Phase 4 2014 Flashcards

1
Q

Name four different types of dementia and give a features of each one

A

Alzhemiers: progressive memory loss
Lewy’s body: fluctuating consciousness, hallucination
Vascular: Step wise deterioration
Frontotemporal (Pick’s disease): Change in personality

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2
Q

Outline the signs seen on MRI for the following

  • Subarachnoid haemorrhage
  • Sub dural haemorrhage
  • Extradural haemorrhage
A

Subarachnoid
- Star man in the centre

Subdural
- Crescentric

Extradural
- Convex

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3
Q

A gentleman is seen with infective endocarditis with a raised JVP, what wave form will be seen?

A

Large V wave

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4
Q

Define a never event

A

An event that should never occur provide all the necessary protocol and procedures are carried as indicated

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5
Q

Causes of erectile dysfunction

A
Smoking 
Alcohol 
Diabetes
Hyperthyroidism 
Hyperprolactin 
Cord lesions 
MS
Radical prostectomy
Peyronie's 
Drugs 
- bblockers
- diuretics 
- antidepressants
- oestrogens 
- finasteride
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6
Q

What is a hydrocele and where does it arise from

A

Fluid within the tunica vaginalis

Arises from the processus vaginalis

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7
Q

Causes of a hydrocele

A

Testicular cancer
Trauma
Infection

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8
Q

Causes of a hydrocele

A

Testicular cancer
Trauma
Infection

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9
Q

What makes up Bishop’s score

A
Cervical dilatation
Cervical consistency 
Cervical effacement/ length of cervix
Foetal station 
Cervix postion
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10
Q

What is used to induce labour

A

> 7 induction with AROM
5 favourable for induction
- Prostaglandin pessary
- Oxytocin drip

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11
Q

How do you interpret a CTG

A
Define risk 
Baseline rate (110-160)
Accelerations 
Decelerations
Variablity 
Overall appearance 
Contractions
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12
Q

Symptoms of MS

A
Tingling 
Eye pain 
Ataxia 
Reduced movement 
Loss of vibrations seen 
Diplopia 
Spastic weakness
Swallowing disorders
Trigeminal neuralgia 
Erectile dysfunction 
Incontience
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13
Q

Treatment to prevent relapses in MS

A

DMARDS

  • IFN beta
  • Glatimer

Biologics

  • Alentuzumab
  • Natilizumab
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14
Q

Dx tet for bronchiolitis

A

Usually clinical dx

Can do nasopharyngeal aspirate

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15
Q

General management of sickle crisis

A
  1. Analgesic
  2. High flow 02
  3. Hydration
  4. Blood transfusions
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16
Q

investigations in a new presentations of ? UC

A
Bloods
- low Hb
- low MCV
- Increased WCC
- Low albumin
Blood culture 
Colonscopy 

If presenting in crisis need to rule out Toxic megacolon with an AXR and bowel perforations with an CXR

17
Q

Rescue medications for UC

A

IV hydrocortisone
Infliximab
Ciclosporin
Subtotal or total colectomy with end ileostomy