MSRA Flashcards

1
Q

Cushings

A

Hypokalaemic metabolic alkalosis

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2
Q

Test for Addison’s

A

Short synacthin test

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3
Q

lack of red reflex

A

retinoblastoma

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4
Q

klebsiella

A

upper lobes, cavitating
diabetics, homeless

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5
Q

mycoplasma rash

A

erythema multiforme

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6
Q

shaken baby triad

A

retinal haemorrhage
subdural haematoma
encephalopathy

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7
Q

Tylosis - definition and association

A

Hyperkaratosis of palms and plantars
Associated with oesophageal cancer

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8
Q

Acquired ichthyosis

A

Lymphoma
Crazy pave skin

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9
Q

dermatomyositis association

A

ovarian and lung cancers

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10
Q

Erythema gyratum repens

A

Woodgrain appearance of rash over trunk
Associated with lung cancers

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11
Q

Viral labarynthitis

A

Has hearing changes

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12
Q

Vestibular neuritis

A

vertigo, nausea and vomiting, horizontal nystagmus
NO hearing changes

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13
Q

Treatment ITP

A

Prednisolone

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14
Q

Microcephaly, micrognathia, club feet/ rocker bottom feet, overlapping fingers

A

Edwards (18)

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15
Q

Microcephalic, small eyes
Cleft lip/palate
Polydactyly
Scalp lesions

A

Patau (13)

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16
Q

Webbed neck
Pectus excavatum
Short stature
Pulmonary stenosis

A

Noonan syndrome

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17
Q

H pylori

A

Urea breath test

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18
Q

sudden painless loss of vision, severe retinal haemorrhages on fundoscopy

A

Central retinal vein occlusion

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19
Q

Adenoma sebaceum

A

Tuberous sclerosis

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20
Q

PSC

A

UC

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21
Q

PBC

A

Middle aged women

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22
Q

variceal haemorrhage give

A

terlipressin + abx

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23
Q

non sedating antihistamine

A

Loratidine

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24
Q

prophylaxis for cluster headaches

A

Verapamil

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25
Q

Treatment prolactinoma

A

Bromocriptine (dopamine agonists)

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26
Q

Rx campylobacter

A

Clarithromycin

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27
Q

erytehma chronicum migrans

A

bulls eye rash in early Lyme’s disease

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28
Q

meralgia parasthetica

A

compression lateral femoral cutaneous nerve

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29
Q

Cyanosis on feeding and crying

A

Transposition of great vessels

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30
Q

antihistone antibodies

A

drug induced lupus

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31
Q

falsely low BNP

A

ramipril

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32
Q

section 2

A

admit for 28 days

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33
Q

section 3

A

admit for 6 months

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34
Q

section 4

A

72 hour acute assessment order, usually changed to section 2

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35
Q

section 17a

A

can recall patient to hospital if they do not comply with treatment in the community

36
Q

section 135

A

police can break into a property to remove person to place of safety

37
Q

section 136

A

someone found in a public place with presumed mental disorder can be removed to a place of safety

38
Q

depression + AF

A

Don’t give SSRI and warfarin together

39
Q

COCP and cancers

A

Increased risk of cervical and breast cancer
Protective against ovarian and endometrial cancer

40
Q

Drug induced lupus

A

Procainamide, hydralazine, isoniazid, minocycline, phenytoin

41
Q

Cinacelcet

A

Calcium mimic for tertiary hypoparathyroidism

42
Q

IM benpen doses

A

300, 600, 1200
1, 1-10, >10

43
Q

Paediatric hernias

A

Inguinal - repair straight away
Umbilical - conservative until 4-5 yrs

44
Q

Rx with isoniazid

A

pyridoxine

45
Q

Major bleeding warfarin

A

Stop warfarin, give vitamin K, prothrombin complex

46
Q

Live attenuated vaccines

A

BuY My Po-ta-To
BCG
Yellow fever
MMR
Polio (oral)
Typhoid (oral)

47
Q

dry cough, autoimmune haemolytic anaemia, erytehma multiforme

A

mycoplasma

48
Q

atypical chest infection and lymphopaenia

A

legionella
also has hyponatraemia

49
Q

weight gain, deranged LFTs, fractures

A

Pioglitazone

50
Q

weight gain, cholestatic LFTs, SIADH

A

glimepiride

51
Q

gliptins cause

A

pancreatitis

52
Q

Rx angina

A

B blocker or Ca channel blocker

53
Q

Diarrhoea which later becomes bloody

A

E coli

54
Q

2 Level WELLS score >2

A

USS

55
Q

Cocaine MI Rx

A

IV benxodiazepines

56
Q

Copper coil can be fitted for UPSI

A

Within 5/7
or within 5/7 of ovulation date

57
Q

Staggered OD

A

NAC straight away

58
Q

Appendicitis mimic

A

Campylobacter

59
Q

Mgx RA flare

A

IM steroids

60
Q

Cervical cancer screening

A

3yrs 25-49, 5yrs 50-64

61
Q

Meningococcal sepsis prophylaxis

A

ciprofloxacin

62
Q

small testes and precocious puberty

A

adrenal hyperplasia

63
Q

cabergoline side effect

A

pulmonary fibrosis

64
Q

Broca’s area

A

Frontal lobe, can understand, can’t relay (frontal, think mouth)

65
Q

Wernicke’s area

A

temporal, can’t understand (think ears)

66
Q

Subdural haematoma

A

Cresent shape, bridging veins

67
Q

Malaria prophylaxis, taken weekly

A

Chloroquine, mefloquine
Contraindicated in epilepsy

68
Q

When can you stop malarone?

A

Atovaquone and proguanil - after 1 week (the rest are 4 weeks)

69
Q

pitted keratolysis

A

punched out holes
caused by corneubacterium in people who sweat lots

70
Q

Rx dental abscess

A

amoxicillin

71
Q

Cisplatin side effect

A

decreases magnesium

72
Q

MTX side effects

A

myelosupression, liver firbosis, oral mucositis

73
Q

Off school mumps

A

5/7 from swelling

74
Q

Rx atypical pneumonia

A

clarithromycin

75
Q

secondary bacterial pneumonia

A

flucloxacillin

76
Q

erythema multiforme and hyponatraemia

A

mycoplasma

77
Q

Autosomal recessive

A

Metabolic

78
Q

Autosomal dominant

A

Structual

79
Q

Dysphagia to liquids not solids

A

Motor neurone disease

80
Q

From birth, crosses sutures

A

caput succedaneum

81
Q

Neonatal - doesn’t cross sutures

A

cephalohaematoma

82
Q

Post vontouse swelling

A

Subgaleal haematoma
12-72hrs post delivery
epicranial apeunerosis

83
Q

keratoderma blenorrhagica

A

reactive arthritis

84
Q

anti-epileptic + peripheral neuropathy

A

phenytoin

85
Q

electrolyte causing prolonged QT

A

Hypokalaemia