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Chings Notes > Random High Yield > Flashcards

Random High Yield Flashcards

1
Q

ANKLE dorsiflexion deficit
or Tibilias Anterior
PATELLAR reflex deficit

A

L4

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2
Q

BIG TOE Dorsiflexion deficit

A

L5 - Large toe

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3
Q

Neck of the FIbula
Weak ankle
Weakness and eversion and dorsiflexion of the foot
Pain in the lateral shin area and dorsum of the foot
key - INVERSION SPARED

A

Peroneal Nerve Injury
tx: Shoe wedging
Neurolysis

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4
Q

Sciatic Nerve supplies 5 spinal nerve roots

A

L4, L5, S1 S2 S3

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5
Q

The pain is made worse by sneezing, coughing and laughing or a hard bowel movement
Bending backward can also make the pain worse.
Other than pain look out also for numbness and difficulty in walking

A

Sciatica

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6
Q

Most approp inv in Sciatica

A

MRI
CT Scan - Alternative
X ray - to see the lordosis

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7
Q

Most common tumor of the adrenal medulla in adults
Derived from chromaffin cells arising from the neuraln crest

A

Pheochromocytoma

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8
Q

What is the treatment for Pheochromocytoma

A

Phenoxybenzamine - to avoid a hypertensive crisis
B-blockers - given to slow the heart rate
Tumor surgically removed

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9
Q

<1.5 - <2.5

A

Osteopenia
Tx: Calcium + Vitamin D

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10
Q

> 2.6

A

Osteoporosis
tx: Alendronate / Zolindronic Acid

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11
Q

Osteoporosis + low trauma fracture

A

DEXA first
then
ALENDRONATE

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12
Q

Osteoporosis + PUD
tx

A

Zolindronic Acid

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13
Q

Osteoporosis tx

A

Alendronate

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14
Q

OSteoporosis + Breast CA

A

Tamoxifen / Raloxifen

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15
Q

Severe Osteoporosis + HRT

A

Give Alendronate

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16
Q

Severe Osteoporosis + HRT

A

Give Alendronate

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17
Q

First line for Pharmacologic therapy in Osteoporosis

A

Biphosphonates

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18
Q

Second line therapy for Osteoporosis
Can cause hot flushes and venous thromboembolism
Does not cause endometrial hyperplasia or increase risk of breast c

A

Raloxifene

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19
Q

Considered first line in patients with a high risk of fracture

A

Teriparatide

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20
Q

Post menopausal female comes with you with enterocele prolapse and stress incontinence.
What is the management?

A

Pessary

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21
Q

Post menopausal female comes to you with enterocele prolapse

A

Pessary
- Pelvic floor exercise is usually for younger people with incontinence

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22
Q

Urethra bulges into Vagina

A

Urethrocele

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23
Q

Rectum protrudes into vagina

A

Rectocele

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24
Q

Loop pf small intestine bulges into vagiina (usually posterior wall)

A

Enterocele

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25
Q

Uterus and cervix descend toward vaginal introitus

A

Uterine

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26
Q

Cervix remains in vagina

A

First Degree

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27
Q

Cervix protrudes on coughing / strainiing

A

Second degree

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28
Q

Uterus lies outside vagina

A

Third Dedree (Prodicentia)

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29
Q

20F came to you in GP clinic for contraception advice
She gives her mother and sister DVT episode
Best step in the care of this patient?

A

Do thrombphilia screening

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30
Q

Which would be the best option OCP for a smoker female

A

Norethisterone

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31
Q

Female with menorrhagia and her consulation is due with a gynecologist , what can you give her till that time

A

NET

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32
Q

Mentally retarded girl complaining of menorrhagia
Approp contraception?

A

COCP and if it wont work
then MIRENA

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33
Q

Lady in her 20s with h/o migrainne
Oins and needle sensation
contraception?

A

POP

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34
Q

Young lady came for contraception
She feels headache
her BP is 130/90
What to prescribe?

A

POP

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35
Q

Young lady came for contraception advice
Sometimes she feels headache her BP is 130/90

A

POP

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36
Q

Woman takng OCP containing 30 g estrogen now comes to you with hypertension
What is the next step

A

POP

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37
Q

10wk pregnant patient comes to you for her first anternatal visit.
Can see the strings of the IUCD
What is your next step

A

Remove the IUCD now

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38
Q

Hot flushes 3-4 x a day
Vaginal dryness
Atrophic vagintis
She had hysterectomy 10 yrs ago
She has History of DVT
Approp tx?

