Phase 3B 2017 Flashcards
Anatomical reason for two different BP readings in CoA
Narrowing of the aorta distal to the left subclavian
Measured on a different arm each time
4 changes seen on fundoscopy in hypertensive retinopathy
AV nipping
Papilloedema
Blot haemorrhage
Cotton wool spots
Risk factors for NAI
Parental mental health issues Previous hx of domestic abuse Financial stress Delayed emotional attachment Birth weight <2500g Mother <30 Unwanted pregnancy
Define sensitivity
The proportion of people with the disease who are correctly identified as having the disease
Define specificity
The proportion of people with the disease who are correctly identified as having the disease
Calculation for PPV
The people with a +ve result who actually have the disease
Calculate NPV
The people with a -ve results who do not have the disease
How does PPV changes with prevalence
Predictive values are dependent on underlying prevalence therefore an increase in prevalence will result in an increase in the PPV
How does sensitivity change with prevalence
Remains the same as is a test dependent marker
3 clinical findings in the dx of anterior uveitis
Hypopyon:
Keratic precipitates
Engorged conjunctival vessels at corneal edge (ciliary flush) Posterior synechiae
Treatments for anterior uveitis
Prednisolone eye drop
Cyclopentolate eye drop
Organisms that cause infected eczema
Staph aureus
Herpes simplex virus
Strep pyogenes
Type of anaemia found in SLE
Haemolytic anaemia with reticulocytosis
Renal complication of lupus
Lupus nephritis
Treatment of Lupus
Immunosuppressant: Methotrexate (cytotoxic drugs)
Steroid: Prednisolone
NSAID: Naproxen
ACEi: Acute lupus nephritis