Medicine Flashcards
1
Q
A combination of involuntary hand movements and
cognitive issues points to
A
Huntington chorea.
1
Q
Which wave is absent in Cardiac tamponade
A
Y descent
2
Q
motor aphasia is seen in which lesion
A
Broca’s lesion
3
Q
not making sense but can speak fluently
A
Fluent aphasia
4
Q
in scissoring gait, which nerve is affected
A
Obturator nerve, from the lesion to upper MN
5
Q
What wave is seen in Wolff- Parkinson-white syndrome
A
Broad QRS
6
Q
Dry eyes and dry mouth indicates to which syndrome
A
Sjrogen Syndrome
7
Q
Cell of rigin for multiple myeloma
A
Plasma cell
Disease presents with lytic lesions, increased gamma immunoglubulins , Abnormal KFT
8
Q
Marker for medullary thyroid cancer
A
calcitonin
9
Q
Smoky urine and dysmorphic RBC
A
Acute Glomerulonephritis
10
Q
Duke’s criteria is used for
A
Infective endocarditis
11
Q
Thalamic Dejerine Roussy syndrome occurs due to
A
ischemic stroke damaging the thalamus hence gives a feeling of burning on the contralateral side of the body
12
Q
Epitaxis, Cola colored urine, granulomatous lesions in the lungs
A
Wegners granulomatosis; cANCA is tested
13
Q
Normal pT with abnormal pTT and bleeding time with no easy bruising
A
vWF disease
14
Q
Intermittent proptosis from coughing or valsalva
A
Orbital varices
15
Q
adrenaline dosage IM for anaphylaxis
A
Injection adrenaline 1M 1:1000 dilution, repeat again if no response, till patient reaches hospital
16
Q
Giant v wave is seen in in
A
Tricuspid regurgitation
17
Q
pulses paradoxes and kussmal sign with no mumur
A
Constrictive pericarditis
18
Q
Pulsus Paradoxus with non pulsatile elevated JVP
A
cardiac tamponade
19
Q
Pneumonia with negative gram stain and hyponatremia
A
Atypical Pneumonia from Legionella
20
Q
Post URTI infection , periorbital edema and Anti-DNAase antibody present with RBC in urine
A
PSGN
21
Q
difficulty standing up with Heliotrope rash
A
Dermatomyositis
22
Q
treatment for HIV patient with ccryptococcal meningitis
A
Liposomal Amphotericin-B
23
Q
Necrolytic migratory erythrema with hyperglycemia and depression
A
Glucogonoma
24
occupational lung disease with ground glass appearance
Sillicosis
25
knee pain with negatively bifringent crystals on polarized microscopy
Gout
26
negative skin tuberculin test and normal CXR in elderly means
Cryptic milliary TB
27
hemoptysis, hematuria and Anti GBM bodies
Goodpasture syndrome
28
Worst headache ever + Nuchal rigidity
Subarachnoid hemorrhage ( SAH)
29
gaisbock syndrome
volume depletion from diuretics causing relative increase in RBC
30
Female on OCP with headache, papilledema and increased ICP
Pseudotumor cerebri
31
Ptosis with diurnal variation of symptoms and relief with acetylcholinesterase inhibitors are features of
Myasthenia Gravis
32
preferred managment of Acromegaly
long acting octreotide called Lanreotide depot formulation
33
imaging used to locate parathyroid tumor
Tc 99 sestamibi scan
34
arteritis of the subclavian
Takayasu Arteritis
35
jaundice after unexplained physical stress or drug intake
Gilbert syndrome ( autosommal recessive ) UG1A1 gene mutation
36
Treatment for criggler najjar syndrome
Plasmapheresis for Type 1
Phenobarital for type 2
Transplant is curative for Type 1
37
safer CD4 count for patient with HIV
300 cells/mm3
38
lung infection with CD4 count below 5 indicated with organism
Mycobacterium Avium-intracellulare
39
high volume pulse and diastolic murmur
Aortic insufficiency
40
chest pain at rest with pericardial friction rub
Pericarditis
41
Fever+ splenomegaly+ roth spots
Infective endocarditis
42
most common site of brain hemorrhage
Putamen
43
Distant heart sounds with engorged neck veins points to
Cardiac tamponade
44
management of ventricular fibrillation
2 minutes of cpr at 100-120 beats per min.
