MS AKT 1 Paper Flashcards

1
Q

What is the nerve clarted when the tongue deviates to one side?

A

Hypoglossal nerve (ipsilat)

Hypo so he deviated

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2
Q

What is NON DROWSY anti-histamine you can use in allergic rashes?

A

Loratadine

9aa7i le lawa6a

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2
Q

What is NON DROWSY anti-histamine you can use in allergic rashes?

A

Loratadine

9aa7i le lawa6a

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3
Q

What do you need to give when pt starts MTX?

A

Folic acid

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4
Q

How do you differentiate between Venous n Arterial Ulcers? (3 things)

A
  • Location: Venous is lower leg // Arterial is toe, ankle, heel
  • Depth: Venous is superficial // Arterial is deeply penetrating
  • Pain: Venous is painless // Arterial is rly painful
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5
Q

What meds shoud you stop before CT scan and why?

A

Metformin
(bc both it & contrast are RF for lactic acidosis)

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6
Q

What Abx is FIRST line for MRSA?

A

Vancomycin

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7
Q

After paracetamol overdose, which investigation best demonstrates restoration of liver synthetic function?

A

PT (prothrombin time)

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8
Q

What ft in headaches are red flags and you should refer to hosp?

A

Abrupt onset

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9
Q

What are the CF of Coarctation of Aorta? (4 things)

A
  1. HTN
  2. Systolic murmur
  3. Radio-femoral delay
  4. Weak femoral pulses
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10
Q

What bloods do you get in Primary Hyperparathyroidism? (2 things)

A
  1. Hypercalcaemia
  2. Raised Serum alkaline phosphatase
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11
Q

Can ARBs cause hyperkalaemia?

A

Yeah

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12
Q

What are the Mx of different sized Abd Aorta in AAA screening? (4 things)

A
  • Less than 30mm: No action
  • 30-34mm: Repeat every 1 year
  • 35-39mm: Refer to vascular specialist
  • 40+ mm: Surgical repair

think of it like a footballers career in age

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13
Q

What are the Mx of different sized Abd Aorta in AAA screening? (4 things)

A
  • Less than 30mm: No action
  • 30-34mm: Repeat every 1 year
  • 35-39mm: Refer to vascular specialist
  • 40+ mm: Surgical repair

think of it like a footballers career in age

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14
Q

What change can you make to ICS in asthma pt to stop them getting oral thrush?

A

Take ICS with spacer

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15
Q

What makes you suspect Bladder cancer? (3 things)

A
  1. Painless visible haematuria
  2. Man in 50’s
  3. Smoking
16
Q

What investigation would confirm Dx of bladder cancer?

A

Flexible cystoscopy apparently

17
Q

What should you sus in YOUNG pt (34 yrs) with stroke and history of DVT?

A

Antiphospholipid syndrome
(so check anticardiolibin antibody)

18
Q

What is the Dx is lesion is yellow crusty?

A

Impetigo

19
Q

What is the causative organism of Impetigo?

A

Staph aureus

20
Q

What abx can you use for Impetigo?

A

Fusidic acid (topical)

21
Q

Can you get shaking in a vasovagal?

A

Yes, if its only for 15 seconds, then its vasovagal, not consistent with a seizure says ChatGPT

22
Q

What is the diagnostic test for TB?

A

Sputum MICROSCOPY

23
Q

What are features of Strep pneumonia organism? (2 things)

A
  1. Gram-positive cocci
  2. Arranged in pairs
24
Q

What 2 conditions can Strep pneumonia cause?

A
  1. Pneumonia
  2. Meningitis
25
Q

What makes Clostridium difficile organism difficult to destroy?

A

Spore formation