Previous Exam Qs Flashcards
Who does amniocentesis
Pernatologist
Who repairs 2nd degree tear?
Midwife
Who does post-natal baby checks?
GP
mechanism of action of cyclizine
anti-histamine piperazine derivative with histamine H1 receptor antagonist
mechanism of action of ondasetron
5HT receptor antagonist (serotonin)
mechanism of action of domperidone/prochlorperazine
anti-dopamine Domperidone is a peripheral (d2) & (d3) receptor antagonist
saline components
Na 154
Chlorine 154
potassium 0
glucose components
Na 0
Chlorine 0
potassium 0
hartmanns components
Na 131 Ca 2 K 5 Cl 111 lactate 29
sore throat
pustules on hands & feet
coxsackie
saddle nose
high serum ACE
SARCOID
32 year old female with symmetrical poly arthritis &proteinuria
SLE
female with dactylitis & DIP
psoriatic
male with sternal pain & multiple lytic lesions
malignant myeloma
protein electrophoresis for bence jones proteins
which therapy uses becks triad
CBT
which food interacts with warfarin
green veg (high in vat K)
freudian theory
psychoanalytical
which fruit interferes with statins
grapefruit
surfer who has gradual unilateral hearing loss
exostosis
female who had permanent complete unilateral hearing loss in pregnancy
otosclerosis (pregnancy accelerates it)
hearing loss after getting off a plane
tympanic perforation or glue ear
female with dysphagia & anaemia
patterson Kelly brown
- iron deficiency associated with post-cricoid oesophageal web
bird beak on barium swallow
achalasia
nulliparous woman diabetic, endometrial biopsy thickening
endometrial hyperplasia
endometrial cancer
women with previous breast cancer taking tamoxifen
endometrial hyperplasia
endometrial cancer
mild dyskariosis
repeat test within 6 months
severe dyskariosis
colposcopy
colposcopy shows ulcerated malignant lesion with discharge
LLETZ
man dragged out of river from downing what type of abg
mixed metabolic & respiratory acidosis
man in motercylce crash c spine fine, airway & breathing fine but weak radial pulse, what type of shock
hypovolaemic
give fluids to someone & they rapidly deteriorate
stop fluids
IV furoesemide
adrenaline IM
1:1000 1mg = 1ml
pulse + VT
amoidarone 300mg
bradycardia
atropine 500mcg
why does trimethoprim not work in upper UTI
doesn’t penetrate renal parenchyma
why does antibiotics not help ulcer on foot
needs drainage - abscess is walled off from the drug
rectal too painful to examine, what next?
examine under anaesthesia
blood on toilet paper, pain
anal fissure
ankylosing spondylitis then has bloody diarrhoea for 2 weeks
UC
cruise down river nile then has watery diarrhoea for 6 weeks investigation
urinary/stool microscopy to look for eggs
UPSI then painful red eye & dysuria investigation
first pass urine sample for PCR
man treated with abs for presumed pneumonia smoker returns 6 weeks later still hoarse
refer to ENT urgently
bulls pemphigoid immunofluorescence
linear IgG and C3 at basal membrane
dermatitis herpetiformis immunofluorescence
granular IgA at dermal papillae
stabbed in neck then shoulder pain
axillary nerve
elbow replacement then tingling in ring finger, positive froments
cubital tunnel syndrome
posterior hip dislocation
internal shortening
minimally displaced closed tibial fracture in middle aged
long leg cast delay application 3-5 days to allow swelling to diminish
unstable tibial fracture
operative fixation
ortolani
DDH
palpable sensation of femoral head gliding in and out of acetabular joint
barlow
DDH
adduct & push posteriorly
screening for AAA
abdo US
if > 5.5cm repair
bank pain, small pupils, red eyes
ank spond
treatment for anterior uveitis
topical prednisolone
treatment for acute closed angle glaucoma
IV acetazolamide
prevention of pre-eclampsia
aspirin, hydralazine, labetolol, nifedipine
treatment of eclampsia seizure
magnesium sulphate for 24 hours post seizure
squints first step management
correct refractive error
MS optic neuritis left eye
left central scotoma
man age 21 sounds like MS nystagmus pupils looking different directions
internuclear ophthalmoplegia
heliotrope rash, linear stress on hands, muscle pain
dermatomyositis
woman collapses high potassium low sodium glucose 3.1 daughter says not taking medication
addisonian crisis
girl with acne needing contraception
dianette
white patches on vaginal walls
candida albicans
bilateral red eyes in child
chlamydial conjunctivitis
woman with lesion on leg hard centre getting checked after friend had skin cancer
dermatofibroma
leg ulcers ABPI
> 0.8 for graduated compression
ABPI 0.4
refer to vascular surgeon
psoriasis histo
