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Chings Notes > Nov 21 > Flashcards

Nov 21 Flashcards

1
Q

60 yo wnats to change her will

A

Advise her to talk with her lawyer about the change of her will

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2
Q

Melena , ulcer present
blood transfusion was given but no improvement
Mgt?

A

Capsule Endoscopy

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3
Q

Painful defecation

A

Anal fissure

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4
Q

Episode swelling on the Right side
Spermatic cord is thicker
Diagnosis?

A

Hernia - Silk glove sign

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5
Q

Dragging sensation
pain is present

A

Dx: Varicocele
US ABDOMEN

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6
Q

Family hx of father with brain tumor
inv?

A

CT

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7
Q

Dysphagia , hoarseness after surgery
Affecting laryngeal nerve
Thoracic inlet there is mass
dx?

A

Esophageal cancer

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8
Q

Intestinal obstruction
Cecum 11cm
Sigmoid colon has stricture
What will you do next?

A

Colostomy

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9
Q

COVID vaccine - S ARS covid 1 : After first dose, got a headache
What will you test?

A

Thrombo something + D dimer

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10
Q

30+ weeks , she called Dr with abdominal pain
when does she need to go to the hospital

A

if contraction lasts 30 sec every 8 min

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11
Q

Immunisation in aboriginal
4yo
vaccination up to date
what will you give?

A

Hep A

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12
Q

Asthma
Ipratropium with asthma history
on discharge, logn term?

A

Inhaler

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13
Q

ST elevation in leads 1 and 2 with pains and gets better when bending down

A

Pericarditis

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14
Q

Distal pulses not palpable with Claudication

A

Doppler - next
best - CTA

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15
Q

Trauma injurt with Associated floaters
Intra ocular pressure 25 mmHg
Retinal detachment
tx?

A

ACETAZOLAMide - Oral

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16
Q

Only after 24 wks of pregnancy

A

A second opinion or second GP must agree the termination

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17
Q

Tx for Her 2 breast ca

A

Tamoxifen

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18
Q

Suspected endometrial hyperplasia

A

Hysteresocopy and Biopsy

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19
Q

10 month old baby with URTI
How to give hin O2

A

2L nasal canula

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20
Q

male history of promiscousity
and hikin gin victoria
polyarthrlagia of hands and wrists and has rash prior to the pain
Cause

A

Ross River

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21
Q

On Warfarin, no evidence of bleeding
INR 7

A

Stop Warfarin

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22
Q

About a new approved drug

A

RCT

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23
Q

If the lady has rep symptom come with O2 level is very low
How will you give O2 with this patient

A

CPAP

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24
Q

Tonic Clonic Seziure
recurrent
mgt

A

IV Diazepam

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25
Q

Chlamydia, Urethray discharge, dysuria frequency
inv

A

SWAB woman
Urine MALE

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26
Q

Xray of neonates
not NEC but Pleural effusion in the RIght side
Inv?

A

Needle Aspiration

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27
Q

Brown Snake with a long scratch on leg

A

Swab and apply bandage?

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28
Q

PArotid gland swelling in old lady

A

Painless CT
Painful USG

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29
Q

Right sided pleural effusion

A

Tx: Needle aspiration

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30
Q

urethral dischrge
urinary hesitancu
dribbling urine
next inv

A

Urine analysis

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31
Q

Intern saw resident doctor taking psychotic drugs

A

Inform APHRA

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32
Q

38 wks 10ml blood loss
USG shows placenta previa grade 4
now at 39 wks 50ml blood loss
what’s next?

A

LUCS

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33
Q

Blood on sanitary pads

A

Lochia rubra

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34
Q

A couple is your patient one day wife confronts her marriage

A

Ask details

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35
Q

1st degree colon cancer diagnosed at 51

A

IFOBT every 2 years from 40-49

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36
Q

Pop up sund while playing football

A

ACL injury

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37
Q

Old age PSA 14
tumour invade to seminal vesicle
Mgt

A

External beam Radiotherapy

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38
Q

DVT prophylaxis in pregnant lady

A

LMWH

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39
Q

Aboriginals vaccination 4yo

A

Hep A

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40
Q

Upper GI bleeding

A

Endoscopy

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41
Q

Post-op subclavian catheter inserted
flushing, swelling of face and hand

A

CTA

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42
Q

Patient with lethargic and ptosis
with double vision

A

MG

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43
Q

Man joint pain
effusion in the knee
travel around the world
hiking
rash fever multiple sex partners

A

Ross RIver

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44
Q

third day post op Alcoholoc patient
BT 37.9
What to do

A

Midazolam

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45
Q

A newborn with crusted unilateral eye

A

Blocked duct

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46
Q

4-6 wk month dialysis, hypertensive before dialysis
Normotensive during dialysis
Hypertensive
What to do

