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KFP > May 13th, 2021 > Flashcards

May 13th, 2021 Flashcards

1
Q

Differential for elderly with increase of months of cognitive decline, 5 things

A 
Alzheimer’s
Depression
Illicit substances
Space occupying lesion
UTI/infection
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2
Q

CCF exacerbation 6 management steps in 72M

A 
commence low dose ACEi, 2.5-5mg perindopril
frusemide 40mg, PO daily
spironolactone 12.5-25mg, po, daily
low sodium diet <5g
fluid restrict 1L-1.5L
cardiac rehab
daily weights
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3
Q

4 causes of hypercholesterolaemia

A 
hypothyroidism 
familial cholesterolaemia
diabetes type 2
nephrotic syndrome
CKD
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4
Q

47M hypertension 175/82, Fhx brother 60 MI: 6 examination findings

A 
papilloedema on fundoscopy
neck circumference
displaced apex beat
bibasal crackles
renal angle for enlarged kidneys
goitre
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5
Q

CVD risk management SNAP?

A

smoking cessation
low sodium diet <5g per day
150-300min moderate physical city each week
maintenance of BMI 18-25
diet: 5 serves veg, 2 serves fruits per day
cease alcohol intake

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6
Q

19M struggles to get out of bed, alert later in the day. 5 ddx

A 
depression
delayed sleep phase disorder
narcolepsy
caffeine use at night
chronic sleep restriction
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7
Q

19M struggles to get out of bed, alert later in the day. sleeps at 3am to 11am. 7 history

A 
falling asleep during conversations?
anhedonia?
nature of insomnia, ?initiation
stimulant use?
screen time at night?
snoring?
restless limbs?
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8
Q

19M struggles to get out of bed, alert later in the day. 3 examination

A

blunted affect
hypertension
increase BMI?

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9
Q

68F seamstress, hand and back pain, phi dep, op, eGFR 40, right flank L1-5 pain, dipstick 2+haematuria. 5hx

A 
dysuria?
unintentional weight loss?
recent NSAIDs use?
previous renal calculi
symptoms of diabetes: polydipsia
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10
Q

68F seamstress, hand and back pain, phi dep, op, eGFR 40, right flank L1-5 pain, dipstick 2+haematuria. 4 ddx

A 
IgA nephropathy
hypertensive nephropathy
urinary tract malignancy
polycystic kidney disease
renal calculi
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11
Q

32F, first mum, 5/52 son, nipple pain R>L 5 hx

A 
feeding frequency?
nipple pain onset?
history of dermatitis
fever?
use of breast pump?
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12
Q

32F, first mum, 5/52 son, nipple pain R>L 4 ddx

A

poor latch
infant factors: biting
nipple dermatitis
nipple vasospasm

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13
Q

32F, first mum, 5/52 son, nipple pain R>L

4 Mx of nipple candidiasis

A
  • commence 150mg, fluconazole every 2nd day for 3 days
  • nystatin 100 000units TDS + miconazole oral gel to nipples QID
  • commence son on miconazole oral get QID
  • keep nipples dry
  • sterilise dummy daily
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14
Q

33F mum, 9/52 girl unsettled, some vomiting, ?reflux, 6hx

A 
bile in vomit?
projectile vomiting after feeds?
blood in stool?
fever?
malodorous urine?
number of wet/soiled nappies?
mum's mental health and supports?
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15
Q

33F mum, 9/52 girl unsettled, some vomiting, ?reflux, 2ddx

A

purple crying

cows milk protein intolerance

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16
Q

33F mum, 9/52 girl unsettled, some vomiting, ?reflux, 3 mx

A
  • referral to lactation consultant
  • follow up in 5-7 days
  • acknowledge impact of crying baby on mental health
17
Q

26M stone mason, 6/12 increasing SOB, bad exercise tolerance, 6 yrs exposure, 20cigs a day, 10py, finger and tender and swollen: 6hx

A 
fever?
Phx of disease among employees?
mask usage at work?
rash?
wheeze?
night sweats?
18
Q

26M stone mason, 6/12 increasing SOB, bad exercise tolerance, 6 yrs exposure, 20cigs a day, 10py, finger and tender and swollen: 4 ddx

A

occupational asthma
occupational silicosis
hypersensitivity pneumonitis
sarcoidosis

19
Q

26M stone mason, 6/12 increasing SOB, bad exercise tolerance, 6 yrs exposure, 20cigs a day, 10py, finger and tender and swollen: 4mx

A

encourage SafeWork notification
cease exposure to silica dust
cease cigarette smoking
referral resp physician

20
Q

52M, samoan, forklift driver, 4-24SD on weekends, 20py smoking, single, ?liver disease 8 physical exam signs?

A 
palmar erythema
dupytren's contracture
metabolic flap
spider naevi
caput medusae
scleral icterus
hepatomegaly
gynecomastia
increase BMI
21
Q

6F, 24/24 of severe ear pain, blocked for last 2/52, 7hx

A 
fever?
rash?
otorrhea?
headache?
hx of swimming?
recent trauma?
aboriginal or torres strait?
speech delay?
coryza symptoms?
22
Q

75M L>R hearing loss, hearing aids, worsening past 5 years hearing, bilateral tinnitus, 8hx?

A 
fever?
Otorrhoea 
headaches?
loud noise exposure?
prev ear surgery?
vertigo?
otalgia?
facial pain?
previous head trauma
23
Q

75M L>R hearing loss, hearing aids, worsening past 5 years hearing, bilateral tinnitus, 3ddx?

A

presbycusis
noise-induced hearing loss
acoustic neuroma

24
Q

59M, dmII new diagnosis, ACR 35, protein in urine ++, ddx?

A

diabetic nephropathy
nephrotic syndrome
hypertensive nephropathy
polycystic kidney disease

25
Q

32F epistaxis, whole life, multiple cauterisations, 3ya last time, always bruised easily, on salbutamol and OCP, non smoker: 4hx

A 
family history of bleeding disorders?
recent nose trauma?
heavy menstrual bleeding?
bleeding from gums?
NSAID use?
26
Q

32F epistaxis, whole life, multiple cauterisations, 3ya last time, always bruised easily, on salbutamol and OCP, non smoker: 4 exam findings?

A 
petechiae?
hypotension
oropharynx mucocutaneaous bleeding
signs of anaemia, conjunctival pallor
splenomegaly
hepatomegaly
27
Q

32F epistaxis, whole life, multiple cauterisations, 3ya last time, always bruised easily, on salbutamol and OCP, non smoker 4 ddx

A

Von Willebrand’s
haemophilia
immune thrombocytopenia
bone marrow failure

28
Q

32F epistaxis, whole life, multiple cauterisations, 3ya last time, always bruised easily, on salbutamol and OCP, non smoker, iron oral advice 5 things

A 
take on empty stomach
take with vitamin C
may cause nausea
may cause dark stools
may cause constipation
29
Q

8yo boy with left leg limp past 7/7 associated cough, runny nose past 3/52
3ddx

A

left hip perthes disease
left hip transient synovitis
viral arthritis
stress fracture

30
Q

8yo boy with left leg limp past 7/7 associated cough, runny nose past 3/52
Trans Synov: 3Mx

A
  • paracetamol 1g, po, QID, PRN
  • rest from aggravating activities
  • review in 2-7 days

KFP (47 decks)

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