A

Low dose transdermal estrogen

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39
Q

Most imp contraindication of OC pill

A

Breast Cancer

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40
Q

Lady with obesity, hirsutism and PCO asking for contraception

A

COCP

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41
Q

Missed her pill pn the 7th and 8th day
had unprotected sexual intercouse on the 6th and 7th day
mgt?

A

Give emergency contraception With Levonogestrel 2x 12 hrs apart

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42
Q

LAdy with obesity, hirsutism and PCO
asking for contraception

A

COCP

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43
Q

Woman with otosclerosis with hearing aid
What contraceptive method is best for her

A

IUCD

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44
Q

Female usng 30mg OCP
Presents with continuing painful periods
Want to conceive after 12 to 15 months
What to give her

A

use 50mg ocp

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45
Q

A patient is asking OCPs
Reports has been experiencing MIGRAINE

A

PROGESTERONE

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46
Q

H/o migraine with depressive illness
BMI 33, contraceptive method to use?

A

Condom only

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47
Q

How does microgynon 30 work

A

In the Hypothalamus

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48
Q

Yasmin oral contraceptive is prefered in Australia because

A

decrease weight instead of increasing it

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49
Q

After deliery, BREASTFEEDING
What contraption to use?

A

LEVONORGESTREL

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50
Q

Breastfeeding wants to CONCEIVE again

A

POP

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51
Q

Patient gaining weight on Olanzapine
Wants to change drug
Which one to give?

A

Aripiperazole

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52
Q

Loose stools still even after given Metronidazole
tx?

A

IV Vancomycin

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53
Q

22yo girl wants cervical cancer screening
She is not sexually active
What adv to give

A

No need

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54
Q

involves dislocation of the radial head as well as a fracture of the prximal ulna

A

Monteggia Fracture

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55
Q

Isolated fracture of the shaft of the ulna, usually due to a direct blow.
A blow from a nightstick (police baton)

A

Nightstick Fracture

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56
Q

often occurs following a fall on an outstretched hand

A

Scaphoid Fracture

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57
Q

Distal Radial fracture often due to a fall on an outstreched hand,
palmar displacement of the wrist rather than dorsal

A

Reverse Colles Fracture

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58
Q

What nerve can be damaged with Colles Fracture

A

Median Nerve

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59
Q

What is the ideal position of the forearm in Colles

A

The cast is applied with the distaln fragment in palmar flexion and ulnar deviation

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60
Q

What is the tx for Smith’s Fracture

A

Closed reductions and ORIF

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61
Q

Ulna Fracture with dislocation of the Radial Head

A

Monteggia

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62
Q

Radius fracture with dislocation of the Distal Radioulnar Joint

A

Galeazzi

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63
Q

Dorsal displacement of Distal Radius fragment

A

Colles Fracture

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64
Q

Volar displacement of distal radius fragment

A

Smith Fracture

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65
Q

What is the treatment of Bell’s palsy

A

Cover the eye
Steroids
Antiviral

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66
Q

no Sparing
Same side
All side affected

A

Right Side LMNL

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67
Q

Opposite side
Upper face is spared

A

UMNL

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68
Q

Can’t raise the eyebrow
Can’t close the eye
Cant blow the mouth
Cant smile wide

A

Facial Nerve

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69
Q

Cannot raise the eyebrow on the Left Side
Cannot Raise the eyebrow in the left side
No pain sensation in the Left side

A

LMNL
Bells Palsy

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70
Q

If you are suspecting Ceacal cancer
What symptoms could be there

A

Lethargy or Fatigue

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71
Q

Woman who is under evaluation of cecal carcinoma what is her presentation

A

Tiredness and Lethargy

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72
Q

Schizo patient, after taking medications for 1 yr she is diabetes positive
What will you check>

A

Cholesterol Levels

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73
Q

Athlete with twisting knee injury
Now can’t flex the knee beyond a point

A

Medial Meniscal Injury

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74
Q

Knee is locking in full extension and sometimes his legs gives away

A

Medial Collateral Ligament Injury
and Medial meniscus injury

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75
Q

Knee Injury after football, patient can’t roatte medially his legs
If thighs are fixed