A

Review Ideal weight

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47
Q

A patient with hematuria with dribbling and LUTS
Prostate was enlarged
Urinalysis was done

A

Rectal US

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48
Q

Diplococci was seen in a 2 -3 days old neonate in eye discharge

A

Gonorrhea

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49
Q

Old man on multiple drug
metformin, Diuretic, Perindopril
SSRI etc
Hyponatremia
What is the cause of hyponatremia

A

Fluoxetine

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50
Q

Pleural effusion total protein is 15
what is the cause

A

Exudative

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51
Q

Recurrent groin swelling
Thick spermatic cord in a todder
Dx

A

Idiopathic Scrotal edema

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52
Q

Night sweats and loss of weight
Xray - bilateral diffuse infiltrates

A

Lymphoma

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53
Q

scrotal mass
palpable mass
inv

A

tumor markers

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54
Q

Acute Resp Symp + green sputum

A

Ticarzillin

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55
Q

Depressive symptoms x 4 years can do job but still was abused by the husband

56
Q

CLD features
Ca increase, K increased
BP 90/60
What will you give after IV fluid

57
Q

Upper GI bleeding
IV omperazole
Octruotide started
Most appr after endoscopy?

A

Propanolol

58
Q

Facial palsy pic with eye sclera yellow
2 days ago has watery eye discharge
Tx

A

Famcicyclovir

59
Q

Pregnant woman with palpitation on ex fine tremor
What inv?

60
Q

Preauricular hematoma after trauma
Pain 3 cm next step

A

Incision and drainage

61
Q

Post op delirium

A

IV Diazepam

62
Q

Post op cholecystectomy
Abdominal distention
pain and USg - dilated bile duct
What is next

63
Q

10yo with hx of loose stool
present comes with loose stool
dx

A

Constipation

64
Q

Swelling on the Parotid region
Not fixed but firm
Inv?

65
Q

80F, fall on outstrecthed hand
mgt?

A

Closed reduction and POP cast

66
Q

34wks
abdominal pain and bleeding per vagina
800ml
uterus tense and tender
FHR not felt

mgt?

67
Q

22F, primigravida 18wks USG
fine, uptodate
Uteruz size is 32 weeeks size next visit
cause?

A

Polyhydramnios

68
Q

4yo intercostal recessions
tracheal tug
fever
Xray lung lobar consolidation
croup

69
Q

Cant sleep properly

70
Q

Got bleeding gatric ulcer after taking Aspirin

A

STOP THE ASPIRIN

71
Q

Tonic Clonic seziure
mgt

A

Diazepam IV

72
Q

Child with mild rash in face and torso
limpho nodos cervicalis
nothing in her eyes
dx

73
Q

What drug is contraindicated if renal disease in a Rheumatic patient metrothrexate and other options

A

Cyclosporin, Gold, Penicillamin

74
Q

Which feature would suggest carcinoma

A

Skin dimpling

75
Q

Swelling and pain scrotal
dx

A

Varicocele

76
Q

One child few months of age with lump in testis

77
Q

firm swelling but painless
Chronic parotitis
inv

A

CT Sialogram

78
Q

25f no hx of sexual exposure

A

No need for Screening

79
Q

Alcoholic + agitated

A

IV diazepam

80
Q

Young girl with honey crusted lesion like impetigo
how long would be she excluded from school

A

exclude 1 day after treatment

81
Q

What is the most impt criteria for PCOS diagnosis

A

Androgen
LH / FSH ( wrong if it is FSH / LH)

82
Q

Treatment for Sjogren Syndrome

A

Artificial Tear

83
Q

PSamomma bodies in FNAC

A

Papillary Carcinoma

84
Q

Alopecia, hand and sole rashes visited asia
tx

A

Benzyl Penicillin

85
Q

Female collapsed while joggin
CPR done
father died at young age with heart issues
next step?

A

ECHO - best
dx: HOCM

86
Q

Diabetic patient develop gradual vision impairnent which increase by daylight

87
Q

Patient with anterior MI with Beta Blocker and Aspirin
His ejection fraction is 29%
Which drug does he need?

