Peerwise Flashcards

1
Q

Management of mild acne

A

Topical anti-acne preparations

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2
Q

Management of moderate acne

A

Oral abx or anti-androgens (e.g. COCP)

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3
Q

management of severe acne

A

Oral isotretinoin

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4
Q

Features of actinic keratosis

A

flat or thickened lesion (may be a papule or plaque), white or yellow in colour, scaly warty surface, may be skin coloured, red or pigmented and may be tender or asymptomatic to touch.

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5
Q

What may actinic keratosis develop into?

A

SCC

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6
Q

Drug that may be used alongside insulin in T1DM

A

Dapagliflozin

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7
Q

First line in benign essential tremor

A

Propanolol

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8
Q

Management of malignant spinal cord compression

A

Immediate steroid followed by radiotherapy or surgery within 24 hours

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9
Q

HOCM murmur

A

Patients normally have an ejection systolic murmur due to left ventricular out flow obstruction between the apex and left sternal border. This can radiate to the carotids and may be louder during the Valsalva manoeuvre

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10
Q

Ductal papilloma summary

A

causes discharge which may be bloody or can be serous. May have a palpable mass on examination however it is common for there not to be a mass detected since they are small. Mammography may come back as negative

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11
Q

Posterior vitreous detachment symptoms

A

sudden appearance of floaters, flashes of light in vision, blurred vision, cobweb across vision

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12
Q

What anaesthetic is usually used for patients on ITU?

A

Propofol

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13
Q

What anaesthetic is usually used for rapid induction of anaesthesia?

A

Sodium thiopental

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14
Q

Difference between scleritis and episcleritis

A

Episcleritis not painful

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15
Q

What is herpes simplex keratitis?

A

Corneal ulcer due to herpes

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16
Q

Achilles reflex nerve

A

S1

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17
Q

Patella reflex nerve

A

L2,3,4

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18
Q

How to differentiate vestibular neuritis from viral labyrinthitis

A

Viral labyrinthitis has hearing loss

19
Q

Juvenile myoclonic epilepsy symptoms

A
  • generalised convulsions
  • morning jerking (myoclonus)
  • day time absences
20
Q

Indications for AAA repair

A

Symptomatic, aortic diameter >5.5cm or rapidly enlarging (>1cm per year)

21
Q

Reflexes in neuroleptic malignant syndrome

A

Reduced

22
Q

Reflexes in serotonin syndrome

A

Increased

23
Q

Torsion of testicular appendage symptoms and management

A

Similar to testicular torsion but cremasteric reflex is present and there may be a blue dot. Conservative management

24
Q

Priapism management

A

Penile aspiration and washout

Phenylephrine injections

25
Q

What is telogen effluvium?

A

Diffuse hair loss in the months after pregnancy or severe illness

26
Q

Magnesium toxicity symptoms

A

Hyporeflexia, drop in blood pressure, respiratory depression and cardiac arrest.

27
Q

Uterine fibroids treatment in woman trying to concieve

A

Myomectomy

28
Q

First line test for cushings

A

Overnight dexamethasone suppression test

29
Q

CSF finding in GBS

A

Raised protein

30
Q

Nerve damaged in claw hand

A

Ulnar

31
Q

Varicocele management

A

Testicular vein embolisation or ligation if symptomatic

32
Q

What does sjogrens syndrome significantly increase risk of?

A

Lymphoma

33
Q

Acute sarcoidosis initial management

A

NSAIDs and rest

34
Q

What is Fits-Hugh-Curtis syndrome?

A

Liver inflammation due to chlamydia or gonorrhoea

35
Q

What is Jaccoud’s arthropathy?

A

Reversible subluxation of joints often due to SLE

36
Q

What visual field defect may be seen in benign idiopathic hypertension?

A

Enlarged blind spot

37
Q

Driving restrictions after STEMI

A

1 week if treated by angioplasty

4 weeks if no angioplasty

38
Q

Prophylactic medication in Lynch syndrome

A

Aspirin

39
Q

Pagets treatment

A

Bisphosphonates and calcitonin

40
Q

Medical third nerve palsy main symptom

A

Down and out pupil

41
Q

Surgical third nerve palsy main symptom

A

Miosis (pupil constriction)

42
Q

First line in bradyarrhytmia

A

Atropine

43
Q

Contact management in epiglottitis

A

Abx to close contacts

44
Q

What is ivory phalanx?

A

Increased density of a phalanx on X-ray suggestive of psoriatic arthritis