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MCQ Bank Flashcards

1
Q

uti in young female adults, common cause?

A

staph saprophytic

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2
Q

otherwise the common organisms involved in UTI’s

A

E Coli
proteus
klebsiella

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3
Q

organisms involved in uti’s when there is an abnormality in the urinary tract

A

pseudomonas
staph epidermis

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4
Q

Lithium levels to be maintained between?

A

0.5-1.2
if more than 1.5 it can cause acute toxicity.

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5
Q

protocol for checking the lithium levels?

A

12 hrs post dose
5 days after starting therapy or changing a dose
check levels weekly until levels have been stable for 4 weeks
and then after that every 3 months for monitoring checking

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6
Q

which levels should be monitored when the pt is on lithium?

A

TFTs

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7
Q

which trimester is lithium contraindicated?

lithium can cause which anomaly of heart?

A

1st

Ebstein’s anomaly;
a rare malformation of tricuspid valve

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8
Q

necrobiosis lipoidica

A

it is a granulomatous dis of collagen in pts with DM1
it can rarely turn into sq cell ca

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9
Q

Granuloma Anulare is present in which diseases?

A

Thyroid dis,Hyperlipidemia,Diabetes

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10
Q

Hidradenitis Suppurativa

A

It is a ch inf skin condition that occurs in areas like axilla, groin,perinium.

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11
Q

characteristic feature of TCA OD?

A

Arrythmias;Broad complex tacky

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12
Q

when are antibiotics indicated in subacute bacterial peritonitis

A

when neutrophil count in paracentesis fluid is more than 250 cells/microliter
and I/V cephalosporins are indicated;3rd generation
CEF sey jo names start hotay hain

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13
Q

acutely painful eye
photophobia
rudeness around the limbus
aqueous flare in the ant chamber

A

ant uveitis

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14
Q

ant uveitis is associated with which conditions?

A

AS
Reactive arthritis
IBD
Psoariasis
Sarcoidosis

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15
Q

Anorexia is associated with tachy or Brady?

A

BRADYCARDIA
HYPOTENTION
HYPOTHERMIA
AMENNORHEA
LANUGO HAIR

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16
Q

More than 60 yrs
what is the most common cause of large rectal bleeding?

A

Diverticular disease
whereas overall the cause will be haemorrhoids

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17
Q

live vaccines examples

A

Rota virus
MMR Vaccine
shingles
chicken pox
BCG

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18
Q

inacativated vaccines

A

Polio
Hep A
Rabies

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19
Q

Tobacco alcohol amblyopia

A

central loss of colour vision(dyschromatopisa) is a feature of tobacco alcohol amblyopia

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20
Q

drug of choice for schizophrenia

A

olanzapine and haloperidol
which are atypical anti psychotics and cause less extrapyramidal symptoms

but some times ca cause weight gain and inc incidence of DM2
and gynecomastia

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21
Q

which drugs should be avoided in Gilberts syndrome?

A

the drugs which use UDP glucoronyltransferase enzyme for metabolism
such as
Atazanavir
Statins
Irinotecan

