Pass Med Q's Flashcards

1
Q

stills disease

A

arthralgia
salmon pink rash
fever

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2
Q

T score < -1.5

A

offer bisphosphonate

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3
Q

tx Wilsons

A

penicilamine - Copper chelating

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4
Q

what type of hypersensitivity is ITP

A

Type 2

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5
Q

what type of hypersensitivity is SLE

A

Type 3

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6
Q

what needs to be done before starting hydroxychloroquine

A

ophthalmology screening – can cause retinopathy

- + annual screening

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7
Q

what abx can’t be given with methotrexate

A

trimethoprim
co-trimoxazole
- increased risk bone marrow suppression

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8
Q

tx methotrexate toxicity

A

folinic acid

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9
Q

tx ankylosing spondylitis

A

NSAIDS + Physio 1st line

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10
Q

bloods in PMR

A

Raised ESR + CRP

- CK normal as no weakness

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11
Q

-ve birrefringente needle crystals

A

gout

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12
Q

+ve birrefringente rhomboid crystals

A

pseudo gout

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13
Q

if patient has co-timoxazole allergy what else might they be allergic to

A

sulfasalazine

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14
Q

joint aspiration findings septic arthritis

A

grey, organisms detected

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15
Q

presentation flexor tendon sheath infection

A

fixed flexion
fusiform swelling
tenderness
pain on passive extension

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16
Q

ix + tx psoas abscess

A

CT abdo
abx
percutaneous drainage

17
Q

most common sites compartment syndrome

A

supracondular or tibial shaft fractures

18
Q

imaging to confirm spinal stenosis

19
Q

ix if you suspect sarcoma

A

XRAY within 48 hours

20
Q

where does osteomyelitis affect bones

A

metaphysis

  • staph aureus,
  • flucloxacillin 6 weeks
21
Q

what is discitis

A

infection in intervertebral disc space

    • epidural abscess / sepsis are complications
  • presents with pain + fever
22
Q

what imaging do patients with discitis need

23
Q

imagine for achilles tendon rupture

24
Q

Presentation trigger finger

A

stiffness
pain
nodule at base of affected finger
- treat with steroid injections

25
what is damaged in scaphoid fracture
radial artery -- AVN
26
reasons for THR revision
aseptic loosening pain dislocation infection
27
causes of dupuytrens
manual labour phenytoin alcoholic liver disease diabetes
28
chondromalacia patella
anterior knee pain - particularly going downstairs | quads wasting
29
what is a Potts fracture
bimalleolar ankle fracture
30
appearance leg posterior hip dislocation
shortened adducted internally rotated
31
what causes osteomyelitis in sickle cell patients
salmonella
32
management of disc prolapse
analgesia + physio | MRI if symptoms persist 4-6 weeks
33
analgesia for neck of femur fracture
iliofascial nerve block
34
leriche syndrome
claudication of buttocks atrophy of leg muscles impotence