MEDgems 3 Flashcards

1
Q

name of vein in portal tract

A

hepatic portal vein

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2
Q

what is the portal tract made up of?

A

hepatic portal vein
hepatic artery
bile duct

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3
Q

normal conduction of the heart?

what happens in atrial fibrillation

A

electric impulse form sinoatrial nodes
>
AVN
>
transmitted to ventricles

damage to atria
atrial tissue depolarise out of sync
electrical impulse propagates out of atria in an erratic way

the longer you stay in a fib the more atria dilates

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4
Q

how to treat atrial fibrillation?

A

anticoagulate - consider stroke risk

beta block - rate control
fast af add digoxin

comorbidities

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5
Q

Breast Abscess

A

32 year old breastfeeding woman presents with sore, inflamed breast
diffuse tender with firm fluctuant mass

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6
Q

Class VI lupus nephritis is characterized by advanced

A

sclerosing lesions involving more than 90% of glomeruli on biopsy.

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7
Q

what indicates liver transplant in an overdose patient

A

Acidosis (if present) is a late sign of hepatic failure and is generally a marker for emergency hepatic transplant

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8
Q

Chest X ray reveals irregular pleural thickening and a peripheral homogenous opacity in the left lower lung field

decreased breath sounds and dullness to percuss in left lung base

SOB
weight loss
dry cough

A

mesothelioma

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9
Q

bicalutamide MOA

A

androgen antagonist
treats metastatic prostate cancer

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10
Q

waxy casts in urine?

A

CKD
severe damage to renal tubules indicated

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11
Q

which may be visible around the nails
periosteal bone growth
graves disease?

A

thyroid acropachy

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12
Q

nephrotic syndrome
not getting better with methylprednisolone

antibody-cimplexes
throughput basement membrane

A

membranous glomerular disease

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13
Q

muddy brown / granular casts seen in urine?

A

acute tubular necrosis

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14
Q

20 year old man with liver failure and parkinsonism?

A

wilson’s

reduced ceruloplasmic leads to copper an diron accumulation

causes neurodegeneration

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15
Q

What cell of the immune system is found disproportionately in biopsies of acute gastritis

A

neutrophil

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16
Q

What is the most common type of non small cell lung cancer in the UK

A

adenocarcinoma

17
Q
A