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Unknowns > Pick"n"Mix Phase 3A (2) > Flashcards

Pick"n"Mix Phase 3A (2) Flashcards

1
Q

ICD 10 criteria for OCD

A
  • Recognised as the individuals own thoughts
  • One act/through that in unsuccessfully resisted
  • Though of performing the action is not pleasurable
  • Most days for two successive weeks
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2
Q

List the three most common obsessions

A

Cleaning
Checking
Counting

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3
Q

List the blood test for chronic alcohol use

A

Gamma-glutamytrasnferase
Asparate aminotransferase
Alanine aminotransferase

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4
Q

List the features of a malignant ovarian cyst

A

Multilocar
Bilateral
Free fluid
Solid areas

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5
Q

What are Maxwell’s six dimensions to assess the quality of health services?

A 
Effectiveness
Efficiency 
Equity 
Appropriate 
Accessibility 
Acceptability
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6
Q

Explain why it may be difficult to attribute a health outcome to the service provided?

A

Link between cause and effect between the health service provided and the health outcome may be difficult to establish due to many other factors
Time lag between the service provided and health outcome may be too long
Large sample size needed to detect statistical significance
Data may not be available
Issues with data quality

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7
Q

What is malnutrition

A

Malnutrition refers to deficiencies, excess or imbalances in a persons nutritional intake
Under nutrition or overweight/obese

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8
Q

List three problems with dieting

A

Risk factor for the development of eating disorders
Slows BMR
Disrupts normal appetite and hunger cues

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9
Q

List the symptoms of opiate withdrawal

A

“Cold turkey”

  • Shivering
  • Goose bumps
  • Agitation
  • Diarrhoea
  • Vomiting
  • Dilated pupils
  • Depression
  • Craving
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10
Q

List three smoking cessation drugs

A
  1. Nicotine replacement
  2. Bupropion
  3. Varenicline
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11
Q

Outline what is included in a section 4

A

Emergency admission for treatment
Last 72hrs
Use if admission under a section II would cause harmful delay

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12
Q

What is the cardiac sign commonly seen in anorexics

A

ST depression

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13
Q

List the four dopaminergic pathways

A

Mesolimbic pathway
Mesocortical pathway
Nigrostrital pathway
Tuboinfundibular pathway

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14
Q

List the negative symptoms of schizophrenia

A 
Blunted affect 
Social withdrawal 
Apathy 
Anhedonia 
Emotional flatness 
Speech is reduced 
Slowness of thought
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15
Q

What is the cardiac sign commonly observed in haloperidol

A

Torsade de pointes

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16
Q

Outline the criteria for adjustment disorder

A

An identifiable stressor
A maladaptive response to the stressor that intefers with daily activities
Symptom onset within 3 months of the stressor
Symptoms do not meet the criteria of another disease

17
Q

List the indication for ECT

A 
Increase risk of suicide 
Psychotic features 
Catatonic stupor 
Food and drink refusal 
Refractory to antidepressants 
Previous response to ECT
18
Q

List the investigations involved in a falls screen

A 
Routine bloods (FBC U&E) 
Inflammatory markers 
Blood glucose 
ECG 
Urinanalysis 
Lying and standing BP
19
Q

What is seen on CT scan in an Alzheimer’s patients

A

Cerebral atrophy

Dilated sulk and ventricles

20
Q

Side effects of memantine

A 
Headaches 
Constipation 
Psychosis 
Suicideal ideation 
Abnormal gait
21
Q

Signs of frontotemporal dementia

A 
Earlier onset 
Indsidious slow progression 
Early phase memory is preserved 
Loss of excessive functioning 
No delusions, hallucinations, paranoae
22
Q

Management of a lady who is non-immune exposed to chickenpox @ 20 weeks

A

Test for ZGIG
If not immune give ZGIG
If chicken pos develops give acyclovir 800mg

23
Q

What single ix would you perform to rule out a PE in a pregnant lady
If PE +ve how would you treat

A

Ix: Ventilation and perfusion scintigraphy

Rx: LMWH ( Dalteprin)

24
Q

List the proteins associated with the following diseases

  • Alzhemiers
  • Lewy body
  • Parkinsons
  • Frontotemporal dementia
A 
A: App and Tau 
B: alpha synuclein 
C: as above
D: TARDBP-43 
E: Tau protein
25
Q

List a key antibiotic that interacts with warfarin

A

Clarithromycin
Reduces 1st pass metabolism of warfarin by inhibiting cytochrome P450
Increase warfarin
Increase INR

26
Q

List three pieces of general lifestyle advice given to people with hypertension

A

Consume a diet rich in fruit and veg
Sodium intake of < 2g daily
< 2 alcoholic drinks per week

27
Q

Treatment of scabies

A

Permethin 5%

28
Q

List the features of scarlett fever and what key antibody is raised in the blood

A 
Caused by Grp A strep pyogenes 
Sore throat 
Fever 
Strawberry tongue 
Rash 
Enlarged tonsils

Rasied ASOT
Notifiable disease

29
Q

Features required to receive surgery for your varicose veins

A

Pressure ulceration
Troublesome symptoms
Superficial thrombosis
Venous eczema

30
Q

List the features seen in Acne Vulgaris

A

Comedones
Normal skin
Excessive sebum production
Variety of skin presentation

31
Q

List the contraindications for COCP

A 
>35yrs 
>15 cigars per day 
HTN 
Migraine + aura 
SLE 
Antiphospholipid syndrome 
VTE 
Liver cirrohosis 
Diabetic neuropathy
Hx of breast cancer

Unknowns (4 decks)

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