A

Left meniscus

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76
Q

Internal rotation of femur on tibia

A

Medial Meniscus tear

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77
Q

External rotation of femur on tibia

A

Lateral Meniscus Tear

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78
Q

Direct bloq outside the knee

A

MCL Injury

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79
Q

Blow to the front of the knee
Direct blow to the anterior tibia in flexed knee

A

PCL injury

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80
Q

Popping sensation
Positive Antwrior Drawer sign and Lachman’s test

A

ACL

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81
Q

Direct contact, like tackle

A

Meniscal tear

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82
Q

Rugby tackle from the side
Direct valgus force to knee
Lateral Side knee
External tibial rotation
pain on medial knee
pseudo-lockiing = hamstring strain

A

MCL

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83
Q

Renal tumor 5cm
Lower lobe of the kidney

A

Partial Nephrectomy
if it is more than >7cm = Total Nephrectomy

ANYWHERE
uo to 0.5cm = Passed spontaneously - No intervention
0.5 - 2 cm + ESWL
.>2cm = PCNL

IF THE RENAL STONE IS IN THE LOWER POLE
up to 1 cm - ESWL
1cm-2cm = LASER lithotripsy
>2cm = PCNL

If proxomal Ureteric Stone
up to 1 cm = ESWL
>1cm = PCNL

Distal ureter
if not obstructed > 0.7 cm = :LASER LITHOTRIPSY
Between 0.5-0/7c, stone - Observe with Tamsulosin

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84
Q

What is the acute limb ischaemia warning sign

A

Paralysis

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85
Q

Syphilis, Alopecia,
Asia trip
Rash on pain
Sole rashes
2ndary syphilis
tx

A

Benzylpenicillin

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86
Q

Young urethral discharge
case was like typival epididymo orchitis
SX: of frequency, dysuria, frequency discharge , inv?

A

Urine Culture

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87
Q

Young man with milky white discharge doe urethra for 2 days
Neisseriadx
Treated with Ceftriaxone 1 g, IM
But he comes back with the same symptoma
Urine analysis diplococci
Reason?

A

Drug Resistance

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88
Q

A woman presented with back pain
She has mastectomy
Best tx for the pain

A

Radiation

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89
Q

Paresthesia of the Left upper limb
Dx with Metastatic breast cancer
CT has lesion in frontal lobe
Mgt?

A

Mets = DEXAmethasone

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90
Q

Patient with lump FNAC shows breast ca
estrogen neg
prog neg
her 2 neu gene BRCA _ve positive with palpable

A

Sentinal Lymph node biosy
= do that first

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91
Q

Breast Ca
Stafe I and II

A

Breast Conserving therapy with Sentinel Lymph biopsy followed by Radiation

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92
Q

Stage III Breast Ca

A

Modified Radiacl Mastectomy with Axillary Lymph nodes dissection
- Chemotherapy plus hormonal therapy
- (Tamoxifen, Anastrozole and Trastuzumab

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93
Q

Stage IV breast ca

A

Mastectomy

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94
Q

Carcinoma in Situ

A

Chenotherapy not needed

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95
Q

Bone mets

A

Local Radiotherapy plus biphosphonates

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96
Q

Brain mets

A

Local Radiotherapy

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97
Q

In local chest wall lesions

A

Local Radiotherapy

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98
Q

In liver mets

A

Chemotherapy

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99
Q

Lung mets

A

Chemotherapy

100
Q

Lady with history of breast Ca
Now with back pain
CT of whole spine showed solitary metastatic breast cancer
Lesion in frontal lobe
mgt?

A

Dexamethasone

101
Q

Pt with lumpo FNAC show breast ca estrogen negative Progesterone negative
Her 2 neu gene (BRCA +ve) positive with palpable
Mgt?

A

Sentinel Lymph node biopsy

102
Q

Breat Ca with back pain
CT whole spine - showed metastatic deposit
Mgt?