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22
Q

paracetamol can be given in Gilbert syndrome

A
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23
Q

normal serum bilirubin level

A

3-17

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24
Q

bilirubin levels clinically detectable for appearance of jaundice

A

more than 40

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25
sulfasalazine can cause what to sperms?
oligospermia;less sperms which is why an alternative requires converting to mesalazine in young productive males who have IBD
26
onset of schizophrenia is before?
45 yrs illness last months rather than days so the history will be long as compared to psychosis the history will be acute
27
difference between th representation between acute glaucoma and cluster headache
the tearing, severe pain behind the eye is unilateral in cluster headache whereas it is bilateral in glaucoma
28
lobar pneumonia with rusty coloured sputum cause?
strep pneumonia
29
pseudomonas is commonly associated with
burns pt and Cystic fibrosis
30
AS patients are often awakened by pain in the early morning
AS will progress to kyphosis and neck hyperectention(question mark posture)
31
multiple myeloma is a malignant neoplasm of which cells?
palsma cells
32
knee flexed lateral displacement of patella cause?
dislocation of patella
33
combination of skin and gi symptoms
CMPA
34
Bloating,flatulence,abd discomfort,loose watery stools within 1-2 hrs after ingestion and perianal itching
lactose intolerance
35
failure of passage of meconium abd distention constipation
hirschsprungs dis
36
CML has which cells
blast cells(blast crisis)
37
which antihypertensives can worsen the glycemic control?
beta blockers and thiazide diuretics
38
If tetracycline is used in the late pregnancy.What does it cause?
yellow brown discolouration of teeth btw nitrofurantoin should also be avoided in the last trimester/term. trimethoprim AND LITHIUM should be avoided in the first trimester.
39
features of fetal alcohol syndrome
intrauterine growth retardation microcephaly developmental delay
40
which antibiotic should be taken with precaution whilst a woman is on cocp?
rifampicin
41
causes of hypoglycaemia?
can be remembered by the pneumonia; EXPLAIN Exogenous drugs; oral hypoglycemics, alcohol binge,aspirin poisoning p pituitary insufficiency l liver dis a Addisons dis I islet cell tumors(insulinomas) n non pancreatic neoplasms
42
cataracts pulmonary artery stenosis deaf
rubella
43
Pellagra like dermatitis;red scaly photosensitive rash. neurological involvement; ataxia,dysartria,tremors,spasticity dx?
hartnup dis tx;high protein diet avoiding excess sun exposure and sulphonamide drugs. Amino acids affected include tryptophan.
44
Threshold to diagnose DM
48
45
difference between acute otitis media and otitis media with effusion(glue ear)
AOM;usually in the presence of a viral response illness bulging opacified type membrane with an attenuated light reflex OME;this will always present without an active infection. risk factors are bottle feeding and smoking. on otoscope the landmarks of tymp membrane are all normal with the visualisation of fluid bubbles/air fluid levels.
46
tx of tenia pedis
miconazole or terbinafine cream
47
organism causing hand foot mouth dis? Scarlet fever? Molluscum contagiosum
coksakie virus group a beta haemolytic streptococci pox virus
48
strawberry tongue with white coating tonsils covered with white coating swell papules on the body that blanches on pressure headache,mylagia,fever,sorethroat in kids
scarlet fever tx;Penicillin
49
colazapaine imp side effects
neutropenia agranulocytosis so for this reason abc should be checked 18 weeks after starting the treatment and fortnightly till next 34 weeks
50
elevation of the scrotum may receive pain in epididymitis(phern's sign) but not in torsion.
51
bells palsy treat?
oral prednisolone 50 mg for 10 days if the patient presented within 72 hrs of symptoms appearing.
52
tb tx? active tb tx without cns with cns
ripe; 2months ri;4 months ripe;2months ri for 10 months
53
CF
25% AUTOSOMMAL RECESSIVE
54
if a patient Is more than 55 yrs old and is diabetic then being diabetic will take-over and we will decide the algorithm according to that.
so irrespective of the age if the pt is diabetic then they will be started on ace or arbs.
55
if a patine is alcoholic and we don't know an die give glucose infusion in a patient twho is deficient in thiamine what will happen
wernickes ataxia ophthalmoplegia confusion
56
discolouration of toe nails thickened brittle nails dx? tx?
Onychomycosis oral terbinafine
57
criteria for dx of schizophrenia
ICD 11 INT CLASSIFICATION OF DISEASE
58
incidental finding of raised bilirubin. no symptoms dx?
Gilbert' s syndrome Pt has mild jaundice and malaise. no treatment is required
59
Contraindications of phosphodiasterase inhibitors(viagra)=sildenafil,tadalafil and vardenafil
Patients receiving nitrates, pts having hypotension,recent stroke,mi,unstable angina
60
overweight early teenager kid unable to bear wt hip pain limp leg length discrepancy klien lines abnormal on XR obligatory next rotation on hip flexion
SUFE tx; surgical fixation
61
Portal Hypertension; which veins are involved?
Portal venous pressure and pressure within the IVC/hepatic vein normal pressure is less than 5 if it occurs above 10 then it causes portal hypertension presents with hematemesis common cause of portal HTN in the western world is Liver cirrhosis and in Africa it is schistosomiasis
62
tx of portal htn?
non selective beta blockers and endoscopic vatical ligation where as in an acute bleed; TIPS
63
an autosomal recessive disorder associated with cardiomyopathy and diabetes. unsteadiness of the gait and clumsiness Onset before 20 yrs of age
Fredric's ataxia
64
Pre labour scoring system is used for?
wether induction of labour is required or not
65
Pre labour scoring system can be remembered by "PEDSS"
Position of the cervix effacement /length of cervix dilation of cervix softness/consistency of cervix station of the foetus A score of less than 5 suggests pt will need induction more than 9 labour will commence spontaneously
66
low Bishops score ?
indicate that induction is unlikely to be successful
67
febrile seizures in kids commonly occur at what age?
6m to 5 yrs more than 38 degree fever
68
anti streptolysin o titres are raised in which condition?
HSP
69
lichen Planus/lichenoid eruptions are associated with?
ACE inhibitors NSAIDS methyldopa cholroquine thiazide diuretics
70
HPV Vaccination is offered at which age?
12-13 yrs old
71
For DDH which investigation is required?
if less than 6 months;US if more than 6 months; radiographs
72
tx of DDH
less than 6 months of age;Pavlik Harness more than 1 yr;closed reduction
73
most common organism causing septic arthritis
staph aureus
74
difference between WPW syndrome and Lown gaining levine syndrome.
In both of them there will be shortened PR interval and widened QRS complex but there will be no upstroke/delta wave in Levine syndrome
75
anti Jo 1 ab is present in?
Dermatomyositis
76
anti ccp ab?
Rheumatoid arthritis
77
ANCA
EGPA;eospinophilic granulomatosis with polyangitis aka wegeners granulomatosis GPA;Granulomatosis with polyangitis MPA;Microscopic polyangitis
78
patients with MS tend to avoid what?
suanas,warm bath and other sources of heat.
79
Charcot's neurologic triad
nystagmus, intentional tremor and staccato speech it is associated with MS
80
congenital adrenal hyperplasia is associated with?
precocious pubertyWhen puberty begins before age 8 in girls and before age 9 in boys, it is considered precocious puberty.
81
delay in the development due to less growth hormone will present early than the age of 14
82
constitutional delay in the development is when
absence of sec sexual characteristics delayed bone age testosterone is given as a tx
83
hemochromatosis is?
accumulation of iron triad of it is like following; hyperglycemia bronze tinge of skin liver cirrhosis
84
hypogammaglobulinemia blood group A smoking rural living less veggies and fruits in diet H pylori are all risk factors of which carcinoma?
Gastric ca
85
anal fissure tx
initial lidocaine ointment for 1 week before passing the stool if it doe snot help in 1 week then use gin ointment/diltiazem for 6-12 weeks BD botulinum toxin injection
86
treatment of hyperthyroidism in pregnant pt
in the first trimester PTU is referred because carbimazole causes teratogenicity in the 1st trimester after the 1st one; in the 2nd trimester carbimazole is started
87
treatment of acute attack of Menderes dis?
cinnarazine and prochlorperazine
88
for ongoing prob with Menieres dis?
betahistine

Medicine (18 decks)

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