Q Flashcards

1
Q

idiopathic intracranial hypertension (benign intracranial hypertension) symptoms
who
aggravated by what

A

headache
young females. obese
coughing/strainign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

space occu[ying lesions headache

A

contant

progressively worsening headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

women os child bearing age and acute onset abdominal pain +/- vom

A

UPT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how much body iron is present in hb

A

60-70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

iron in veg foods

A

poorly absorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

serum iron does what

A

fluctuates

not in isolation a reliable indicator of iron supply to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what should transferrin sats be above to maintain normal erythropoiesis

A

> 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

acute stress disorder within how long of event

A

1m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

first line in anxiety

A

SSRIs

sertaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

thrombotic thrombocytopenia purpura
symp
cause
ix

A

renal failure, fever, thrombocytopenia, neuro dysfunction, haemolysis

preg known cause

urine bHCG in women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

idiopathic thrombocytopenia purpura difference

ix

A

no renal failure
no haemolyiss

anti platelet AB test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

triptans are what

A

5HT1 agonists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

remission of migraines is common when

A

in preg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

who do migraines occur in

A

<30s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when should clozapine be rpescribed in schiz

A

after 2 antipsychotics have been tried

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
vulval malig which is the commonest 
who
symp
ix
rx
A
squamous 
>60s
vulval discomfort and itching associated with growth 
biopsy 
vulvectomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

cx of untreated subdural haemorrhage

A

recurrent haemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

axonal tearing happens when

A

rapid displacement of the head and brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

takayusi’s arthritis in who

what

A

young women

pulsless disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ophthalmic artery isa branch from what

A

internal carotid artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

left hemisphere lessons causes the head to turn which way

left brianstem lesion

A

left

right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

spastic paraparesis is what

cause of this in young women

A

UMN weakness of both legs

MS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

iron defic treatment

A

ferrous sulphate 200mg three times daily
repeat bloods in 3m
increase in Hb by 1g/dl in a week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

risk factors for endometrial cancer

A

not children
long menopausal life
obesity
unopposed oestrogen therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

symptoms of endometrial cancer

ix

A

vaginal bleeding

endometrial biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

though block, passivity, manic behaviour

A

schiz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

eosinophilia

A

hodgkins, hookworm manifestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what can happen before a seizure

A

an aura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

pernicious anaemia is more common in which kinds of patients

A

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

pernicious anaemia

A

increased MCV with megaloblasts in marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

feltys shows what

A

neutropenia with myeloid hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

iron defic anaemia shows what

A

hypochromia, anisocytosis, polikilocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

free air on CXR/abd

A

perforate PU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

sickle cell caused by what

A

HbS abnormal beta chain production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

symptoms of sickle cell

A

splenomegaly in childhood

hyposplenism in adulthood due to infarcts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

who is sickle cell common in

blood film

A

black african individuals

sickle cells/target cells

37
Q

what can cause wasting of the small muscles of the hand

A

MND

38
Q

NF I

A

neurofibromas in nervous system

cafe au lait spots

39
Q

von hipper landau disease is what

assoc with what

A

mutation on tumour suppressor gene on chromosome 3

angiomato, haemangioblastoma, phaemochromocytoma

40
Q

NF II

A

bilateral acoustic neuromas

41
Q

apgar done when

A

1 min after birth

then 5 mins

42
Q

apgar

A
pulse
resp effort
colour
muscle tone (activity)
grimace (reflex irritability)
43
Q

HELLP

A

Haemolysis
Elevated Liver enzymes
Low Platelets

44
Q

symptoms of HELLP

A

malaise, nausia, vommitng, headache, hypertension, proteinuria, epigastric/abd pain

45
Q

intraheptic cholestasis of preg (obstretric cholestasis)
when

symptoms

rx

A

3rd trim

pruritus often in palms and soles, no rash, increased bilirubin

ursodeoxycholic acid used for symptomatic relief
women typically induced at 37 weeks

46
Q

fitz Hugh curtis syndrome

A

hepatic adhesions

47
Q

ovarian torsion symptoms

A

sudden onset
deep seated colicky abd pain
assoc vom and distress

48
Q

galactocele is what
when
symp

A

stopped breast feeding
build up of milk
painless no local/systemic signs of infection

