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Medicine AMK knowledge > Questions > Flashcards

Questions Flashcards

1
Q

Over which time period is someone with chicken pox infective?

A

4 days before rash, until 5 days after the rash first appeared - all lesions are dry and crusted over

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2
Q

A patient presents with bleeding gums and easy bruising, which vitamin is she likely deficient in?

A

Vitamin C

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3
Q

What is the management for a patient with hypercalcaemia?

A

Aggressive IV fluids

Bisphosphonates eg zolendronate

Prevent recurrance by treating underlying cause

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4
Q

A child presents with stridor and a barking seal like cough, what is the most likely causative pathogen and how is it treated?

A

Croup - parainfluenza virus

Give single dose dexomethasosne (0.15mg/kg) to all children

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5
Q

An un-immunised child has recently travelled abroad, and returns home with a cough. What is the most likely causative agent?

A

Bordella pertussis

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6
Q

A patient has a hot swollen knee but is normothermic, what is the most likely diagnosis?

A

Patellar bursitis

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7
Q

What is the most likely cause of septic arthritis in a sexually active female?

A

Niscerria Gonnorhea

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8
Q

A male had surgery then a PE a few days later, how should this patient be medically managed?

A

DOAC for 3mths

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9
Q

A man presents with increasing forgetfulness had a CT brain which found frontal lobe atrophy. What is the diagnosis and pathophysiology?

A

Frontotemporal dementia
Tau protein accumilation

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10
Q

A man presents with ataxia, incontinance and dementia, with enlarged lateral and third ventricles.

What is the most likely diagnosis?

A

Normal pressure hydrocephalus

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11
Q

What is the management for a child with chicken pox?

A

Supportive management, unless immunocompromised or pregnant, then give aciclovir

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12
Q

A female patient has a catheter inserted and subsequently contracts a UTI. What is the most likely causative organism?

A

E. coli or p.mirabilis

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13
Q

A patient presents with acute testicular pain and no cremasteric reflex.

What is the most appropriate management?

A

Urgent surgical exploration (testicular torsion)

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14
Q

What is the most likely cause of a transilluminable lump in the scrotum?

A

Hydrocele

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15
Q

Which artery in the arm is most likely to be damaged in a supracondylar fracture?

A

Brachial

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16
Q

How is an essential tremor managed?

A

beta blocker

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17
Q

What is the most appropriate contraception for a woman not wanting children with a BG of PCOS?

A

COCP

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18
Q

Child with knee pain over tibial tuberosity, which becomes worse when he is riding his bike.

What is the underlying diagnosis?

A

Osgood schlatter

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19
Q

A patient with a recent UTI presents with reduced urine output. His prostate exam is unremarkable. What is the most likely cause of reduced urine output?

A

Urinary stricture

20
Q

What is the most likely cause of bright red bleeding after opening bowels, with a BG of patient taking cocodamol?

A

Anal fissure

21
Q

What is the condition related with the birth of a baby that is large for it’s gestational age?

A

Gestational diabetes

22
Q

Which medications are associated with tinnitis?

A

Abx: clarithromycin, ciprafloxicin, tetracycline
Analgesics: Aspirin, ibuprofen
Cardiac: furosemide, ramapril, enalapril, diltiazem
Anticonvulsant: carbemazepine, amitriptyline

23
Q

A patient with hypertensions is already on the max dose of ramapril, what medication do you add next?

A

CCB eg amlodipine/ nifedipine

24
Q

Rugby player has a FOOSH and dislocates his shoulder. What is the direction of shoulder dislocation?

A

Posterior

25
Q

Which type of imaging is indicated in suspected apendicitis?

A

USS

26
Q

A patient with a BG of UC presents with jaundice and pruritis, what is the most likely diagnosis?

A

Primary sclerosing cholangitis

27
Q

A patient had a recent URTI and now has blood and protein in their urine. What is the most likely diagnosis?

A

Glomerulonephritis

28
Q

A patient presents with splenomegaly, b symptoms and pain on drinking alcohol. What is the most likely diagnosis?

A

Hodgkins lymphoma

29
Q

What is the first line management of a wheezy 4 year old child that presents to you?

A

10 puffs inhaled salbutamol or nebs if severe/ life threatening

30
Q

A woman presents with petechiae, reduced platelets but otherwise normal results. What is the most likely diagnosis?

A

Autoimmune haemolytic anaemia

31
Q

What is the most likely risk factor for someone to experience reflux in surgical anaesthesia?

A

High BMI

32
Q

What type of seizure causes lip smacking?

A

Temporal lobe

33
Q

Someone was in a fight and had a blow to the face. They now cannot look up in their left eye. What is the most likely bone to have been fractured?

A

Zygomatic bone

34
Q

Seven-year-old having nosebleeds every two days for two weeks which is the most likely source of the bleed?

A

Nasal septum

35
Q

What does ampicillin target?

A

Bacterial cell wall

36
Q

A young boy has a diagnosis of septic arthritis. What is he at increased risk of developing in the future?

A

Osteoarthritis

37
Q

What medication reacts with sedinafil (viagra)?

A

Nitrates - GTN/ isosorbide mononitrate

38
Q

A patient presents following an overdose, he has normal pupils and a high HR. What has he likely taken?

A

Amlodipine

39
Q

How do you convert from oral morphine to IV?

A

Divide by 3

40
Q

What is the fluid management for a patient presenting in DKA?

A

0.9% sodium chloride

41
Q

Which herbal remedy interacts with SSRIs?

A

St John’s wart

42
Q

What is the pharmacological management for raynauds?

A

Nifedipine

43
Q

What is the appropriate management for a child that has swallowed a button battery?

A

Surgery

44
Q

A patient has difficulty swallowing and ulcer on back of their tongue which they keep biting. What is the next appropriate step?

A

2ww referral

45
Q

A 6 week old baby presents with a 6hr hx of fever. What is the appropriate next step?

A

Urgent refer to paeds

46
Q

9 year old with a new diagnosis of diabetes- parents concerned about eye health. What age will the patient be offered screening?

A

12 yrs

Medicine AMK knowledge (24 decks)

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