Phase 3B 2017 Flashcards

1
Q

Anatomical reason for two different BP readings in CoA

A

Narrowing of the aorta distal to the left subclavian

Measured on a different arm each time

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2
Q

4 changes seen on fundoscopy in hypertensive retinopathy

A

AV nipping
Papilloedema
Blot haemorrhage
Cotton wool spots

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3
Q

Risk factors for NAI

A
Parental mental health issues 
Previous hx of domestic abuse 
Financial stress 
Delayed emotional attachment 
Birth weight <2500g 
Mother <30 
Unwanted pregnancy
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4
Q

Define sensitivity

A

The proportion of people with the disease who are correctly identified as having the disease

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5
Q

Define specificity

A

The proportion of people with the disease who are correctly identified as having the disease

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6
Q

Calculation for PPV

A

The people with a +ve result who actually have the disease

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7
Q

Calculate NPV

A

The people with a -ve results who do not have the disease

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8
Q

How does PPV changes with prevalence

A

Predictive values are dependent on underlying prevalence therefore an increase in prevalence will result in an increase in the PPV

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9
Q

How does sensitivity change with prevalence

A

Remains the same as is a test dependent marker

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10
Q

3 clinical findings in the dx of anterior uveitis

A

Hypopyon:
Keratic precipitates
Engorged conjunctival vessels at corneal edge (ciliary flush) Posterior synechiae

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11
Q

Treatments for anterior uveitis

A

Prednisolone eye drop

Cyclopentolate eye drop

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12
Q

Organisms that cause infected eczema

A

Staph aureus
Herpes simplex virus
Strep pyogenes

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13
Q

Type of anaemia found in SLE

A

Haemolytic anaemia with reticulocytosis

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14
Q

Renal complication of lupus

A

Lupus nephritis

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15
Q

Treatment of Lupus

A

Immunosuppressant: Methotrexate (cytotoxic drugs)
Steroid: Prednisolone
NSAID: Naproxen
ACEi: Acute lupus nephritis

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16
Q

Signs of chronic liver disease in the hands

A
Palmer erythema 
Leukonychia 
Terry’s nails 
Jaundice 
Asterix
17
Q

Complications of liver disease

A
Oesphageal varies 
Hepatorenal syndrome 
Coagulopathy 
Oesphageal varices 
Encephalopathy 
HCC
18
Q

Explain Hodgkins lymphoma to a patient

A

Malignant proliferations of lymphocytes
Accumalate in the lymph nodes causing lymphadenopathy
Reed Stenberg cells ( mirror image nuclei)

19
Q

Causes for uptake gadolinium contrast on brain scan

A

Demyelination
Tumour
Abscess
Haemorrhage