88
Q

Bells Palsy

A

Cannot raised eyebrow on the left side - LMNS

89
Q

CTG 39 wk, no fetal movement
no deceleration
Looks normal

A

Reassurance

90
Q

Mgt of outstretched fall

A

Closed Reduction with Cast

91
Q

Parotid painless swelling
inv

A

Painless CT scan

92
Q

ady have bleeding befpre, has fetal movement
but seemed like history of anteparty bleeding
at 39 wks now - good viability with acceleration
cervix 3cm
station 1
inv

93
Q

2 months dry cough and weight loss

94
Q

Treatment of Chlamydia

95
Q

Treatment of Gout

A

Allo/morphine

96
Q

Treatment of Recurrent gout

A

Allopurinol 25mg

97
Q

Painful
NEEDLE SHAPRED
NEGATIVE birefringence
URIC ACID
NEEDLE-likE
1st MTC
Rat Bite erosions

98
Q

RHOMBOID SHAPED
POSITIVE BIREFRINGENCE
CALCIUM PYROPHOSPHATE
KNEE
White lines of CHONDROCALCINOSIS

A

PSEUDOGOUT

99
Q

What is the treatment of DVT in pregnancy

A

Stocking LMH

100
Q

What is the treatment dose of recurrent Gout

A

Allopurinol 100mg
(Xanthine Oxidase inhibtor) - 100-300mg daily

101
Q

It is also a pharyngeal pouch, a posterior outpouching of the hypopharync
just proxinal to the upper esophageal sphincter through a weakness in the muscle layer called the Killian dehiscence

A

ZENKER DIVERTICULUM

102
Q

What is the initial investigation of Acute Limb ischemia

103
Q

What is the treatment of Septic Arthritis treatment

A

IV Antibiotics

104
Q

Traveller’s dirrhea with lw bp ask for Initial managment

105
Q

Shoulder dislocation

A

Kocher Method

106
Q

Bleeding 10 wks of pregnancy
has cervical cancer grade 2
cause of bleeding?

107
Q

CTG was given in 39 wks pregnant an asking what to do mother complain can’t feel fetal movement and pain in the abdomen

108
Q

PAINFUL
dark bleeding (may not bleed)
Tender “woody” part Uterus
Normal USS

A

Abruptio Placenta

109
Q

Painless
Profuse Red Blood
Low placenta on

A

PLACENTA PREVIA

110
Q

Varicella contacts pregnant lady immediate serum varicella screening negative
What to do next?

A

Varicella Immunoglobulin

111
Q

CK and ESR BOTH raised

A

Polymyositis

112
Q

ESR raised
CK normal

A

Polymyalgia Rheumatica

113
Q

ESR and CK both normal

A

Drug Induced Steroids Statin

114
Q

Child with pneumonia Xray with pleural effusion asking after giving antibiotic what to do

A

Pleural Drain
initial inv - XRAY AND CBC

115
Q

Treatment for Moderate Croup

A

Tab Prenisolone

116
Q

Scenario of Anaphylactic Shock
treatment?

A

Adrenaline

117
Q

RASH + urticarial Rash + No previous hx
+ OE + No wheeze
tx?

A

Oral Antihistamine
Promethazine

118
Q

Rash + Urticarial Rash +
No History + OE + Wheeze, severe case
tx:

A

Adrenaline
IM

119
Q

Bee + rash + Urticarial + Previous History
+ Wheeze + Severe
tx?

120
Q

High Bilirubin but
AST ALT and GGT norma
Cause?

A

Asymtomatic Cholecystitis

121
Q

HTN
Mild hepatomegaly
dx?

A

Alcoholic Liver disease

122
Q

Recen travel to Mexico
raises supicion for HAV or HEV but no symptpms

A

AST: ALT ratio of 2>1
- ALCOHOLIC LIVER DISEASE

123
Q

Parotid Gland swellings asking for inv?

124
Q

Unilateral drooping of the corner of the mouth and flattening of the nasolabial fold

A

Ramsay Hunt Syndrome

125
Q

Patient with endoetriosis came with Oxycodone prescription and has history of alcohol addiction
Asking what to do next?

A

Explore the details of prescription

126
Q

Lethargic, ptosis with double vision
Cause?

127
Q

Surgeon making mistakes
What to do next?

A

Always inform the immediate Senior

128
Q

Parkinsons disease patient taking Lithium
now complaining of increased hand tremor
What’s next?

A

Add Parkinson drug

129
Q

Lady’s mother has Osteoporosis now lady came with
DEXA -1.5
What to give next?

A

Calcium and Vitamin D

130
Q

10 days with fever and rash
What’s next?

A

Blood Culture

131
Q

Purpuric rash on the trunk and limbs
Tx

A

Benzylpenicillin 60mg / kg IV statin for 5 days max

132
Q

fever + rash
tx and dx

A

dx: Meningococcal meningitis
Antibiotic
if there is no AB, then Blood culture
Usually if it is FEVER + MENINGITIS FEATURE = Pneumococcal Meningitis
Blood Culture first then Antibiotic

133
Q

Vertigo and Nystagmus with Position change

134
Q

Amenorrhea with one cyst on ovary
Mgt?

135
Q

A man his problems with his hands every winter
Mutilated fingers given in the pic
Dx

A

Burgers Disease

Chings Notes (39 decks)

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