pastest Flashcards
1
Q
how are rotator cuff tears diagnosed
A
mri
2
Q
warfarin poisoning
A
elevated pt, aptt and inr and normal platelet countd
3
Q
sign of hypocalcaemia
A
chvosteks sign
4
Q
smear cells
A
cll
5
Q
autoimmune disease ssoc with vitilgo
A
hypothyroidism
6
Q
vitilgo
A
autoimmune destruciton of melanocytes
7
Q
hormone causing contraction in labor
A
oxytocin
8
Q
where is oxytocin produced
A
posterior pituitary
9
Q
where is gnrh poroduced
A
released by hypothalamus and acts on anterior pituitary to release fsh and lh
10
Q
dka abg
A
metabolic acidosis
11
Q
injury to what nerve results in foot drop
A
common peroneal
12
Q
what nerve courses around lateral aspect of fibula
A
common peroneal
13
Q
nerve assoc with mid shaft humeral fracture
A
radial
14
Q
c3 and c4 levels in sle
A
low
15
Q
what conditon are depositis of fibrinogen assoc with
A
sle
16
Q
what structure is responsible for acne
A
sebaceous glands producing sebum
17
Q
referred lumbar spine pain
A
positive femoral nerve stretch
18
Q
what is a non healing painless ulcer assoc with a scar
A
squamous cell carcinoma
19
Q
first line lichen planus
A
potent topical steroid- betamethasone
20
Q
lichen planus assoc
A
itchy, papular rash most common on the palms, soles, genitalia and flexor surfaces of arms
white lines over
thinning of nail plate
21
Q
kallmans results
A
low testosterone
high fsh and lh
22
Q
polymyositis v polymyalgia
A
polymyositis has raised creatine and true muscle weakness
23
Q
dendritic ulcer on flourscein
A
herpex simples keratitis
24
Q
complication of tmeporal arteritis
A
anterior ischaemic optic neuropathy as temporal artery supplies optic nerve
25
fundoscopy of ischaemic optic neuropathy
swollen pale disc and blurred margins
26
pneumonic for xray findings of ankylosing
SSS
sclerosis, subchondral erosions, squaring of vertebrae
27
buckle fracture
5-10 yr olds
splint/cast
fall onto outstreched hand
28
greenstick fracture
one side breaks one side bends
peads
29
is azathiopine safe in preg
yes
30
scalp psoriasis treatment
topical corticosteroid
31
type 2 diabetic afro caribean first line anti hypertensive
ace / arb such as candesartan
32
enteropathic arthritis assoc
ibd
assymetrical inflammtion of peirpheal joints
33
pain worse on excersize
osteoaerhtis
34
management for bowens
topical 5 flouracil
35
bowens
pre squamous cell dermatosis , red scaly patches
36
gout treatment for elderly paatients on warfarin
colchicine due to risk of gi haemorrhage
37
suppression in cushings with high dose
neither suppressed
38
muscles damaged in de quervains
extensor pollicis brevis and abductor pollicis longus tendons
39
common organism for young adults with septic arthirtis
neisseria gonorrhea
40
anterior hip dislocation
abducted and externally rotated
41
posterior hip dislocation
shortened and internally rotated
42
loss of foot dorsiflexion
l5
43
hill sachs lesion
glenohumeral dislocation
44
key featires of acromoclavicular dislocation
loss of shoulder contour and prominent clavicle
45
hashimotos triad
goitre, hypo, anti tpo
46
bennet fracture location
base of thumb
47
reddish pink colour gram stian
gram neg
48
psammoma bodies
papillary thyroid carcinoma
49
what muscles does the median nerve supply
thenar eminence
50
pathophysiologic mechanism of haemophilia
Deficiency of a clotting factor in the intrinsic pathway of coagulation
51
FHH v primary hyperpara
24hr urinary calcium levels would be low in fhh and raised in hyperpara
52
treatment for pagets
bisphosphonates
53
what is markedly raised in pagets
alp
54
are thiazide drugs rf for gout or pseudogout
gout
55
what is haemophilia a a deficiency of
factor viii which is. prt of the intrinsic pathway
56
impetigo manageemnt step up
hydrogen peroxide 1% then fusidic acid then flucox if systemically unwell
57
what can have an affect on hba1c reading
sickle cell and haemoglobinopathies due to shortened life span of rbcs
58
common cause of bilateral carpal tunnel
RA
59
night time urticaria
oral chlorpheramine
60
sensory loss to dorsum of foot
l5
61
reduced ankle reflex nerve compression
l1
62
what does livedo reticularis occur in
antiphospholipid syndrome
63
how does livedo reticularis present
purplish lae patterned discolouration of the skin
64
relative afferent pupillary defect
optic neuritis
65
osteomalacia results
low serum calcium, low phosphate, high alp high pth
66
pagets results
normal everything except alp
67
monitoring of methotrexate
fbc, u&e's , lfts every 3 months
68
antibiotic whihc may cause achilles tendon ruptures
ciprofloxacin
69
what screening is needed for new diagnosis of dermatomyositis
malignancy screen
70
pupil in anterior uveitis
small/ normal
71
when should a dexa scan be arranged
if q fracture score >10%
72
dose of insulin when unwell
no change in dose jsut chekc more regularly
73
exzema herpeticum treatment
antivirals- aciclovir
74
erythema multiforme characteristics
giant non itchy
dark centre with blister, bright red ring around due to oedema
post infection/ drugs
75
patient who are allergic to aspirin might also be allergic to..
