MSRA Flashcards
Cushings
Hypokalaemic metabolic alkalosis
Test for Addison’s
Short synacthin test
lack of red reflex
retinoblastoma
klebsiella
upper lobes, cavitating
diabetics, homeless
mycoplasma rash
erythema multiforme
shaken baby triad
retinal haemorrhage
subdural haematoma
encephalopathy
Tylosis - definition and association
Hyperkaratosis of palms and plantars
Associated with oesophageal cancer
Acquired ichthyosis
Lymphoma
Crazy pave skin
dermatomyositis association
ovarian and lung cancers
Erythema gyratum repens
Woodgrain appearance of rash over trunk
Associated with lung cancers
Viral labarynthitis
Has hearing changes
Vestibular neuritis
vertigo, nausea and vomiting, horizontal nystagmus
NO hearing changes
Treatment ITP
Prednisolone
Microcephaly, micrognathia, club feet/ rocker bottom feet, overlapping fingers
Edwards (18)
Microcephalic, small eyes
Cleft lip/palate
Polydactyly
Scalp lesions
Patau (13)
Webbed neck
Pectus excavatum
Short stature
Pulmonary stenosis
Noonan syndrome
H pylori
Urea breath test
sudden painless loss of vision, severe retinal haemorrhages on fundoscopy
Central retinal vein occlusion
Adenoma sebaceum
Tuberous sclerosis
PSC
UC
PBC
Middle aged women
variceal haemorrhage give
terlipressin + abx
non sedating antihistamine
Loratidine
prophylaxis for cluster headaches
Verapamil
Treatment prolactinoma
Bromocriptine (dopamine agonists)
Rx campylobacter
Clarithromycin
erytehma chronicum migrans
bulls eye rash in early Lyme’s disease
meralgia parasthetica
compression lateral femoral cutaneous nerve
Cyanosis on feeding and crying
Transposition of great vessels
antihistone antibodies
drug induced lupus
falsely low BNP
ramipril
section 2
admit for 28 days
section 3
admit for 6 months
section 4
72 hour acute assessment order, usually changed to section 2
section 17a
can recall patient to hospital if they do not comply with treatment in the community
section 135
police can break into a property to remove person to place of safety
section 136
someone found in a public place with presumed mental disorder can be removed to a place of safety
depression + AF
Don’t give SSRI and warfarin together
COCP and cancers
Increased risk of cervical and breast cancer
Protective against ovarian and endometrial cancer
Drug induced lupus
Procainamide, hydralazine, isoniazid, minocycline, phenytoin
Cinacelcet
Calcium mimic for tertiary hypoparathyroidism
IM benpen doses
300, 600, 1200
1, 1-10, >10
Paediatric hernias
Inguinal - repair straight away
Umbilical - conservative until 4-5 yrs
Rx with isoniazid
pyridoxine
Major bleeding warfarin
Stop warfarin, give vitamin K, prothrombin complex
Live attenuated vaccines
BuY My Po-ta-To
BCG
Yellow fever
MMR
Polio (oral)
Typhoid (oral)
dry cough, autoimmune haemolytic anaemia, erytehma multiforme
mycoplasma
atypical chest infection and lymphopaenia
legionella
also has hyponatraemia
weight gain, deranged LFTs, fractures
Pioglitazone
weight gain, cholestatic LFTs, SIADH
glimepiride
gliptins cause
pancreatitis
Rx angina
B blocker or Ca channel blocker
Diarrhoea which later becomes bloody
E coli
2 Level WELLS score >2
USS
Cocaine MI Rx
IV benxodiazepines
Copper coil can be fitted for UPSI
Within 5/7
or within 5/7 of ovulation date
Staggered OD
NAC straight away
Appendicitis mimic
Campylobacter
Mgx RA flare
IM steroids
Cervical cancer screening
3yrs 25-49, 5yrs 50-64
Meningococcal sepsis prophylaxis
ciprofloxacin
small testes and precocious puberty
adrenal hyperplasia
cabergoline side effect
pulmonary fibrosis
Broca’s area
Frontal lobe, can understand, can’t relay (frontal, think mouth)
Wernicke’s area
temporal, can’t understand (think ears)
Subdural haematoma
Cresent shape, bridging veins
Malaria prophylaxis, taken weekly
Chloroquine, mefloquine
Contraindicated in epilepsy
When can you stop malarone?
Atovaquone and proguanil - after 1 week (the rest are 4 weeks)
pitted keratolysis
punched out holes
caused by corneubacterium in people who sweat lots
Rx dental abscess
amoxicillin
Cisplatin side effect
decreases magnesium
MTX side effects
myelosupression, liver firbosis, oral mucositis
Off school mumps
5/7 from swelling
Rx atypical pneumonia
clarithromycin
secondary bacterial pneumonia
flucloxacillin
erythema multiforme and hyponatraemia
mycoplasma
Autosomal recessive
Metabolic
Autosomal dominant
Structual
Dysphagia to liquids not solids
Motor neurone disease
From birth, crosses sutures
caput succedaneum
Neonatal - doesn’t cross sutures
cephalohaematoma
Post vontouse swelling
Subgaleal haematoma
12-72hrs post delivery
epicranial apeunerosis
keratoderma blenorrhagica
reactive arthritis
anti-epileptic + peripheral neuropathy
phenytoin
electrolyte causing prolonged QT
Hypokalaemia