A

Radiotherapy - whole spine so 1 spot

103
Q

If ER positive tumor

A

Tamoxifen

104
Q

if Her 2 positive tumor

A

Trastuzumab

105
Q

Worst prognosis

A

Triple negative
ER receoptor negative,
progesteroone receptor negative (PR)
HER2 neu negative

106
Q

Mgt ff lumpectomy to destroy any residual tumor cells

A

Radiation

107
Q

Induction therapy to reduce the initial tumor burden prior to surgery

A

Radiation

108
Q

For small tumours and patients with strong preference for breast conversation

A

Lumpectomy
followed by radiation

109
Q

for larger tunours
prior history of chest radiation

A

Mastectomy

110
Q

Causes winged scapula

A

Long thoracic nerve
- nerve injury in mastectomy

111
Q

causes reduced sensation to upper medial arm
Most common nerve injured

A

Intercosto brachial nerve
- nerve injury in mastectomy

112
Q

causes weak adduction and internal rotation

A

Thoracodorsal Nerve
- nerve injury in mastectomy

113
Q
A
114
Q

Alcohol, agitated in emergency

A

IV diazepam

115
Q

1 month baby discharge since day 1

A

NLD

116
Q

3rd day discharge from eye baby

A

Gonorrhea

117
Q

Hoarseness, reflux, ifnection sahi hogya thai

A

Chest Xray

118
Q

Baby preterm O2 decreasing

A

Pneumothorax

119
Q

Subclavian tube insertion
BP drops
tracheal deviation

A

Needle thoracocentesis

120
Q

After hip surgery how will you give Heparin

A

Immediately before surgery

121
Q

Patient done with hip surgery
post ip 38 days heparin taking
mgt

A

Stop drug

122
Q

Fever with agitation
Moderate pneumonia
Mgt

A

Benzylpenicillin

123
Q

Neuromalignant syndrome

A

CK increased

124
Q

Elderly copious sputum
Lobar pneumonia

A

IV Tcarcillin

125
Q

Accident
conscious
o2 60

A

intubate ventilate

126
Q

Old patient flecion totally fine
Extension pain
Sitting good

A

Spondylosis or Stenosis

127
Q

Tx for necrotizing enterocolitis

A

Ampicillin and gentamicin

128
Q

low folic acid
howel jolly body
stomatitis
normal bowel
weight loss
inv?

A

Small Bowel biopsy
- celiac

129
Q

Patient on Methotrexate and Prednisolone complaining of mouth and tongue ulcer
tx?

A

Folic Acid

130
Q

Treatment of Chlamydia

A

Azithromycin

131
Q

Treatment of Acute Gout

A

Allo/morpine

132
Q

Treatment of Colle’s fracture

A

Plaster

133
Q

Treatment of DVT in pregnancy

A

Stocking / LMWH

134
Q

Treatment dose of recurrent gout

A

Allopurinol 25 mg
100 mg
200 mg

135
Q

Location of movement in MVA patients

A

Paradoxical breathing

136
Q

20 yo boy came what will you do for screening opportunities

A

BP

137
Q

Acute Limb ischemia
inv

A

Duple

138
Q

Septic arthirits tx

A

IV antibiotics

139
Q

Acute limb ischemia
inv

A

DUPLE

140
Q

Septic arthritis treatment

A

IV antibiotics

141
Q

Patients taking statins and HTN medications and has pain on shoulder asking the cause

A

Drug induce Myositis

142
Q

Child with pneumonia
Xray with pleural effusion
asking after giving antibiotic what to do next>?

A

Pleural Drain

143
Q

Scenario of moderate crouo
(Chest Wall restriction) asking treatment

A

IV adrenaline

144
Q

Scenario of Anaphylactic Schock asking for treatment

A

Adrenaline

145
Q

Pt with Parkinson disease and shcizo
taking Lithium now complaining of hand tremor

A

Decrease Lithium and add Parkinsons Drug

146
Q

Child with failure to thrive before weight was 70th percentile now is 30TH percentile asking for diagnosis

A

CF

147
Q

Child with Bilateral eye discharge after birth asking causes

A

Gonorheea / Lacrimal Duct Obstruction

148
Q

Another meningitis scenario and CSF analysis was there
(High protein normal glucose) neutrophilis was there asking for treatment

A

Antibiotic
or Antifungal

149
Q

Rash on thigh
Loose stools history for 10 years
With excessive flatulence
Antilian negative
Inv?

A

Colonoscopy

150
Q

BUlky pale offensive frothy greasy stools
stools difficult to flush down the tpilet
weight loss
failure to thrive
increased fecal fat
glossitis
Signs of multiple vitamin deficiencies
HYppochromic or megalobastic anemia
dx?

