Peerwise Flashcards
Management of mild acne
Topical anti-acne preparations
Management of moderate acne
Oral abx or anti-androgens (e.g. COCP)
management of severe acne
Oral isotretinoin
Features of actinic keratosis
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.
What may actinic keratosis develop into?
SCC
Drug that may be used alongside insulin in T1DM
Dapagliflozin
First line in benign essential tremor
Propanolol
Management of malignant spinal cord compression
Immediate steroid followed by radiotherapy or surgery within 24 hours
HOCM murmur
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
Ductal papilloma summary
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
Posterior vitreous detachment symptoms
sudden appearance of floaters, flashes of light in vision, blurred vision, cobweb across vision
What anaesthetic is usually used for patients on ITU?
Propofol
What anaesthetic is usually used for rapid induction of anaesthesia?
Sodium thiopental
Difference between scleritis and episcleritis
Episcleritis not painful
What is herpes simplex keratitis?
Corneal ulcer due to herpes
Achilles reflex nerve
S1
Patella reflex nerve
L2,3,4
How to differentiate vestibular neuritis from viral labyrinthitis
Viral labyrinthitis has hearing loss
Juvenile myoclonic epilepsy symptoms
- generalised convulsions
- morning jerking (myoclonus)
- day time absences
Indications for AAA repair
Symptomatic, aortic diameter >5.5cm or rapidly enlarging (>1cm per year)
Reflexes in neuroleptic malignant syndrome
Reduced
Reflexes in serotonin syndrome
Increased
Torsion of testicular appendage symptoms and management
Similar to testicular torsion but cremasteric reflex is present and there may be a blue dot. Conservative management
Priapism management
Penile aspiration and washout
Phenylephrine injections
What is telogen effluvium?
Diffuse hair loss in the months after pregnancy or severe illness
Magnesium toxicity symptoms
Hyporeflexia, drop in blood pressure, respiratory depression and cardiac arrest.
Uterine fibroids treatment in woman trying to concieve
Myomectomy
First line test for cushings
Overnight dexamethasone suppression test
CSF finding in GBS
Raised protein
Nerve damaged in claw hand
Ulnar
Varicocele management
Testicular vein embolisation or ligation if symptomatic
What does sjogrens syndrome significantly increase risk of?
Lymphoma
Acute sarcoidosis initial management
NSAIDs and rest
What is Fits-Hugh-Curtis syndrome?
Liver inflammation due to chlamydia or gonorrhoea
What is Jaccoud’s arthropathy?
Reversible subluxation of joints often due to SLE
What visual field defect may be seen in benign idiopathic hypertension?
Enlarged blind spot
Driving restrictions after STEMI
1 week if treated by angioplasty
4 weeks if no angioplasty
Prophylactic medication in Lynch syndrome
Aspirin
Pagets treatment
Bisphosphonates and calcitonin
Medical third nerve palsy main symptom
Down and out pupil
Surgical third nerve palsy main symptom
Miosis (pupil constriction)
First line in bradyarrhytmia
Atropine
Contact management in epiglottitis
Abx to close contacts
What is ivory phalanx?
Increased density of a phalanx on X-ray suggestive of psoriatic arthritis
