Prof Russell Tut #3

Question 1

Severe Anorexia can cause 3 things:

Answer 1

End organ damage
Bone Marrow Suppression
Thiamine deficiency

Question 2

what does Anorexia do to LFTs?

Answer 2

ketosis

Question 3

what is sjogren’s syndrome?

Answer 3

autoimmune which destroys exocrine glands: lacrimal and salivary mainly

Question 4

4 causes of seizures in ETOH?

Answer 4

1. hypoglycaemia
2. Withdrawal
3. electrolyte imbalance
4. subdural/extradurals from Trauma

Question 5

How to know how to dose ETOH withdrawal medications? Which one?

Answer 5

Usually diazepam

use ETOH withdrawal scales

Question 6

2 ways you get thrombocytopenia in ETOH

Answer 6

1. Portal hypertension from cirrhosis

2. myelosuppression

Question 7

7 systems that are affected by chronic ETOH

Answer 7

1. Liver
2. Brain: Wernicke’s
   Korsakoff
   Ataxia
   Sensory neuropathy
3. cardiomyopathy
4. pancreatitis
5. proximal myopathy
6. psychosocial
7. global ETOH dementia

Question 8

3 classic features of Parkinson’s?

Answer 8

Bradykinesia/rigidity
Ataxia
Resting Tremor

Question 9

how to test for cogwheeling at wrist?

Answer 9

hold wrist, move hand back and forth, increase extrapyramidal tone by getting them to raise their other arm

Question 10

how to test for bradykinesia?

Answer 10

do piano finger test

Question 11

how to perform glabellar test?

Answer 11

from behind so it’s less confronting