Past paper qs Flashcards
Inheritance of Haemophilia?
X-linked recessive
Gram+ve in cluster / groups
Staph aureus
E) Zolpidem tartrate side effect?
Can increase the risk of dizziness and drowsiness
PAINFUL penile ulcers + Multiple = what dx?
HSV
CN III, IV, VI and V1 + V2 affected, what anatomical location is affected?
Cavernous sinus
Which assessment tool is the best option to assess nutrition taking into account a pts clinical exam and medical hx?
SGA (subjective global assessment)
1-4y old elbow pain +His left elbow is in the flexed position and pronated. He permits all passive movements except supination. Which is the most likely diagnosis?
D) Subluxation of the radial head - Nursemaids elbow typically affects children aged 1-4y old
Where does blood supply to the leg arise from?
Buttock specifically?
upper thigh?
lower thigh?
calf?
Leg - external iliac
Buttock - internal iliac
upper thigh - External iliac
lower thigh - Common femoral
calf - Superficial femoral
Mx of claudication?
Supervised exercise and supportive unless sx is severe and deabilitating
CSF in GB?
Low cell count + raised protein
Mx = IVIg
Humeral shaft fractures are often associated with injuries of the ……. nerve
radial nerve
USS for pt w/ RUQ pain shows dilated common bile duct - next steps?
MRCP - to see if theres gallstones are present in CBD
ERCP - if there are gallstones in CBD
Laparoscopic cholecystectomy if there are other gallstones that need removing
USS for pt w/ RUQ pain shows dilated common bile duct - next steps?
MRCP - to see if theres gallstones are present in CBD
ERCP - if there are gallstones in CBD
Laparoscopic cholecystectomy if there are other gallstones that need removing
Most appropriate ix to check for C-spine fractures?
CT neck
How to correct resp acidosis in alert pt?
NIV
Tx of choice for pts w/ TCA overdose + QRS prolongation?
IV sodium bicarb
Ix of unprovoked DVT should also involve what?
CT abdo + pelvis to ix for possible malignancy
1st line mx of hypoglycaemia in unconcious pt?
75ml 20% glucose (50% is too hyperosmolar and could cause local tissue necrosis)
IM glucagon is useful if IV access isnt possible
1st step in mx of potential neutropenic sepsis?
Broad spectrum ABX before any other steps
What is the gold standard DMARD for RA?
Methotrexate