A

Malabsorption

151
Q

Triad of weight losss + diarrhea + Abdominal bloading + iron or folatre deficiency

A

Celiac Disease

152
Q

What is the first test for Celiac Disease

A

TTG - Antiendomysial antibody - IgA antigliadin Antibody

153
Q

What is the most accurate diagnostic test for celiac disease

A

Small Bowel Biopsy

154
Q

Child with impetigo with crusting
Antibiotic was started and cant cover all the plaster
Mother is asking the GP when the child can go back to school

A

24 hr after starting the antibiotic

155
Q

Molluscum contagiosum
how to prevent the contact?

A

Avoid swimming with hot water

156
Q

No contraction and couldnt feel the fetal movement 2 days ago
On auscultation the pregnant woman is fine
mgt

A

Ask her to drink icy drink and check the CTG again in 4 hrs

157
Q

HFM disease
Mother is so worried when the child can go back to the day care

A

When all the blisters dried

158
Q

Swelling in front of the ear and movable not firm, inflamed, painful when you swallowing or chering
inv?

A

USG

159
Q

old lady dall on outstretched hand
Xray given
mgt?

A

Open reduction and fixation

160
Q

34wks gestation with abdominal pain and bleeding per vagina 800ml,
uterus tense and tender
Fetal heart rate not heard
Mgt

A

Amniotomy

161
Q

Cervix still the same
Fetal head same position
Amiotic fluid are gone
Mgt

A

Immediate Cs

162
Q

18wks age opf gestation
uterus size 32 wks

A

Polyhydramnios

163
Q

Regularly using Marijuana
He doesnt reply when being asked
and mood is not stab;e
Mgt?

A

Fluoxetine

164
Q

Old man on multiple drug like Metformin, Diuretic, Perndopril. SSRI etc
Hyponatremia
What is the cause of Hyponatremia?

A

Fluoxetine

165
Q

The old man change his behaviour recently
2 wks ago he had multople fall and kept forgettinng and became aggressive
What is the Dx?

A

VAscular Dementia

166
Q

motor dysfunction with visual hallucinations that (overlaps with parkinsons)

A

Lewy Body Dementia

167
Q

Predominant memory problems

A

Alzheimers

168
Q

A man got dripping and symmetrical enlargment of the prostate
Show a bit od UTI feature What test will you get the Dx and treatment

A

Urinalysis

169
Q

Child 4yo with UTI
drug of choice

A

Cephalexin

170
Q

Women with UTI 28 wks pregnant asking for tx?

A

Cephalexin

171
Q

A young woman had an injury to his knee in a hame
sustaining pain and then swelling of the affected knee
Hear that poppin sound when he pkay game
He couldnt finish his game

A

ACL

172
Q

Syphilis treat,emt
backpacker go travel around the world
been to asia come with rash on hand and foot, alopecia
What is the tx?

A

Benzathine Pen

173
Q

FB removal in the right eye
Complains of blurring of vision in the Left eye
Irregular Red Reflex on eye examination
Cause

A

Retinal Detachment

174
Q

bilateral fine crackles
raised JVP
ECG confirms ATRIAL FIBRILLATION
Mgt?

A

Synchronized DC Cardioversion

175
Q

Treatment for inflammatory joint pain in multiple areas
Who also has renal failure
Contraindicated in this patient?

A

Methotrexate

176
Q

minor stroke + dementia

A

VAscular dementia

177
Q
A
178
Q

contraindication of COCP

A

Smoking

179
Q

mooon face

A

Cushing’s Disease

180
Q

episodes of starring in space
with lip smacking and limb movement
tx

A

Sodium Valproate

181
Q

1

Third degree block

A

Stop Metoprolol

182
Q

URTI + blood in his urine

A

Iga Nepropathy

183
Q

brownish greenish discharge

A

Gonorrhea

184
Q

postcoital bleeding

A

cervical ectropion

185
Q

R facial weakness
history of ear pain
odd taste in the mouth
R facial nerve paralysis

A

Ramsay Hunt Syndrome

186
Q

if there is tetanus vaccine 5 years ago next mgt?

A

Immunoglobulin

187
Q

Serum calcium high, high PTH

A

Parathyroid adenoma

188
Q
A
189
Q

What do you need for the Diagnosis for PCOS symptoms

A

FSH: LH

190
Q

Blood reveal a microcystic hypochromic anemia
irond deficiency anemia
tiredness and Increased shortness of brreath
inv?

