Question bank random mix Flashcards
CK >10,000
rhabdomyolysis
which imaging is best suited to a c spine #
CT neck
what histology markers are seen in carcinoma
nuclear enlargement, hyperchromia, pleomorphism
what is the first thing you do in a paralytic ileus patient?
make them nil by mouth and put in an NG tube
which artery is most commonly associated with a gastric ulcer?
gastroduodenal
what is the management of overhydration in a septic patient?
vasoconstriction with noradrenaline
where in the brain are you likely to find early evidence of Alzheimer’s
temporal lobe
what can be used to detect carbon monoxide poisoning
carboxyhaemoglobin
what investigation should you do following an unprovoked DVT?
abdo CT to check for malignancy
what is the first line treatment for superficial thrombophlebitis
NSAIDs
what nerve is associated with foot drop
common peroneal nerve
what is the most common bacterial cause of tonsillitis
strep pyogenes
what is the most common bacterial cause of cellulitis
strep pyogenes
where is the main lymphatic drainage from the ovary
para- aortic nodes
what is a prospective cohort study
where a group of individuals who differ with respect to one or more factors are followed, to determine how these factors affect outcomes.
what is a case control study
A case-control study finds individuals with a given outcome along with a suitable control group and looks back retrospectively at how many individuals from both groups had the exposure(s) of interest.
what is a cross sectional study
A cross-sectional study measures prevalence in a population at a given point in time.
what is a randomised clinical trial
tests the effects of a specific intervention or interventions against a control group.
what is a retrospective cohort study
A retrospective cohort begins after the outcome has occurred and looks back at the exposure of interest.
what are the typical features of lithium toxicity
confusion, tremor, jerking leg movements
how to remember - (cucumber, tomato, lettuce - confusion, tremor, leg movements)
what is atelectasis?
common postoperative complication in which basal alveolar collapse can lead to respiratory difficulty. It is caused when airways become obstructed by bronchial secretions.
manage by sitting patient upright and breathing exercises
what are the features of serotonin syndrome?
Hyper-reflexia, clonus, dilated pupils
how to remember - causes a happy dad (clonus, hyper-reflexes, dilated pupils)
what are the features of neuroleptic malignant syndrome?
Hypo-reflexia, lead pipe ridgidity, raised CK
what causes neuroleptic malignant syndrome?
Anti-psychotics (usually suddenly stopping them or reducing dose suddenly)
A seizure in which lobe of the brain will typically cause flashes and floaters?
occipital lobe seizure
A seizure in which lobe of the brain will typically cause paraesthesia
parietal lobe seizure
A seizure in which lobe of the brain will typically cause post-ictal weakness and Jacksonian march
frontal lobe seizure
A seizure in which lobe of the brain will typically cause lip smacking/grabbing/plucking
temporal lobe seizures
A seizure in which lobe of the brain will typically cause hallucinations
temporal lobe seizures
what is the investigation of choice for haemolytic disease of the newborn>
direct coombs test
what is the criteria for long term oxygen therapy?
PaO2 <7.3 + no longer smoking + (secondary polycythaemia, pulmonary oedema, pulmonary hypertension)
what blood test finding will you get in tumour lysis syndrome?
high urea
what test should you do prior to mx with herceptin
echo
ongoing confusion in paeds patient who has been treated for DKA
cerebral oedema
management for steroid induced diabetes
sulfonylurea
history of chronic pancreatitis + biliary obstruction + post meal vommiting
pancreatic psudocysts
which organism causes croup
parainfluenza
what drug can be used in acute ischemic limb when awaiting surgery
unfractioned heparin
what is the investigation of choice for acute mesenteric ischemia
CT angiogram
what is the treatment for lymphogranuloma verenum
doxycycline
what is the first line treatment for menorrhagia?
IUS (mirena coil) if contraception is needed
mefenamic acid (if sore too) or tranexamic acid if contraception is not required
management of human bite
co-amoxiclav is broken the skin and drawn blood
management of cat bite
co-amoxiclav is broken skin and drawn blood
