MS AKT 1 Paper Flashcards
What is the nerve clarted when the tongue deviates to one side?
Hypoglossal nerve (ipsilat)
Hypo so he deviated
What is NON DROWSY anti-histamine you can use in allergic rashes?
Loratadine
9aa7i le lawa6a
What is NON DROWSY anti-histamine you can use in allergic rashes?
Loratadine
9aa7i le lawa6a
What do you need to give when pt starts MTX?
Folic acid
How do you differentiate between Venous n Arterial Ulcers? (3 things)
- 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
What meds shoud you stop before CT scan and why?
Metformin
(bc both it & contrast are RF for lactic acidosis)
What Abx is FIRST line for MRSA?
Vancomycin
After paracetamol overdose, which investigation best demonstrates restoration of liver synthetic function?
PT (prothrombin time)
What ft in headaches are red flags and you should refer to hosp?
Abrupt onset
What are the CF of Coarctation of Aorta? (4 things)
- HTN
- Systolic murmur
- Radio-femoral delay
- Weak femoral pulses
What bloods do you get in Primary Hyperparathyroidism? (2 things)
- Hypercalcaemia
- Raised Serum alkaline phosphatase
Can ARBs cause hyperkalaemia?
Yeah
What are the Mx of different sized Abd Aorta in AAA screening? (4 things)
- 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
What are the Mx of different sized Abd Aorta in AAA screening? (4 things)
- 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
What change can you make to ICS in asthma pt to stop them getting oral thrush?
Take ICS with spacer
What makes you suspect Bladder cancer? (3 things)
- Painless visible haematuria
- Man in 50’s
- Smoking
What investigation would confirm Dx of bladder cancer?
Flexible cystoscopy apparently
What should you sus in YOUNG pt (34 yrs) with stroke and history of DVT?
Antiphospholipid syndrome
(so check anticardiolibin antibody)
What is the Dx is lesion is yellow crusty?
Impetigo
What is the causative organism of Impetigo?
Staph aureus
What abx can you use for Impetigo?
Fusidic acid (topical)
Can you get shaking in a vasovagal?
Yes, if its only for 15 seconds, then its vasovagal, not consistent with a seizure says ChatGPT
What is the diagnostic test for TB?
Sputum MICROSCOPY
What are features of Strep pneumonia organism? (2 things)
- Gram-positive cocci
- Arranged in pairs
What 2 conditions can Strep pneumonia cause?
- Pneumonia
- Meningitis
What makes Clostridium difficile organism difficult to destroy?
Spore formation
