MS AKT 2 Paper Flashcards
What are the CF of Herpes Simplex? (2 things)
- Painful ulcers on genitals
- Burning dysuria
What are the rules about terminating pregnancy? (2 things)
- Upto 24 weeks
- Anytime during pregnancy, if has foetal abnormality (e.g anencephaly)
What are the CF of Pagets disease of the bone? (4 things)
- Bone pain
- Raised ALP aka 850 IU/L (25-115)
- XR: Sclerotic areas
- Isotope bone scan: areas of increased uptake
What is the Dx when Appendicitis CF, but more localised to RIF (instead of dull suprapubic) and recent history of URTI (aka sore throat)?
Mesenteric adenitis
What is a severe side fx of anti psychotic meds (e.g Risperidone)?
Neuroleptic Malignant Syndrome (NMS)
What are the CF of Neuroleptic Malignant Syndrome (NMS)? (3 things)
- Fever
- Altered mental status
- Muscle stiffness
What will the muscle stiffness lead to, that you can check for and confirm Dx?
Muscle breakdown, so check CK levels, will be raised
confirms NMS Dx
What will the muscle stiffness lead to, that you can check for and confirm Dx?
Muscle breakdown, so check CK levels, will be raised
confirms NMS Dx
What are the CF of SLE? (5 things)
- Mouth: Ulcers
- Skin: Butterfly rash (on cheeks + nose)
- Joints: Arthritis
- Kidney: Proteinuria + Haematuria
- Blood: AI destruction of all blood cells in FBC
What antibody confirms Dx of SLE?
anti-dsDNA
What is FIRST line meds for SLE?
NSAIDs
How does lung cancer spread to liver?
Haematogenous spread
blood gang
How does lung cancer spread to liver?
Haematogenous spread
blood gang
What is the Tx for Anorexia nervosa?
Family therapy
What do you give for a bipolar pt who has an ACUTE episode of mania?
Olanzapine
(lithium takes a few days to start working)
What do you give for a bipolar pt who has an ACUTE episode of mania?
Olanzapine
(lithium takes a few days to start working)
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?
Toddlers diarrhoea
What is the first line to induce labour, if cervix still 2cm and unripe?
Prostaglandin gel
What is the Dx in male with burning dysuria + discharge?
STI (either chlamydia + gonorrhea)
What abx do you give when you sus STI (chlamydia or gonorrhoea)?
Azithromycin and ceftriaxone
* Azithro = for chalmydia
* Ceftriaxone = for gonorrhoa
* be safe n cover both
What is the best method of contraception, that can be used even 5 days after intercourse?
COPPER
What is the genotype of Turners syndrome (aka widely spaced nipples + no puberty)?
45X0
chest so wide you can play X O on it
What virus is associated with Squamous cell carcinoma in neck?
HPV
What can you give to reduce breathlessness when RR is 30?
Morphine
(remember it causes resp depression, so can also reduce hypervent)
What can you give to reduce breathlessness when RR is 30?
Morphine
(remember it causes resp depression, so can also reduce hypervent)
What hormone has its surge on day 14?
LH
Who determines DNAR status of pt on admission if pt unconscious?
Admitting team
When should you stop insulin before surgery?
Morning of
(so take night one like usual)
What is FIRST line for scarlet fever?
Penicillin V for 10 days
What is the best way to prevent colon cancer in pt with FAP n heavy FHx?
Panproctocolectomy
(even if jus 18 yrs old, sheelu bara kulu)
If a person has fear of public speaking, what disorder is this?
Social phobia
What is FIRST line for mechanical back pain?
Ibuprofen (NSAID)
not paractemol like i put
What is FIRST line for mechanical back pain?
Ibuprofen (NSAID)
not paractemol like i put
What can you give for pt who can’t squeeze nurse fingers post- op bc of anaesthetic?
Neostigmine
(cholinesterase inhibitor, like for Myasthenia gravis)
What are the CF of Perthes disease? (4 things)
- Kids
- Painless limp
- Reduced ROM
- Pain @ internal rotation + abd
What should you do if newborn is in contact with chickenpox sibling, and mother has antibodies so is immune, and newborn is well?
Nothing, bc newborn probs has immunity from mum
plus baby is well
What is the most important investigation in unconcious pt who has vodka bottle next to them?
BG
(bc alcohol increases risk of hypoglycaemia)
What should you do in a acute pain episode in Sickle cell disease?
Morphine
morphine is mainstay of mx for SCD pain
What does HBsAg tell you in Hep B immunity?
If they have an infection RIGHT NOW (positive)
(can be either acute or chronic)
What does anti-HBs tell you in Hep B immunity?
Whether they are immune (positive) or not
(doesn’t tell you if immune bc infection or vaccine though)
What does anti-HBc tell you in Hep B immunity?
Positive = they had an infection
C for CILL ME NOW IM INFECTED
What analgesic is best for Renal colic?
Diclofenac
Mohamed Dagalo le ayo kilya
