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Finals > Oa > Flashcards

Oa Flashcards

1
Q

what are the poor prognostic markers of cardiac arrest?

A
  • age
  • heart failure
  • reduced systolic pressure
  • higher killip class
  • initial increased serum creatinine kinase
  • initial increased cardiac markers
  • cardiac arrest on admission
  • st segment deviation
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2
Q

killip class I

A

No clinical signs of heart failure

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3
Q

Killip class 2

A

Lung crackles S3

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4
Q

Killip class 3

A

Frank pulmonary oedema

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5
Q

Killip class 4

A

Cardiogenic shock

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6
Q

Which beta blockers reduce mortality in Heart failure?

A
  • carvediol
  • bisoprolol
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7
Q

When is staph epidermidis the most common cause of infective endocarditis?

A

If less than 2 months post heart valve surgery

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8
Q

Scarlet fever

A
  • strawberry tongue and facial sparing
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9
Q

Chicken pox

A

itchy, on the head before spreads
- macular to vesicular to papular rash

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10
Q

Measles

A
  • starts on the face then moves to the body
  • koplik spots (on inside of the mouth)
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11
Q

What is the triad of normal pressure hydrocephalus?

A
  • urinary incontinence
  • dementia and bradyphrenia
  • gait abnormality (may be similar to Parkinson’s disease)
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12
Q

Cyclizine

A

Intracranial causes of vomiting

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13
Q

Metoclopramide

A

Nausea related to gastric dysmotility and stasis

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14
Q

Ondasetron

A

Opioid associated nausea and vomiting

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15
Q

What are the paraneoplastic features associated with small cell lung cancer?

A
  • ADH
  • ACTH
  • Lambert-eaton
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16
Q

What are the paraneoplastic features associated with squamous cell lung cancer

A
  • PTH-rp -> hypercalcaemia
  • clubbing
  • HPOA - periosteal reaction
  • ectopic TSH ->hyperthyroid
17
Q

What are the paraneoplastic features associated with adenocarcinoma?

A
  • gynaecomastia
  • HPOA
18
Q

What is the opioid of choice in palliative care for a patient with severe renal failure?

A
  • fentanyl
  • buprenorphine
  • metabolised in the liver and not renally excreted
19
Q

What changes should be made to medications for those on levothyroxine in pregnancy

A

increase dose (up to 50%)

20
Q

What should you do if a patient is treated for a pneumothorax but there is not an acceptable level of reversibility/recurrent air leak

A

VATs

21
Q

Conns - potassium

A

Hypokalaemia

22
Q

Addisons - potassium

A

Hyperkalaemia

23
Q

What are the signs of autonomic dysreflexia?

A

After spinal cord damage

  • extreme hypotnesion
  • flushing
  • sweatign above the level of the cord lesion
  • agitation
24
Q

What is the best tumour marker for hepatocellular carcinoma?

A

serum AFP

25
Q

Where is asbestosis most commonly seen on x ray

A

Lower lobes

26
Q

What is the test for antiphospholipid syndrome?

A

Anticardiolipin antibody

27
Q

What blood product has the highest risk of bacteria

A

Platelets

28
Q

Which valve is most commonly affected in IVDU with infective endocarditis

A

Tricuspid

29
Q

What are the contraindications to statins?

A
  • Pregnancy
  • macrolides
30
Q

When should you discontinue statins?

A

If serum transaminases rise to 3 times the upper limit

31
Q

What is the management of immune thrombocytopenia?

A
  • Oral pred if mild
  • IV immunoglobulin if severe
32
Q

What is the rate at which potassium can be replaced

A

10mm/hour

33
Q

Test results and presentation acute interstitial nephritis

A
  • eosinophilia
  • aki
  • fever, rash, and arthralgia
34
Q

What murmur ventricular septal defect?

A

Pansystolic

35
Q

What is the treatment of local anaesthetic toxicity?

A

Local anesthetic toxicity can be treated with IV 20% lipid emulsion

36
Q

HNPCC

A
  • colon cancer
  • endometrial cancer
37
Q

Granulocytes on blood film

A

myeloid

Finals (37 decks)

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