sulfasalazine
76
should bisphosphonates be taken with food or wmpty stomach
empty stomach
77
dka abg
metabolic acidosis with resp cokmpensation
78
what is raised in beta thal major
hba2
79
pityriasis rosea time
6-12 weeks
80
what is acute reactive arthritis treated with
nsaids
81
big side effect of isotretinoin
dry skin
82
chacot joint
repeated trauma without realisng due to abnormal sensation
83
main cause of charcot joint
diabetes
84
can blepharitis occur in kids
yes
85
investigation choices step up for thyroif nodule
ash, ultrasonography, fine needle aspiration
86
first line treatment ITP
oral prednisolone
87
second line osteoarthritis
oral nsaid and ppi
88
what causes guttate psoriasis
infection specifically strep
89
characteristics of guttate
itchy red spots on abdomen
90
pneumonic for iron folate and b12 absorp
i fuck bears do join in
91
how do platelets bind to vwf
via gp1b
92
8;14 translocation
burkitts
93
9;22 and philadelphia
cml
94
14;18
follicular
95
what should all patients with suspected all recieve
lumbar puncture
96
what is now the most common cause of conns
not adrenal adenoma but bilateral adrenal hyperplasia
97
reason for hip replacemnts needing revised
loosening
98
corneal abrasion medication
topical chloramphenicol
99
diabetic neuropathy treatment first
duloxetine
100
most concerning symptom of orbital cellulitis
decreased colour vision
101
resistant hypertension , normal electrolytes
phaeochromocytoma
102
finger drop but sensation in tact
low radial nerve injury
103
claw hand/ inability to make fist
ulnar nerve damage
104
where does seborheic dermatitis usually affect
areas with lots of sebaceous glands
105
woman presenting with galactorrhea outside of pregnancy
prolactinoma
106
first choice antiphospholipid syndrome main stay
warfarin
107
pressure ulcer screening
waterlow or barden
108
most common eyelid tumour
bcc
109
second most common eyelid tumour
scc
110
ulcerated cntre eyelid tumour
basal cell
111
why does CRAO cause a central scotoma
because inner retina becomes ishcemic around the macula leading to loss of central vision
112
avp resistance cause
lithium
113
classic finding of avp resistance
normal/low urine osmolality following ADH adminstration
114
definitive investigation for cause of optic neuritis
mri head/ whole spine
115
rash affceting over 90% of skin
erythroderma
116
investigation in venous ulcer
ankle brachial pressure
117
eye disease assoc with sle
scleritis
118
painful arc of abduction
subacromial impingement
119
managemrnt of gca
long term steroids
120
xray findings in perthes
widening of hip joint and flattening of femoral head
121
perthes age
4-8
122
what drug can cause mucositis
methotrexate
123
what should be used to assess for diabetic neuropathy
10g monofilament along feet
124
atypical stress fracture assoc
bisphosphonates
125
moa of timolol in eyes
decreased production of aqeous fluid
126
what should be used when starting allopurinol
colchicine or nsaids
127
what does over replacement of thyroxine cause
Osteoporosis
128
