Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 6 > PACES > Flashcards

PACES Flashcards

1
Q

Types of suture and uses

A

Absorbable- vacryl MCP- used got rapidly healing- urology or small bowel
Mono- monocryl, catgut, PDS

Non
Prolene SEE
Braided- Silk, ethibond
Mono- Ethilon (Skin), proline (bowel and vascular)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

CI of epidural

A

Raised ICP
Hypovovlaemia
Infection at site

Coag problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Types of catheter material

A

Silastic- 3 three weeks
Latex- week – irritates, uti, collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What must you not forget in each station

A

ISOLATE JOINT, FEEL SAME BOTH SIDES
Upper- pronator
Lower- gait
CN- accommodation , ANY DOUBLE VISION OR PAIN

Cardio- FEEL CAROTIDS delay and carotids

Resp- neck and cross arms

Hip- measure and gait

Knee- stand and effusion

Hand- wrist

Vascular-ULCER!!! burgers, auscultate!

Breast- cervical?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What to offer in cardio exam

A

History
Obs
Vascular, resp
Urine
Fundoscopy

ECG
ABG
CXR
Echo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Complete resp exam

A

History
Obs
Peak flow
Spirometry
Sputum

CXR
ABG
ECG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Complete CN examination

A

History
Obs
Nerve- upper and lower
Fundoscopy

Neuroimaging
Hearing assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Complete breast exam

A

History
Obs
Assess lymph nodes
Cervical spine
Resp exam

Triple
Biopsy
mammography
Clinical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Complete abdominal exam

A

History
Obs
Hernial orifices?
DRE?
Urine dip
Genitalia

Examine- stoma ect in more detail

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Complete musk station

A

History
Obs
Examine other joints- above and below
X rays
Neurovascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Complete wrist exam

A

History
Obs
Examine other joints
Neurovacualr
X ray

FBC, CRP, UE, CCP, RHF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Complete vascular exam

A

History
Obs
CV exam, vascular
ABPI
Neuro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Presenting abdo x ray

A

Supine AP x ray of x patient on this date
Good quality film with adequate exposure

Bowel - lead pixie, loss of haustra- UC
Bones - sclerosis- mets
Calcification - aorta, renal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Present chest X ray

A

Patient
AP/PA date

Rotation- clavicles
Inspiration and penetration

Airway
Lung fields
Cardio - within normal limits, borders are visible
Diaphragm- costophrenic angles
E- bony pathologies, pacemakers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What would you investigate in PKD

A

USS
CT
Renal function
Calcium
FBC- anaemia

CT head
Echo- mitral prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mx of PKD

A

Education
BP- ACEi
Nephrotoxic drugs

RRT
Screen

Chr 16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What should you assess with suspected renal transplant

A

Old Fistula/scars- neck scar, no thrill or needle marks
Fluid status
SE from meds

Check- it is working
Renal function
FBC- anaemia
Ca
Volume
ABG

Opportunistic infections- CMV, PCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Causes of hornets and 3rd nerve palsy

A

Horners
Central
Pre- rib, pancooast
Post - courted artery, cavernous sinus thrombosis

3rd- dilated
Medical - diabetes, vasculitis, GCA
Surgical- Post comm aneurysm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Causes of facial weakness

A

Stroke

Tumour
Ramsay
Bells
Vasculitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Myotonic dystrophy exam

A

Facial weakness
Dysarthria
tongue weakness
Weak neck
Weak distally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Signs and causes of foot drop

A

Sciatic nerve- hip surgery, truma, tumour
Common perineal - trauma, knee surgery, DM, tumours
L5 radiculopathy

CPN- fibula head - inversion intact
L5- lateral aspect - ankle reflex
Scaitic - causes weak inversion, eversion, hip abduction

22
Q

Cause and signs of proximal weakness

A

Endo- Cushing, hypo, acromegaly
Inflammatory- poly, sclerosis
Drug- statins
Congenital- Duchenne, beckers

23
Q

When to surgically manage AR

A

symptomatic, pulse pressure >100, ECG TWI lateral, LV failure <50%

24
Q

Surgically manage aortic stenosis

A

pressure gradient >40, valve are <1cm2
TAVI – no bypass needed, no large scar, higher risk of stroke

25
Q

Questions to syncope

A

Cardiac- palps, siting
Neuro - epilespy stroke- wet yourself, bite tongue, confused - sensation, power- secondary to DM autonomic
Resp
VV- dehydrated - light headed, nauseous
Drugs

26
Q

Palpitation causes and history

A

Cardiac- AF, SVT, WPW, ectopics
Resp- PE
Endo- hyperthyroid, hypoglycaemia, phaeo
Drugs
Anxiety

