithium and diabetes insipidus

A

deficiency in antidiuretic hormone secretion or poor response of kidneys to ADH, high serum osmolarity and low urine osmolarity

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12
Q

4AT

A

Alertness

  1. AMT4: Abbreviated Mental Test .
  2. Attention: Months of the Year Backwards
  3. Acute change or fluctuating course

/12

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13
Q

difference between delirium and dementia

A

fluctuating levels of consciousness

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14
Q

post partum major haemorrage most common cause

A

uterine atony - uterine massage and oxytocin then intrauterine balloon

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15
Q

poor latch on nipple

A

clicking sounds

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16
Q

week 20 of pregnancy

A

uterus reaches umbilicus

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17
Q

picks disease

A

frontotemporal dementia

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18
Q

Anovulatory dysfunctional uterine bleeding

A

common in younger girls, it’s just irregualr periods

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19
Q

iron absorbed in

A

duodenum and proximal jejunum

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20
Q

b12 absorbed in

A

ileum

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21
Q

intrinsic factor produced by

A

gastric parietal cells

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22
Q

folate absorbed in

A

promixal jejunum and duodenum

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23
Q

medication for PTSD

A

veneflaxine

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24
Q

infertility for PCOS

A

Clomifene citrate

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25
Q

parkinsons what type of tremor

A

RESTING

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26
Q

anterior cerebral artery supplies

A

lower limbs

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27
Q

which cells do FSH act on

A

Sertoli cells

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28
Q

what does FSH do in males

A

spermatogenesis

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29
Q

what does FSH do in females

A

follicular development → oestrogen production

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30
Q

which cells does LH act on

A

leidig cells

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31
Q

function of LH on males

A

testosterone production

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32
Q

what does LH do in females

A

corpus luteum development, progesterone production

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33
Q

agnosia

A

in altzheimers when can’t recognise people/things

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34
Q

drugs for hypertension in pregnancy

A

not ramapril

labetelol but if asthma then nifedipine

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35
Q

irrational fear of having a medical condition

A

Hypochondriasis

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36
Q

subarachnoid haemorrage first line

A

non contrast CT

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37
Q

side effect of haliperidol

A

acute dystonia treated with anticholinergics

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38
Q

bulbar palsy affects which motor neurones

A

lower

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39
Q

pseudobulbar palsy affects which motor neurones

A

upper

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40
Q

side effect of clozapine

A

agranulotosis

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41
Q

wernicke where, what and symptoms

A

temporal lobe

word salad (speech comprehension)

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42
Q

broca where, what and symptoms

A

frontal lobe

speech production

limited language

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43
Q

CHA2DS2-VASc used for what

A

risk of stroke with a fib

44
Q

ROSIER score for what

A

assessing stroke in A and E

45
Q

subarrachoinid hemorrgae investigations

A

CT then angio and if normal CT then lumbar puncture within after 12h

xanthachromia (yellow)

