mar 10 Flashcards

1
Q

finding on lateral xray that suggests a retropharyngeal abscess?

A

widening of prevertebral space

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2
Q

how do atropine drops effect the eye?

A

dilate the pupil

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3
Q

do atropine drops help treat glaucoma?

A

no - they worsen it- can lead to acute angle closure glaucoma

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4
Q

first line treatment of open angle glaucoma?

A

topical prostaglandin (latanoprost, bimatoprost)

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5
Q

how do topical prostaglandins help treat open angle glaucoma?

A

increase drainage of the aqueous humour

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6
Q

why do patients recently started on EPO replacement require blood pressure monitoring?

A

the increase in proliferation of RBCs can lead to hypertension (usually mild, but can be severe)

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7
Q

should you administer empiric antibiotics before performing paracentesis in suspected bacterial peritonitis?

A

no - can lead to negative culture even if bacterial peritonitis is present

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8
Q

Patients with newly diagnosised myasthenia gravis should undergo which investigation?

A

chest imaging (CT) - to look for thymoma

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9
Q

do posterior urethral valves affect girls?

A

no. - only boys

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10
Q

a cough with posttusive emesis is a characteristic of…

A

whooping cough

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11
Q

what is ranitidine

A

H2 blocker

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12
Q

adverse effects of hydoxychloroquine

A

retinitis

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13
Q

presentation of HIV neuropathy?

A

numbness, tingling and burning/pinprick sensation/ pain in distal extremities that progresses over time

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14
Q

who is at risk for HIV neuropathy?

A

-patients who have had HIV for a long time, particularly if its poorly controlled - high viral loads, low CD4 counts

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15
Q

what caueses sick sinus syndrome?

A

age related degerenation of the cardiac conduction system and fibrosis of the sinus node

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16
Q

who gets sick sinus syndrome?

A

elderly patients

17
Q

clinical features of sick sinus syndrome?

A
  • bradycardia (syncope, SOB, dizziness)

- arythmias/palpitations

18
Q

diagnosis of leprosy?

A

full thickness biopsy of the skin at the edge of the lesion

19
Q

what causes leprosy?

A

M leprae

20
Q

what deficiency predisposes to warfarin induced skin necrosis?

A

protein C deficiency