Fainting, pain, SOB, heart conditions
PE RF
Hot, tremor, DM

27
Q

SOB questions

A

Cardiac
Resp- fever, FLAWS, occupation, hands tight skin, swallowing, ulcers
Anaemia - blood loss- stool, periods
Neuro- weakness
DKA
FLuid- liver, nephrotic, renal - any swellng

28
Q

Gynaecomastia ques

A

Abdo- liver
Test- headaches, lump, sense of smell,
Drug

29
Q

Abdo pain ques

A

Hepato- Yellow
Pain urine
Pale stools
Dark urine

Acute- ischaemia- pain worse with eating
Palpitations

joint pain

Menstrual period

DKA

30
Q

Dysphagia

A

Cancer
Achalasia
PV- tiredness
Weakness
Tight skin
Pain- infection

31
Q

Weight loss causes

A

Cancer- FLAWS
Infection
Pain eating
Endo- hyper
Malabsorption

Ask about bowels

32
Q

Bruising questions

A

AC
Fam
Swollen joints
Excessive bleeding
Drugs
Cushings

33
Q

Polyarthritis

A

Septic- infection, fever
RhA- extra features
Gout
Sclerosis- tight skin
Psoriatic- patches
Reactive- infections recent- sexual
AS- pain in back, eyes, heel

34
Q

Headaches questions

A

Inflammatory - eye
Vascular- confusion, weakness, sensation
Infectious- must ask meningitis
ICP - mornings
Hyperviscosity - clots
Cancer - FLAWS

35
Q

Visual loss

A

Flashes, floaters
RF - coagulation, daibetes- haemorrhage
Curtain coming down
Painful- MS - weakness
Infectious- wear contact lenses, swimming
Medications
GCA- headaches, pain in shoulders

Gradual
Halos - age, DM, steroids
Central or peripheral- central ARDM, peripheral chronic glaucoma
ARDM- line, night time

36
Q

Diff of hyperthyroid and hypo

A

Cancer
Infection - goitre tender
Adenoma
Graves- shins, eyes

Hypo
Surgery
Drugs- cardiac
Iodine
TB
Hashimotos- other AI conditions

37
Q

Cushing questions and diff

A

Changes in weight face
Striae
Steroids

eye sight
Bruises
Weakness

sob

Ix- cortisol, overnight suppression
DEXA

38
Q

Acromegaly questions

A

Changes to appearance
Sight
Heachaes
Sweating
Joint pain
DM- polyuria, polydipsia

Prolactin- periods, ED

Snoring

Check Hba1c
ECG
Hormone screen

39
Q

Reasons for lobectomy/pneumectomy

A

Localised BE
Uncontrolled haem
Early NSC
Abcess
COPD reduction
CF

40
Q

Use of syringe

A

Flush equipment
Inflate

41
Q

How to use tracheostomy

A

cricothyrotomy
Guide wire
Dilator
Inflate

42
Q

Order of Venturi mask

A

Blue - 24
White -28
Yellow - 35
Red - 40
Green -60

43
Q

How to use nebuliser

A

Used to deliver liquid by inhalation
Pour into cup and attach touting

Turn on machine- breath normally

Infection if it isn’t cleaned

44
Q

How to use non rebreather mask

A

Oxygen tube at level
Allow bag to fill by putting thumb on port before putting around face

45
Q

How to use self inflating bag valve

A

Used in those with resp failure
Apnea
Undergoing anaesthesia

Sniff air
Mouth- jaw thrust
Seal over
Press bag

46
Q

Central line pack uses

A

Use USS
Local
Needle
Inscision

used for irritant meds
Paraenteral nutrition
Long term treatment
Haemodylasis

47
Q

Use of epidural

A

Pain relief- labour, abdominal surgery, Chronic pain
Insert needle - syringe
Nemove needle
Aspirate- no CSF Or blood
plastic tubing- medication

48
Q

Use of Seldinger

A

Pneumothorax
Effusion- malgnant
Empyema
Haemothorax- trauma

Complcations- perforation
Fistula
Infection

49
Q

How to use proctoscopy/sigmoid/lap port

A

Left lateral
DRE
Inflate with air

Colorectal cancer screen

Lap port- incision- CO2- insert port

50
Q

How to use PICC line

A

IV therapy for extended use
PN, medications, Chemo, long term blood sampling
Remains for 2-6 weeks

51
Q

Lower motor neurone differentials

A

GBS
Fredrichs ataxia
B12
MND

Muscle- myopathy- Cushing, acromegaly, hypothyroid
Polymyositis
Sclerosis
Duchennes, Beckers, statins

MG

52
Q

Diabetes history

A

Polyuria, dipsa
Eye, neurone
Chest pain
Ulcers
Feet
Glucose well controlled
Other meds

Year 6 (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions