Mistakes Flashcards

1
Q

What is power (stats)?

A

The probability of detecting a statistically significant difference

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2
Q

When is a Student’s paired t-test used?

A

When comparing related or matched samples, or repeated measurements on a single sample i.e. patients cholesterol before and after receiving a lipid lowering therapy. the measurements are taken from the same individuals§

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3
Q

What respiratory physiological change may be expected from multiple PEs

A

Reduced TLCO - recurrent PE can cause areas of lung to be poorly perfused and ventilated

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4
Q

What is a Holmes-Adie Pupil?

A

A benign condition seen in women. It is a common differential for a dilated pupil

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5
Q

What is associated with Holmes-Adie puils?

A

Dilated pupil, females, absent leg reflexes

Unilateral in 80%

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6
Q

What is conduction aphasia?

A

where speech is fluent but repetition is poor. Comphrehension is relatively intact

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7
Q

What type of infarct is conduction aphasia associated with?

A

Arcuate fasciculus in dominant hemisphere - between wernickes and brocas area

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8
Q

Equation for Absolute Risk Reduction

A

Absolute risk reduction = control event rate - experimental event rate

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9
Q

What do prominent v waves on JVP represent?

A

tricuspid regurgitation

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10
Q

Which HLA is Sjogren’s syndrom associated with?

A

HLA-DR3

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11
Q

What bacteria are most common cause of neutropaenic sepsis?

A

staph epi and gram positive, coagulase negative bacteria

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12
Q

Which diabetic medication can cause a B12 deficiency?

A

Metformin - alters small bowel motility

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13
Q

What part of the cell cycle, G1, M, G2, S, does Vincristine act on?

A

M - inhibits tubulin polymerisation and spindle formation

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14
Q

What additional treatment should be given to those with meningeal tuberculosis

A

Prednisolone

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15
Q

What is vitamin C also known as?

A

Ascorbic acid

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16
Q

What monitoring is required for starting hydroxychloroquine?

A

Visual acuity and fundoscopy - may result in severe and permanent retinopathy

17
Q

What antibiotic is given for tetanus?

A

Metronidazole

18
Q

What does the presence of DIC without any underlying cause in a young patient suggest?

A

Acute promyelocytic Leukaemia

19
Q

What chromosome translocation is associated with acute promyelocytic leukaemia?

20
Q

What condition is associated with bilateral vestibular schwannomas?

A

NFM type 2

21
Q

Where is glucose reabsorbed in the kidney?

A

Proximal convuluted tubule

22
Q

Weakness of the deltoid and biceps muscle suggests injury to which brachial plexus nerve?

23
Q

Which blood pressure medication can interfere with testing for primary hypoaldosteronism (Conn’s syndrome)?

A

Ramipril/ ACEi’s - interferes with the RAAS system

24
Q

What can high urea levels indicate?

A

An Upper GI bleed

25
What is the treatment for toxoplasmosis?
Immunocompetent patients - nothing; immune incompentent patients - pyrimethamine
26
Specificity equation?
True negative / (true negative + false positive)
27
Which hormone is only secreted by the adrenal medulla?
Adrenaline
28
Which condition causes a cape-like loss of pain and temperature sensation?
Syringomyelia
29
Which spinal tract is affected by syringomyelia
Spinothalamic tract decussating the anterior white commisure of the spine
30
What blood tests are used to monitor treatment in haemochromatosis?
Ferritin and transferrin saturation
31
What is the positive predictive value?
PPV = True Positive / (true positive + false positive)
32
What test can be used to test if there is a difference between two sets of data when not normally distributed?
Mann-Whitney U test - measure ordinal, interval or ratio scales of unpaired data i.e. patients ranking treatment effectiveness in a control vs drug group
33
What bacteria are associated with human bites?
streptoccoci, staph aureus, eikonella corrodens
34
What is the mechanism of action of macrolides?
Inhibits 50s subunit of ribosomes
35
What score is used to assess a patients risk of pressure sores?
Waterlow score
36
What is associated with Von Hippel Lindau disease?
Retinal and cerebellar hemangiomas, renal cysts which may become renal cell carcinoma and phaeochromocytoma
37
What is the mode of inheritance for Marfan's syndrome?
Autosommal dominant
38
Most common organism in bronchiectasis pneumonia?
Haemophilus influenzae
39