49
Q

when should CTG monitoring be done during labour

A
suspected chorioamnionitis or sepsis or demo >38
severe htn 160/110 or >
oxytocin use 
presence of significant meconium 
fresh vaginal bleeding in labour
50
Q
CTG: brady causes
tacky
loss of baseline variability
early deceleration 
late decelerations
variable deceleration
A

brady <100
increased fetal vagal tone, maternal BBs

tachy >160
maternal hypoxia, chorioamniocitis, hypoxia, prem

loss of baseline variability <5 beats/min
prem hypoxia

early deceleration - onset of contraction decreases then becomes normal when contraction closes
normal

late deceleration - lags onset of contraction, doesn’t return to normal until 30s after contraction ended
fetal distress due to asphyxia/placental insufficiency

variable deceleration - independant of contractions
cord compression

51
Q

chorioamniocentesis symp signs

what is it

A

uterine tenderness and foul smelling discharge
baseline fetal tachy

medical emergency

52
Q
fibroid red degeneration 
what is it 
can happen when 
symptoms 
when
A

fibroids undergo red degeneration during pregnancy
severe pain, vom
1st/2nd trim

53
Q

pyelonephritis symp

A

foul smelling discharge

dysuria

54
Q

lochia is what

A

bleeding for the first few weeks after birth
normal
can last up to 6 weeks

55
Q

endometrial cancer prognosis

A

has a good one

56
Q

DIC treatment

A

cryoprecipitate and FFP given first

57
Q

smear test in pregnancy

A

if past smears have been normal then wait 12 weeks PP

58
Q

most common type of ovarian epithelial cell tumour

A

serous cystoadenoma

59
Q

LB has what

A

halucincaitons and parkisnosn symptoms

60
Q

SSRI discontinuation syndrome

A

diarrhoea, vom, abd pain

61
Q

what should be given in depression to px with cardiovascular disease

A

sertaline

62
Q

SSRI and aspirin

A

add a PPI such as lansoprazole

63
Q
schiz epidemiology 
monozygous twin 
parent
sibling 
no relatives
A

50%
10-15%
10%
1%

64
Q

BZD withdrawal syndrome when

symp

A

can occur up to 3 weeks after stopping the drug

insomnia, irratibility, anxiety, tremor, loss of appetite, tinnitus, perspiration, perceptual disturbances, seizures

65
Q

poor prognostic factors for schiz

A
strong FH
gradual onset 
low IQ
premorbid history of social withdrawal 
lack of obv precipitate
66
Q

first line in panic disorders

if contra indicated or no response in 12 weeks

A

SSRIs - sertaline

imipramine, clomipramine

67
Q

alcohol withdrawel symp
seizures
delirium tremers

A

6-12h
36h
72h

68
Q

which TCA should be avoided in depression

A

dosulepin - dangerous in overdose

69
Q

TCAs and dementia

A

worsening cognitive impairment

70
Q

methylphenidate is used in what

what needs to monitored with this drug

A

ADHD

growth

71
Q

SSRI in adolescents

A

fluoxetine

72
Q

anti psychotics in elderly increases the risk of what

A

VTE and stroke

73
Q

mirtazapine

A

increases appetite

drowsiness

74
Q

atypical antipsychotics cause what

A

weight gain

75
Q

MMSE cut offs

A

21-26/30 mild dementia
10-20 mod
10 severe

76
Q

schiz

A

olanzapine

77
Q

opiod withdrawel

A

dilated pupils
yawning
rhinorrhea
lactorrhoea

78
Q

opiod intoxication

A

pin point pupils, pallor, resp depression, pulmonary oedema

79
Q

alcohol withdrawel treatment

A

chlordiazepoxide

80
Q

schillings test done when

A

to differentiate between pernicious anaemia and small bowel disease
if neg both times (after B12 and IF) then small bowel disease

81
Q

HbS

A

tendency to become rigid and sickle

occlusion of small vesicles

82
Q

IF produced by what

binds what

A

stomach parietal cells

binds vit B12

83
Q

pernicious anaemia

A

AB against gastric parietal cells

84
Q

ALL increased what
who
risk w rx

A

lymphocytes
children 15-25 or >75
rumour lysis syndrome

85
Q

AML peak onset
rare
what

A

70s
rare in <20s
auer rods

86
Q

CLL is what

who

A

monoclonal malignancy leading to functionally incompetent lymphocytes

87
Q

CML malig of

A

granulocytes

88
Q

hodgkins

A

clonal expansion of B and T white blood cells