Passmed Flashcards
Things that may seem important based upon passmed questions (all topics)
What is acanthoisis nigricans?
Symmetrical brown velvety plaques in axillae, neck and groin - often have an autoimmune disease
How is Raynauds treated?
Ca channel blocker (nifedipine/amlodipine)
What is the first line treatment for muscular back pain?
NSAIDs (nifedipine etc)
What are Herbedens nodes and what are the a sign of?
Swelling over the DIP joints - osteoarthritis
What does AKI after initiation of an ACE inhibitor in a young woman indicate?
Fibrous dysplasia
proliferation of the cells in vessel wall causing stenosis - prerenal AKI
What type of thyroid cancer do young females get? What is the prognosis?
Papillary thyroid cancer
Very good
Who gets a medullary thyroid carcinoma?
Those with MEN 2a/b (genetic association)
How is reactive arthritis managed?
NSAIDs if acute
What is the treatment for acne rosacea?
Mild/mod = topical metronidazole Severe/resistant = oral tetracycline
What are the different types of MEN and what is the defining feature of each?
MEN1 = 3P's (parathyroid, pituitary and pancreatic tumours) MEN2 = pheochromocytoma, medullary thyroid cancer (prophylactic thyroidectomy)
2A = parathyroid hyperplasia 2B = marfanoid body features
How is croup managed?
All = oral dexamethasone (single dose) Emergency = IV adrenaline, high flow O2
What are the 3 C’s of MEN 2A?
Calcitonin (thyroid)
Calcium (parathyroid)
Catecholamines (pheochromocytoma)
What is the first and second line management of acromegaly (pituitary adenoma)?
Transsphenoidal surgery Somatostatin analogue (octreotide)
What is the first and second line management of a prolactinoma?
Dopamine agonist (bromocriptide) Transsphenoidal surgery