45
Persistent chest pain with ST elevation >60 minutes after thrombolysis, what is the management
rescue PCI
46
right sided heart failure due to pulmonary hypertension is called
corpulmonale
47
Waterhammer pulse is seen in what deficiency
Vitamin b1 (beri-beri)
48
Wide fixed s2 is seen in
ASD
49
Narrow split S2 is seen in
PDA
50
absent y descent with prominent x wave indicates
Cardiac tamponade
51
Mconnels sign is seen in
Pulmonary embolism
52
Cavitation at the upper lobe with no fever
SCC lung
53
bulbar palsy results from
lesion to the LMN of cranial nerves, pseodobulbar palsy is upper MN
54
Primary sign in corticobulbar palsy
Spastic Tongue ( no protrusion )
55
Normal CSF sugar value
66 % of blood sugar
56
IOC for cerebral edema
plasma hydroxy butyrate levels
56
pneumonia with hyponatremia is caused by which organism
Legionella
57
Components of child pugh score
Encephalopathy, ascites, albumin, Bilirubin and PT
58
par acinar emphysema and cirrhosis
Alpha 1 antitrypsin defieciency
58
Screening for M.Myeloma
SPEP
59
Tx for M.Myeloma
lenalidomide + Dexamethasone
60
Hematuria Protinuria hypertension edema
PSGN
61
hemoptysis with hematuria
good pasture syndrome
62
proximal muscle weakness with skin involvement
dermatomyositis
63
20. HIV positive patient presents with cryptococcal
meningitis. Treatment is?
LAMB + Flucystosine
64
DOC for invasive aspergillosis
Voriconazole
65
Testing for insulinoma
C-peptide and blood sugar
66
IOC for pancreatic endocrine tumor
PET -CT
67
IOC for crohn's
CT enteroscopy
68
Knee pain with negatively bi fringed crystals
Gout
69
Sign of chronic gout
MARTEL sign
69
Mass effect and posturing is found in patient , whats the medication ?
Mannitol
70
Tennis ball appearance in CT chest
Aortic Dissection
71
Ocular signs of M. Gravis
Ptosis and Diplopia
72
Causes of pseudotumor cerebri
OCP, Vit a Toxicity, sudden Steroid Stoppage
73
a headache that occurs on the side of the head, above the ears
temporal headache
74
IOC for M Gravis
Single fiber Electro myography
75
TOC for M. Gravis
Thymectomy
Steroids
Azathrioprine
76
Confirmatory test for M Gravis
Tensilon Test
77
Antibodies present in M Gravis
Anti ACH receptor antibody
Anti- Musk
Anti- LipoProtein Receptor - 4
78
Antibody of Lambert Eaton syndrome
Anti PIQ antibody
79
Difference of Lambert Eaton from M. Gravis is
Weakness starts at the shoulders in LE than the eyes in M.GRavis
80
DOC of Lambert Eaton
3,4 Aminopyridines
81
Preferred managment of Acromegaly is
Lanreotide Depot formulation
82
X-hands showing Brown tumor is indicative of
Hyperparathyroidism
83
IOC for parathyroid adenoma
Tc 99 Sestamibi Scan
84
Fiest line management of Hypercalcemia crisis
Normal saline
85
DOC for hypercalcemia crisis
Ibandronate
86
Headache, Hypertension with Claudication of the ARM
Takayasu Arteritis; mostly in the left subclavian artery
87
Commonest hyperbilirubinemia ( unconjugated
Gilbert Syndrome ; (-) UDP gluconyl transferase
Dubin johnson - Unconjugated Hyperbilirubinemia
Criggler Najjar- Neonatal with Kernicterus
88
TOC for Massive haemoptysis
Brochial artery embolization
89
Pleural plaque calcification with bloody pleural effusion is caused by
Mesothelioma
90
MC cancer in Asbestos Exposure
Adenocarcinoma; Mesothelioma
91
ECG Findings of Pericarditis
St elevation in all leads
92
Ecg findings in inferior wall myocardial infarction
st elevation in one ii and a V F
93
Example for steroid responsive hypercalcemia
Sarcoidosis
93
Lung cancer that causes hypercalcemia
Squamous cell carcinoma; PTH- related peptide
94
DOC for bleeding varices
IV octreotide
95
DOC for spontaneous bacterial peritonitis
IV ceftriaxone
96
DOC for hepatorenal syndrome
IV albumin plus midodrine
97
TOC for refractory peritonitis
Large volume Paracentesis
98
DOC for life threatening hyperkalaemia
10% calcium gluconate , but to lower K+ is insulin
99
Test for carcinoid tumor
Urinary 5HIAA
100
DOC for HTN in pheochromocytoma
Phenoxybenzamine
101
DOC for Absence seizures
Sodium Valproate
102
MC type of seixure in kids
Febrile seizure
103
