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#passmed 2023 > MS AKT 2 Paper > Flashcards

MS AKT 2 Paper Flashcards

1
Q

What are the CF of Herpes Simplex? (2 things)

A
  1. Painful ulcers on genitals
  2. Burning dysuria
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2
Q

What are the rules about terminating pregnancy? (2 things)

A
  1. Upto 24 weeks
  2. Anytime during pregnancy, if has foetal abnormality (e.g anencephaly)
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3
Q

What are the CF of Pagets disease of the bone? (4 things)

A
  1. Bone pain
  2. Raised ALP aka 850 IU/L (25-115)
  3. XR: Sclerotic areas
  4. Isotope bone scan: areas of increased uptake
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4
Q

What is the Dx when Appendicitis CF, but more localised to RIF (instead of dull suprapubic) and recent history of URTI (aka sore throat)?

A

Mesenteric adenitis

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5
Q

What is a severe side fx of anti psychotic meds (e.g Risperidone)?

A

Neuroleptic Malignant Syndrome (NMS)

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6
Q

What are the CF of Neuroleptic Malignant Syndrome (NMS)? (3 things)

A
  1. Fever
  2. Altered mental status
  3. Muscle stiffness
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7
Q

What will the muscle stiffness lead to, that you can check for and confirm Dx?

A

Muscle breakdown, so check CK levels, will be raised

confirms NMS Dx

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8
Q

What will the muscle stiffness lead to, that you can check for and confirm Dx?

A

Muscle breakdown, so check CK levels, will be raised

confirms NMS Dx

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9
Q

What are the CF of SLE? (5 things)

A
  1. Mouth: Ulcers
  2. Skin: Butterfly rash (on cheeks + nose)
  3. Joints: Arthritis
  4. Kidney: Proteinuria + Haematuria
  5. Blood: AI destruction of all blood cells in FBC
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10
Q

What antibody confirms Dx of SLE?

A

anti-dsDNA

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11
Q

What is FIRST line meds for SLE?

A

NSAIDs

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12
Q

How does lung cancer spread to liver?

A

Haematogenous spread

blood gang

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13
Q

How does lung cancer spread to liver?

A

Haematogenous spread

blood gang

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14
Q

What is the Tx for Anorexia nervosa?

A

Family therapy

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15
Q

What do you give for a bipolar pt who has an ACUTE episode of mania?

A

Olanzapine

(lithium takes a few days to start working)

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16
Q

What do you give for a bipolar pt who has an ACUTE episode of mania?

A

Olanzapine

(lithium takes a few days to start working)

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17
Q

What is the Dx when a kid is 6 months of diarrhoea, like 5 times a day, and has sweetcorn n stuff in their poo?

A

Toddlers diarrhoea

18
Q

What is the first line to induce labour, if cervix still 2cm and unripe?

A

Prostaglandin gel

19
Q

What is the Dx in male with burning dysuria + discharge?

A

STI (either chlamydia + gonorrhea)

20
Q

What abx do you give when you sus STI (chlamydia or gonorrhoea)?

A

Azithromycin and ceftriaxone
* Azithro = for chalmydia
* Ceftriaxone = for gonorrhoa
* be safe n cover both

21
Q

What is the best method of contraception, that can be used even 5 days after intercourse?

A

COPPER

22
Q

What is the genotype of Turners syndrome (aka widely spaced nipples + no puberty)?

A

45X0

chest so wide you can play X O on it

23
Q

What virus is associated with Squamous cell carcinoma in neck?

A

HPV

24
Q

What can you give to reduce breathlessness when RR is 30?

A

Morphine

(remember it causes resp depression, so can also reduce hypervent)

25
Q

What can you give to reduce breathlessness when RR is 30?

A

Morphine

(remember it causes resp depression, so can also reduce hypervent)

26
Q

What hormone has its surge on day 14?

A

LH

27
Q

Who determines DNAR status of pt on admission if pt unconscious?

A

Admitting team

28
Q

When should you stop insulin before surgery?

A

Morning of
(so take night one like usual)

29
Q

What is FIRST line for scarlet fever?

A

Penicillin V for 10 days

30
Q

What is the best way to prevent colon cancer in pt with FAP n heavy FHx?

A

Panproctocolectomy
(even if jus 18 yrs old, sheelu bara kulu)

31
Q

If a person has fear of public speaking, what disorder is this?

A

Social phobia

32
Q

What is FIRST line for mechanical back pain?

A

Ibuprofen (NSAID)

not paractemol like i put

33
Q

What is FIRST line for mechanical back pain?

A

Ibuprofen (NSAID)

not paractemol like i put

34
Q

What can you give for pt who can’t squeeze nurse fingers post- op bc of anaesthetic?

A

Neostigmine
(cholinesterase inhibitor, like for Myasthenia gravis)

35
Q

What are the CF of Perthes disease? (4 things)

A
  1. Kids
  2. Painless limp
  3. Reduced ROM
  4. Pain @ internal rotation + abd
36
Q

What should you do if newborn is in contact with chickenpox sibling, and mother has antibodies so is immune, and newborn is well?

A

Nothing, bc newborn probs has immunity from mum

plus baby is well

37
Q

What is the most important investigation in unconcious pt who has vodka bottle next to them?

A

BG
(bc alcohol increases risk of hypoglycaemia)

38
Q

What should you do in a acute pain episode in Sickle cell disease?

A

Morphine

morphine is mainstay of mx for SCD pain

39
Q

What does HBsAg tell you in Hep B immunity?

A

If they have an infection RIGHT NOW (positive)

(can be either acute or chronic)

40
Q

What does anti-HBs tell you in Hep B immunity?

A

Whether they are immune (positive) or not
(doesn’t tell you if immune bc infection or vaccine though)

41
Q

What does anti-HBc tell you in Hep B immunity?

A

Positive = they had an infection

C for CILL ME NOW IM INFECTED

42
Q

What analgesic is best for Renal colic?

A

Diclofenac

Mohamed Dagalo le ayo kilya

#passmed 2023 (39 decks)

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