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MRCP I > Misc > Flashcards

Misc Flashcards

1
Q
  1. Causes of erythema mutliforme
A

lamotrigine

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2
Q

. Obese, NIDDM ♀ with abnormal LFT’s →

A

NASH (non-alcoholic steatotic hepatitis)

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3
Q

Fluctuating level of conciousness in elderly plus/minus deterioration →

A

chronic
subdural. Can last even longer than 6 months

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4
Q

. Sensitivity →

A

TP/(TP plus FN)

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5
Q
  1. Ipsilateral ataxia, Horners, contralateral loss pain/temp →
A

PICA stroke (lateral medulary
syndrome of Wallenburg)

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6
Q

yperprolactinemia (gallactorrohea, amenorrohea, low FSH/LH) → causes are:

A

causes are:
(metoclopramide, chlorpromazine, cimetidine NOT TCA’s), pregnancy, PCOS, pit
tumor/microadenoma, stress.

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7
Q

. Episodic headache with tachycardia →

A

Pheochromocytoma

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8
Q

Diagnosis of CLL →

A

immunophenotyping NOT cytogenetics, NOT bone marrow

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9
Q

Pancytopenia with raised MCV →

A

check B12/folate first (other causes possble, but do
this FIRST). Often associayed with phenytoin use → ↓ folate

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10
Q

.Prognostic factors for AML →

A

bm karyotype (good/poor/standard) → WCC at
diagnosis.

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11
Q

.Pancytopenia with raised MCV →

A

check B12/folate first (other causes possble, but do
this FIRST). Often associayed with phenytoin use → ↓ folate

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12
Q

Anosmia, delayed puberty →

A

Kallmans syndrome (hypogonadotrophic hypogonadism)

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13
Q

. Commonest finding in G6PD hamolysis →

A

haumoglobinuria

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14
Q

Flank pain, urinalysis:blood, protein →

A

renal vein thrombosis. Causes: nephrotic
syndrome, RCC, amyloid, acute pyelonephritis, SLE (atiphospholipid syndrome which is recurrent thrombosis, fetal loss, dec plt. Usual cause of cns manifestations assoc with LUPUS ancoagulant, anticardiolipin ab)

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15
Q

Hypothermia, acute renal failure →

A

rhabdomyolysis (collapse assumed)

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16
Q

Burning, Pain, numbness anteriolateral thigh →

A

meralgia paraesthesia (lat cutaneous
nerve compression usally by by ing ligament)

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17
Q

Diagnosis of hemochromatosis:

A

screen with Ferritin, confirm by tranferrin saturation,
genotyping. If nondiagnostic do liver biopsy 0.3% mortality

18
Q

.40 mg hidrocortisone divided doses (bd) →

A

10 mg prednisolone (ie. Prednislone is x4
stronger)

19
Q

Diptheria →

A

exudative pharyngitis, lymphadenopathy, cardio and neuro toxicity.

20
Q

Indurated plaques on cheeks, scarring alopecia, hyperkeratosis over hair follicles
→

A

Discoid LUPUS

21
Q

Wt loss, malabsoption, inc ALP →

A

pancreatic cancer

22
Q

Fever, lymphadenopathy, lymphocytosis, pharygitis →

A

EBV → heterophile antibodies

23
Q

GI bleed after endovascular AAA Surgery →

A

aortoenteric fistula

24
Q

Functional hypogonadotrophic hypogonadism →

A

amennorhea. LH and FSH both low. All other hormones are usually normal. Ferritin low.

25
Q

Reiters Syndrome –

A

arthritis, uveitis, urethritis – Chlymidia, campylobacter, Yersinia, SALMONELLA , Shigella. Balanisits.

26
Q

PKD –

A

aut dom Chr 16/4 assoc berry aneurysm, mitral/aortic regurg

27
Q

Diag of PKD →

A

renal US even if think anorexia nervosa

28
Q

Porphyria –

A

photosensitivity, blisters, scars with millia, hypertrichosis

29
Q

Vitiligo –

A

commonest assoctions pernicious anemia → type 1 DM , autoimmune
addisons, autoimmune thyoid dx

30
Q

Peripheral neuropathy –

A

a) B12 – rapid, dorsal columns (joint pos, vibration), sensory
ataxia, pseudoathetosis of upperlimbs b) diabetic – slow, spinothalamic (pain, temp?)
c)alcohol – slow progressive, spinothalamic d) Pb – motor upper limbs

31
Q

CNS abnormalities in HIV:

A

: toxoplaasmosis (ring enhancing), lymphoma (solitary lesion). HIV encephalopathy, progressive multifocal leucoencephalopathy (PML –
demylination in advanced HIV, low attenuation lesions)

32
Q

Travellers diarrohea:

A

chronic (>2 WEEKS) giardia (incidious onset rx. Metronidazole),
SALMONELLA (serious systemic illness), E.coli (rx. Ciprofloxacin) , Shigella

33
Q

Renal syndrome –

A

minimal change disease, membanous, IgA nephropathy, post-
streptococcal.

34
Q

Thyroid Malignancy –

A

tend to be non-functional, anaplastic has worse prognosis, local
infiltration → dysphagia, vocal cord paralysis

35
Q

. Silvery white scale →

36
Q

Hypopigmented →

A

vitiligo/pityriasis versicolor

37
Q

Pretibial myxedema →

A

Graves (NOT lid lag, NOT exopthalmus)

38
Q

R. Arthritis with nephritic syndrome →

A

looks for amyloidosis, even by rectal biopsy.

39
Q

Cushing investigation

A

Overnight Dexamethasone Test

40
Q

Cushing- vs. Pseudo-cushing

A

insulin Stress Tes

41
Q

Acromegaly

A

Oral Glucose Tolerance Test

MRCP I (21 decks)

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