MC seizure in Neurocysticercosis is
Focal seizures
104
MC seizure in neonates
Subtle seizures
105
upper pharyngeal web with dysphagia, anemia, Koilonychia
Patterson kelly syndrome
105
t (9:12) is a presentation of
CML
106
confirmatory test for CML
FISH
107
Screening test for IDA
Serum transferrin
108
Confirmatory test for IDA
Serum ferritin
109
Anaemia of chromic disease
Normocytic normochromic anaemia
110
Investigational choice for Alpha Thalassemia
HPLC
111
Which haemoglobin Causes the severity of sickle cell anaemia
Absense of HbA and presence of HbS
112
Screening test for Beta Thalassemia
NESTROFT
112
Investigation of choice for beta thalassemia
HPCL
113
Chromosomes affected in Thalassemia
Alpha- Ch16
Beta- Ch11
114
Prothrombine time is indicated by what factors
Extrinsic factors - 5,7
115
aPTT is indicated by what factors
intrinsic - 8
116
Bleeding time is an indication of
Platelet plug formation
117
in Von Willebrand disease what factors are affected
Platelet plug or bleeding time
Intrinsic factor 8 or aPTT
Normal PT
118
IOC for vWD
Ristocein aggregation test
118
Severity of mitral stenosis is determined by:
Diastolic murmur duration
119
DOC for A Fib
Esmolol
119
MC arrythmia
A Fib
120
Preferred biochemical marker(s) in patients presenting
with myocardial infarction:
Trop I and T as early as 3 hrs
121
osbourne waves are seen in which condition
Hypothermia
122
Reasons for ST elevation
Hypercalcemia
LBBB
Ventricular aneurysm
Trauma
Ischemia
Osbourne waves
Non-exclusive vasospasm
123
IOC for Dysphagia Lusoria
CTA- Aberrant left subclavian artery
124
Pseudo Achalasia is caused by
Ca Stomach
124
Punched out lesions in the esophagus
Herpes simplex
125
Serpiginous ulcers in the esophagus
CMV esophagitis
126
Serpiginous ulcers in the ileum
Crohn's disease
127
causes of High Anion Gap metabolic acidosis
Ketoacidosis
Uremia
Lactic acidosis
Toxins
128
causes of Normal Anion Gap metabolic acidosis
Diarrhea
RTA
Fistula
Ureterosigmoidoscopy
128
Gait instability and ripples in the quadriceps muscle while standing is
Orthostatic tumor
129
The finding of enlarged calf muscles and atrophied thigh muscles with a history of muscle
weakness are suggestive of
Duchenne muscular dystrophy (DMD).
130
Best treatment for acute mania and biploar disorder long term
Lithium
131
Absolute contradiction for Sildenafil
Nitrates
132
Murmur of mitral stenosis
Mid-Diastolic Murmur
133
Dislocation of the radiocarpal joint is the hallmark of
Barton's fracture
134
The dimorphic fungus that causes subcutaneous mycosis is
Sporothrix schenckii.
135
The Borchardt triad comprises of:
The Borchardt triad comprises of:
* Sudden-onset severe upper abdominal pain
* Recurrent retching with minimal vomitus
* Inability to pass a nasogastric (NG) tube
gastric volvulus is the Borchardt's triad.
136
The Renal function is best assessed by
Tc-99m MAG3 (mercaptoacetyltriglycine)
137
lesions of Infective endocarditis
Janeway lesions
138
Christmas tree bladder or pine cone bladder is a cystogram appearance which usually seen in
Neurogenic bladder
139
DOC for resistant HTN
Spironolactone
140
DOC for HTN encephalopathy
Labetelol and nifedipine
141
DOC for HTN emergency
Labetelol and nifedipine
142
Butterfly rash on face
Libman sac endocarditis
143
Slapped cheek apperance
Parvovirus B19
144
Post MI pericarditis is called
Dressler Syndrome
diffuse ST elevation in ECG
Treatment is high dose aspirin
145
Murmur that presents after MI (4-7 days )
MR- pulmonary edema
at sternal border - VSD
146
DOC for PSVT
Adenosine 6 to 12 mg IV
147
Saw Tooth pattern in ECG
Atrial Flutter -
148
Recurrent syncope attacks + Complete heart block
Stokes Adam Syndrome
149
Uveitis+ Parottitis+ Fever
Heerfordt's syndrome
150
Erythema nodosum + B/L hilar Lymphadenopathy+ Polyarthritis
Löfgren syndrome
151
Panda/ Lambda sign in gallium scan
Sarcoidosis
152
Spirometry below 30 % indicates
Severe COPD- Stage 4
153
Black urine and black deposits
Alkaptonuria
154
Dermatitis, Diarrhea and dementia
Pellagra by Vit b3 - Niacin
155
Bleeding gums, poor wound healing, fatigue
Scurvy
156