absent granular layer
hyper proliferation of keratinocyte
who must you inform when detaining emergency mental health act
MHO
someone accident what can you treat under if you can’t get position
common law
chino woman being detained said its not fair and wants help to appeal
advocacy
malaria & typhoid
malarone
haematuria in someone back from abroad
schistomsomiasis
woman taking NSAIDs for hip replacement develops bleeding (ulcer)
acute erosive gastritir
bleading into breast haemophilia b
give factor 9 precipitate
ECG of someone collapsed with hypothermia
J waves
woman with angina pain with history of severe left knee oa
myocardial perfusion scan
pinpoint pupils and needle marks. most likely abg
metabolic acidosis
copd infective exacerbation abg
respiratory acidosis
gastric outlet obstruction abg
metabolic alkalosis
test for easy brushing and puffy face
low dose dexamethasone
sweating, palpitations, headache
urinary catecholamines
phaeochromocytoma
prostate cancer + back pain
spinal cord compression
treat with dexamethasone
best way to measure bp in HDU/ICU
invasive BP monitoring
BP in GP
validated arm cuff
BP test for white coat
24 hour ambulatory care
woman with tiredness pain and muscle stiffness
fibromyalgia
older lady vacant pauses, distracted, lasts for several hours, recover in less than 24 hours
partial status epilepticus
child born 34 weeks with no perinatal complications and normal development now age 1
cruises round furniture
child born 40 weeks no problems 3 months
head control
child with abdominal pain and joint pain and purpuric rash down buttocks and thighs feels slightly unwell
HSP
child 2 weeks old very unwell respiratory distress temp causative organism
bronchiolitis RSV
just born complication happen born and then 20 min later short of breath and needing O2 with fast RR
TTN
child slapped cheek
parovirus b19
child feeding well until moved onto solid food
coeliac disease
biceps reflex
c5
triceps reflex
c7
knee reflex
l4
ankle reflex
s1
scan in someone with prostate cancer and back pain
technetium bone scan
man with chest pain radiating to jaw which investigation
ECG & troponin
man with chest pain relieved by sitting forward. post-MI pericarditis. which investigation? <1 week
ECG
man with chest pain relieved by sitting forward. post-MI pericarditis. which investigation? >1 week
echo
1st line for BPH
alpha blocker tamsulosin
older man with macroscopic haematuria & weight loss
urgent referral to urology
woman with darker buccal mucosa
Addisons
ACTH
IV coamoxiclav and clari for severe pneumonia obs stable for 48 hours
change down to oral doxy
someone being treated with IV fluclox for endocardititis results come back & it’s sensitive to this obs stable
stay on same IV regimen - deep seated infection
pyrexic with tonic clonic fits in the last 48 hours
viral encephalitis
offshore worker who presents with severe sudden onset headache
SAH
31 year old smoker wants oral contraception. previous arterial disease.
POP
persistent vaginal bleeding in mid 50s and IMB
refer to gynae
olanzapine + dry mouth which NT
acetylcholine (anti-muscarininc effects)
PTSD best treatment
eye movement desensitisation reprocessing
man 6 weeks conjunctivitis and conjunctival follicles unresponsive to one week of topical chloramphenicol
chlamydial conjunctivitis
person with contact lenses, red painful eye
bacterial keratitis/corneal ulcer
back pain, red eye
anterior uveitits
what does LH stimulate
testosterone
ovulation
corpus lute secretes
progesterone
sperm stored
epididymis
woman with galactorrhea
prolactin secreting tumour
hypopituitary & bitemproal hemianopia
non-functioning adenoma
sweaty, thick skin, big hands
GH secreting tumour
parkinsons neuotransmitter defect
low dopamine
alzheimers neurotransmitter defect
low acetylcholine
depression neurotransmitter defect
low 5 hydroxytryptamine (serotonin)
compartment syndrome of extensor part of lower leg which structure most affected
deep fibular nerve
old lady constipated for a while and has pain best Ix
abdo xray
akathisia
inner feeling of restlessness
typical anti-psychotics
which disease has degenerated NBM (nucleus basalts meynert)
alzheimers
heritability of schizo
80%
severe frontal lobe change and progressive language impairment Ix
CT
specialist for uterine artery emobolisation
radiologist
CF mutation - who to talk to
geneticists
gynaecology cancer but wants to retain fertility who to talk to
gynaecology monologist
which neurotransmitter in myasthenia gravis
acetylcholine
headache + tingling in arms
migraine with aura