Paper 2 Flashcards
What is the most common cause of an isolated thrombocytopenia? (low platelets)
How is this conditon treated?
IMMUNE THROMBOCYTOPENIC PURPURA
oral prednisolone
A 42-year-old male presents to his GP with a 2-week history of asymmetrical oligoarthritis predominantly affecting his lower extremities, associated with dysuria and conjunctivitis. He is usually well apart from suffering from a diarrhoeal illness 1 month ago.
What is the diagnosis?
What is the most appropriate first-line management of this patient?
Reactive arthritis
NSAIDs (if not severe, which in this case it’s not)
What antibiotic is used 1st line for the treatment of septic arthritis?
IV flucloxacillin (clindamycin if penicillin allergic)
A 29-year-old man is on the psychiatric ward under section 2 of the mental health act for suspected schizophrenia. He has a 3-month history of increasing suspicion of his family and had recently begun to collect weapons to defend himself. He started olanzapine 2 weeks ago. He has no other medical conditions and takes no other medications.
Today staff on the ward raised concerns due to his abnormal behaviour. He was found in his room sat on the floor with his back arched and legs hunched upwards. It is reported that he has been like this for the last 2 hours. His observations are normal. He has not spoken or made any movements during this time.
Which of the following best describes his current presentation?
A- extrapyramidal side effects
B- neuroleptic malignant syndrome
C- serotonin syndrome
D- catatonia
E- tetany
D- catatonia = the stopping of voluntary movement or staying still in an unusual position
Which part of the fallopian tube is the commonest place that an ectopic pregnancy implants within?
Ampulla
What type of inheritance pattern is exhibited in sickle cell disease?
Autosomal recessive
Squaring of the thumb is a characteristic feature of which condition affecting the hand?
Squaring of the thumbs is a characteristic feature of hand osteoarthritis
Patients can eat up to how many hours before an operation?
Patients can drink clear fluids up to how many hours before an operation?
Eat: 6 hours before
Drink clear fluids: 2 hours before
Ebstein’s anomaly is caused by the use of which medication during pregnancy?
Lithium
Irradiated blood products are used to avoid transfusion-associated graft versus host disease
Irradiated blood products are used to avoid transfusion-associated graft versus host disease
