question bank randoms Flashcards

1
Q

what component of the brachial plexus has been damaged to result in claw hand with a hyper-extended wrist

A

this is klumpke’s palsy which is due to injury to the lower trunk

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2
Q

You are the doctor seeing a 31-year-old pregnant woman who is struggling with pain around her thumb and index finger. It is associated with paraesthesia of the palmar aspect of her thumb and index finger and is worse at night.

Which nerve is most likely affected?

A

median nerve

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3
Q

what do reed-sternberg cells look like

A

abnormally large B cell with multiple nuclei or nucleoli

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4
Q

what are reed-sternberg cells characteristic of

A

hodgkin’s lymphoma

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5
Q

how are mitochondrial diseases inherited

A

maternal inheritance pattern
so if only the father has mitochondrial disease there is no increased risk to the children

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6
Q

leukocytosis

A

increase in white cells in blood

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7
Q

thrombocytopenia

A

low platelets

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8
Q

dose, concentration and route of administration of WHAT for an anaphylaxis reaction for children aged between 6 months and 6 years

A

IM adrenaline (1:1000) 150 micrograms

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9
Q

dose, concentration and route of administration of WHAT for an anaphylaxis reaction for a child aged 6-12 years

A

IM adrenaline (1:1000) 300 micrograms

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10
Q

which target does levothyroxine bind to

A

nuclear receptors

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11
Q

how long does it take for the progestogen-only pill to become effective

A

48 hours

only immediate effective contraception if started on the 1st-5th day of menstruation

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12
Q

how is an anion gap calculated

A

(sodium + potassium) - (bicarbonate + chloride)

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13
Q

what is a normal anion gap

A

8-14 mmol/L

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14
Q

what are the causes of a normal anion gap metabolic acidosis

A

diarrhoea
high output ileostomy
addisons disease
fistulas
renal tubular acidosis
acetazolamide

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15
Q

what can cause a raises anion gap metabolic acidosis

A

chronic alcohol use
DKA
renal failure
sepsis
shock
hypoxia
salicylates
methanol

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16
Q

lab features of pseudomonas aeruginosa

A

aerobic gram-negative rod

17
Q

what does pseudomonas aeruginosa cause

A

chest infections
burns, wound infections
otitis externa (especially in diabetes)
UTIs

18
Q

treatment for uncomplicated lyme disease

A

doxycycline

19
Q

presentation of stage 1 Lyme disease

A

target rash
a proportion of pts don’t remember a tick bite
flu-like sx
regional lymphadenopathy
lasts several weeks

20
Q

presentation of Lyme disease stage 2

A

days to months
flu-like sx
facial nerve and other cranial nerve palsies
cardiac sx
early painful arthritis

21
Q

presentation of Lyme disease stage 3

A

months to years
arthritis
neurological disorders

22
Q

treatment for complicated Lyme disease

A

IV ceftriaxone