then angio

46
Q

subarrachnoid hemorrage management

A

coiling, nimodipine CCB for vasospasm

47
Q

normal pressure hydrocephalus

A

magnetic gait, dementia and urinary incontinance

caused by too much csf in ventricles

48
Q

which type of ovarian cancer is most common

A

epithelial, serous adenocarcinoma most common

49
Q

how to check if ovulating

A

day 21 progesterone

50
Q

frenotomy for toungue tie

A

only need anasthesia when 3 months old

51
Q

Fasciculation and atrophy of tounge which motor neurone symptom

A

lower

52
Q

scabies

A

web spaces and burrows

53
Q

most common cause of DIC in pregnancy

A

placental abruption

54
Q

somatasiation disorder

A

worrying about having a disease for 2 years

55
Q

temporal bone fracture causes what and which artery is affected

A

middle miningeal artery, extradural haemorrage

56
Q

most common cause of post menupausal bleeding

A

vaginal atrophy

57
Q

thrombotic thrombocytopenic purpura which gene less off

A

ADAMTS13

58
Q

term baby

A

38-42

59
Q

gestational diabetes delivery

A

41 weeks

59
Q

side effects of lithium

A

hypothyrodism

60
Q

bipolar treatment in pregnancy

A

lamotrigine

61
Q

G6PD deficiency disease

A

reactive oxygen species

gallstones
splenomegly

heinz body inclusion

caused by broad beans and antimalarials

62
Q

treatment of placenta acceta, increta and percreta

A

hysterectomy

63
Q

alpha thalssemia chromosome

A

16

64
Q

beta thalassemia chromosome

A

11

65
Q

beta thalassemia symptoms

A

growth retardation
target cells

66
Q

foetal hb

A

2 alpha
2gamma

67
Q

adult hb

A

2 alpha
2 beta

68
Q

complication of beta thalassemia

A

hemocromatosis

69
Q

complication of alpha thalasemia

A

hydrops fetalis

when no copies of hb

70
Q

eclampsia

A

pre eclampsia and seizures

71
Q

subarrachnoid haemorrage symptoms

A

meningities

72
Q

subdural haemorrage

A

concave/cresent shape

falls

alcohol

acute-3 days

treatement is craniotomy

burr hole for chronic

73
Q

extra dural haemorrage

A

convex/lentiform

74
Q

corupus luteum how long for in cycle

A

last 2 weeks of cycle

75
Q

HcG levels in pregnancy

A

plateus 8-12 weeks of pregnancy

76
Q

progesterone during pregnancy

A

prevents ovulation
thickens uterus lining
prevents contractions

77
Q

what increases during preganncy

A

t3 and 4

factors 7,8,10

78
Q

when should pregnant ladies stop sleeping on back

A

28

79
Q

when do pregnant ladies get vaccines

A

week 16

80
Q

autosomal dominant conditions

A

polycystsic kidney
marfans
myotonic dystrophy
neurofibromatosis
tuberous sclerosis- ash leaf

81
Q

which chromosome is affected in huntingtons

A

4

82
Q

x linked dominant condition

A

fragile x

83
Q

x linked recessive

A

duchennes
g6pd
haemophilia

84
Q

PROM

A

wait 24h for induction

85
Q

normal bmi

A

18.5- 24.9

86
Q

guillian barre syndrome

A

demyelination of neurone sheath so slow nerve impulses

post flu vaccine

campylobactor
mycoplasma
cytomegalovirus
epthein barr

87
Q

guillian barre syndrome symptoms

A

speech, eyes, incontinance, constipation

muscle weakness

no reflexes!!!!!

88
Q

guillian barre syndrome tests

A

LP- high protien

nerve condution studies

FVC- lung muscles

89
Q

guillian barre syndrome treatment

A

Iv IgG - first line

plasmapheresis

90
Q

miller fisher syndrome

A

ataxia

weak muscles of eye s

no reflexes

guillian. bar syndrome but anti GQIB

91
Q

hydroxyurea and pregnancy

A

no

92
Q

essential thrombocytosis

A

JAK2 attacks TPO

gout

93
Q

creutzfelds jakob disease

A

prions

PRNP gene

mental changes

eyes, ataxia, FAST dementia

twitch- clonazepam

tonis/nose biopsy

basal ganglia

94
Q

most common and second most common haem malignancy

A

leukemia

multiple myeloma

95
Q

myotonic dystrophy

A

chromosome 19
trinucleotide expansion

bilateral ptosis
facial weakness
percussion myotonia
footdrop
distal weakness

nerve conduction studies
electromyography

benzos for myotonia

96
Q

endocervix types of cells

A

columnar

97
Q

ectocervix cells

A

stratified squamous

98
Q

cervical ectropion treatment

A

cauterisation silver nitrate/cold

due to high oestrogen

99
Q

breast cancer screening

A

3 years

50-70 yo

100
Q

what does lamotrigine and carbamazepine target

A

glutamate

101
Q

epilepsy investigations

A

eeg

mri/ct

102
Q

treatment for MS RR

A

cyclophosphamide

IV IgG

beta interferone

103
Q

treatment for PID

A

ceftriaxone and 14 days of metrinidazole and doxy

104
Q

wernickes encelopathy

A

B1/thiamine

hyperemasis gravidum
drinking

ataxia
confusion
eyes

105
Q

myasthenia gravis type of inflammation and treatment

A

T2 b cell

neostigimine/pyridostigmine

removal of thymus

Here we go (7 decks)

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