MSRA Flashcards
Features of Horners syndrome (4)
miosis (small pupil)
ptosis
enophthalmos* (sunken eye)
anhidrosis (loss of sweating one side)
Features of antiphospholipid syndrome (5)
venous/arterial thrombosis recurrent fetal loss livedo reticularis thrombocytopenia prolonged APTT
low c peptide suggests?
Type 1 DM
Conversion disorder
loss of motor or sensory function
stress related
Drugs for angina
Aspirin + statin + GTN
1st line Beta blocker or calcium channel blocker (rate limiting if monotherapy)
2nd line add the other, if does not tolerate trial long acting nitrates
only add third agent if awaiting PCI/CABG
CKD Stages
1 >90 other signs kidney damage 2 60-90 other signs kidney damage 3a 45-59 3b 30-44 4 15-29 5 <15 - heading for RRT
Bacterial vaginosis vs tri
BV - anaerobe overgrowth, ‘fishy’ discharge, thin and white, alkaline pH
Trichomonas Vaginalis - STI, offensive, frothy, yellow/green discharge, acidic pH
Mx for both is metronidazole 1/52
Bone protection for long term steroids
< 65 no fragility fracture - DEXA
>65 or fragility fracture - alendronate
everyone gets adcal
organophosphate poisoning
Upregulation of ACh - ‘SLUD’
Salivation, lacrimation, urination, defecation/diarrhoea.
Also - hypotension, bradycardia, small pupils
Mx - atropine
TB Abx Side effects
Rifampicin - orange fluids, rash, hepatotoxicity, drug interactions (CP450 inducer)
Isoniazid - peripheral neuropathy, psychosis, hepatotoxicity, CP450 inhibitor.
Pyrazinamide - arthralgia, gout, hepatotoxicity, nausea
Ethambutol - optic neuritis, rash
What is Buerger’s syndrome
medium sized artery vasculitis, presents like PVD, common in young men who smoke.
Fetal varicellar syndrome - 4 features
scarring of the skin, limb hypoplasia, microcephaly and eye defects
risk factors for glue ear (6)
male sex siblings with glue ear higher incidence in Winter and Spring bottle feeding day care attendance parental smoking
Live attenuated Vaccines (5)
who should not get them?
BCG MMR oral polio yellow fever oral typhoid immunocompromised/immunosuppressed
Time frames for throb-lysis and thrombectomy
within 4.5 hours - offer both
6-24hrs - thrombectomy if salvageable tissue on imaging
within these time windows
always for PACs, consider for POCs
