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MRCP Part 1 > MRCP Geris > Flashcards

MRCP Geris Flashcards

1
Q

Anton syndrome

A
  • The patient behaves and talks as if they can see
  • The patient may bump into furniture or fall over objects
  • The patient may describe people and objects that aren’t there
  • The patient may try to walk through walls or closed doors
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2
Q

Anton syndrome secondary to

A

basilar artery infarct
bilateral occipital infarct

Note: occipital lesion hence blind but pretend they can see

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3
Q

Metastatic bone marrow blood film

A

nucleated red cells
- precusor early red cell

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4
Q

Polycythaemia vera diagnosis

A

JAK 2

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5
Q

Pons in brainstem supplied by…

A

basilar artery

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6
Q

Anterior cerebral arteries supply…

A

medial frontal lobe and superior medial parietal lobe

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7
Q

MCA supplies…

A

anterior cerebral cortex
anterior temporal lobe

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8
Q

posterior communicating connects…

A

PCA and internal carotid

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9
Q

Myoglobinuria

A

rhabdomyolysis

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10
Q

Bipolar management

A

First: lithium monotherapy
Second: vaproate with lithium

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11
Q

Cranial nerves passing through jugular foramen

A

9
10
11
internal jugular vein

sx:
glossophayngeal (posterior 1/3 tongue)

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12
Q

Geniculate ganglion

A

motor sensory and PSNS of facial nerve and hearing

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13
Q

Internal capsule

A

motor cortex nerves cross the internal capsule
- contralateral hemiplegia

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14
Q

Carotid endarterectomy for…

A

stenosis >50% if symptomatic on that side

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15
Q

CLL diagnosis

A

flow cytometry for antigens on lymphocytes
aka immunophenotype

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16
Q

PSP parkinson plus

A

early onset
bilateral
falls
proximal > distal rigid
dysphagia
loss of verticaal gaze

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17
Q

MSA parkinson plus

A

Early postural drop
autonomic sign
coat hanger pain
sweating

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18
Q

Barthel index - post stroke PROGNOSIS

A

80-100 = independent ADL
50-79 = moderate reduced
25-49 = low ADL
0-24 = v.low ADL

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19
Q

Axillary nerve damage

A

deltoid patch parathesia

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20
Q

CKD with OA pain management

A

topical ibuprofen
can add codeine - note risk of opioid toxicity

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21
Q

Long term use to antipsychotic with involuntary movements including lip smacking

A

tardive dyskinesia

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22
Q

AF with pauses of CHB

A

DDDR - dual chamber

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23
Q

Pupuric rash thrombocytopenia, rash in upper arms and chest with thrombosis

A

TTP

Mx: plasma exchange with FFP

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24
Q

Age related hearing loss

A

presbycusis

  • bilateral sensorineural hearing loss
  • dizziness
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25
Q

positive rinne’s

A

bone conduction better than air
= sensorineural loss

26
Q

lateralisation of weber’s

A

lateralise towards conductive loss
lateralise away from sensory loss

27
Q

osteosclerosis

A

progressive conductive hearing loss
abnormal bone growth
family history

28
Q

acoustic neuroma

A

sensorineural loss
facial nerve involvement

29
Q

Meniere

A

tinninus
vertigo
fluctuating hearing loss
fullness

30
Q

VTE prophylaxis crcl 15-30

A

reduced dose clexane

31
Q

Life threatening depression stupor

32
Q

Lentigo maligna

A

Surgical excision

33
Q

Treatment for Waldenstrom

A

Plasmaparesis- increased viscosity

34
Q

PICA

A

lateral medullary syndrome
Spinothalamic tract both face and contralateral body
dysphagia slurred speech nystagmus

35
Q

Alzheimer’s management mild to moderate (mmse 20-24)

A

rivastigmine

36
Q

Neostigmine use

A

myasthenia gravis

37
Q

venous ulcer

A

chronic insufficiency - haemosiderin
large superficial
irregular border
slough in the base

38
Q

Bowmen disease

A

SCC in legs

38
Q

arterial ulcer

A

small
punched out
bony prominence at ankle/toe

39
Q

neuropathic ulcer

40
Q

Delirium tremens

A

tremor
sweating
tachycardia
agitation
hallucination

41
Q

tonsillar herniation

A

Coning
increase mindbrain ICP
increase BP
drops HR

42
Q

alpha synuclein

A

lewy body dementia

43
Q

tau protein

A

alzheimers

44
Q

beta amyloid

A

alzheimers

45
Q

prolonged QT abx

A

clarithromycin

46
Q

subacute combined degeneration of cord

A

upper and lower motor neuron
B12 deficiency
reduced reflex
reduced motor
reduced sensation- proprioception glove and stocking

47
Q

co-trimoxazole long term side effect

A

neutropenia

48
Q

Hospital acquired pneumonia organism

A

MRSA most common

49
Q

lentigo maligna

A

premalignant lesion that can become malignant melanoma

50
Q

BCC skin

A

pearly nodule with surface
rolled edge
telangiectasia

51
Q

SCC skin

A

arise from acintic keratosis or bowmen’s disease
crusted nodule
ulcerated
scaly

52
Q

Treatment failure for CAUTI

A

biofilm formation

hence need to change catheter when infection suspected

53
Q

Frontal lobe dementia…

A

inability to draw interlocking pentagons

54
Q

Primary polycithaemia

A

neutrophil alkaline phosphatase

55
Q

nystagmus

A

cerebellum

56
Q

Prions

A

CJD- rapid dementia

57
Q

MRSA bacteramia treatment

A

first: vanc
second: teic if allergic to above
or linezolid

58
Q

Pick bodies

A

frontotemporal dementia

59
Q

CLL monotherapy choice

A

chlorambucil

MRCP Part 1 (17 decks)

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