A

Colonoscopy

191
Q

How do you manage the trachoma outbreak

A

Treatment of contacts

192
Q

LEft Side of the body sudden onset of carotid bruit
Left carotid artery stenosis - 40-50%
Right carotid artery 50-60%
BP 180/110
CHolestrol lebvel 5.6
Mgt?

A

Antiplatelet Therapy

193
Q

Man presents with vertigo + dysphagia + loss of tough and sensation of the opposite side of the body
Ipsilateral Horner’s syndrome
Where is the lesion?

A

Vertebral artery

194
Q

cold rash
purpuric or pale center
dx?

A

Herpes Simplex virus

195
Q

tenderness in her back L4-L5
restrictions in the movement of extension adn flexion rotations
What will yoiu give beside analgesic?

A

SPinal Xray - 50
Keep active - 40

196
Q

CHest infection
gained weight
admitted with impetigo
decreased 1kg
diagnosis?

A

Cystic Fibrosis

197
Q

loin pain, hematuria
nxt step?

A

Xray, KUB

198
Q

In acute Renal failure with a potassium of 6.8 mmol
ECG shows tall tented T waves
Commenced on Cardiac monitoring and is given insulin destrose infusion and Salbutamol nebulizers
tx?

A

Calcium Gluconate

199
Q

acute onset pain in the lower back with urinary symproms
significant weight loss
DRE - irregular prostate
next inv?

A

TRUS

200
Q

cough and nasal discharge
noisy cougjh
dx?

A

Acute laryngeotracehobronchitis

201
Q

Neck stiffness and meningitis sign start 3 days ago
CXR shows well defined round opacity in the middle right lung
cause?

A

Aspergillus

202
Q

menses pain and heavy flow
tx?

A

Mefenamic acid

203
Q

decreased HB with cyclic menorrhagia
next?

A

Levonorgestrel releasing IUD

204
Q

X

BMI 32
striae and pigmentation on her neck and axillary region
she has amenorrhea
striae on abdomen
dx?

A

Metabolic Syndrome

205
Q

obese woman with hirsutism and hypertension
what is the elvated level on her?

A

Cortisol

206
Q

rash and rouleaux on blood test
diagnosis?

A

Wald Enstrom’s macroglubulinemia

207
Q

Urine protein and hematuria with 3-4 renal cysts seen on USG
Helicobacter pylori with triple therapy
hypertensive
Dx?

A

PKD

208
Q

Postpartum bleeding after 14 hrs deliver
complete placenta
no lochia, oerineal tear does not require sutures
comes with heavy bleeding on the 5th day
what is the cause?

A

Perineal wound

209
Q

No history of travel,
stool with blood and mucus
no fever and no use of medications
Diagnostic suspicion?

A

Crohn’s Disease

210
Q

Previous history of ulcerative colitis develops pruritus
noticed sclera becoming yellow
LFTS are deranged and her ANCA is positive
What is the diagnosis?

A

Primary sclerosing cholangitis

211
Q

Agitated, sweaty, pupil dilatation
Which drug would be responsible?

A

Methamphetamine

212
Q

Causes of recurrent ischiorectal abscess in the absence of any git symptoms?

A

Anal fistula

213
Q

PSA becomes 3.0 (Normal <4.0
Prostate is enlarged and regular
adenocar of Gleason 4 datge
mgt?

A

Radical Prostatectomy

214
Q

femoral pulse not palpable
dorsalis pedis is palpable
ABI 0.3
best way to diagnose?

A

Arteriography

215
Q

Admitted for AF
after developed severe abdominal pain, nausea and vomiting
passed bloody stool
inv?

A

Serum Lipase

216
Q

ABd CT found 2 cm stone in the upper pole of the kidney
What to do

A

Extracorpeal Shock Wave Lithotripsy

217
Q

colicky abdominal pain and anorexia
tenderness all over the abdomen with guarding
dx?

A

Perforated Appendicitis

218
Q

45yo obese, diabetic and hypertensive woman came to you with a soft mass in the epigastrium
What is your advice for long term management?\
A. mesh herniorrhaphy
B. Weight reduction

A

B. Weight reduction - 1st step

219
Q

sudden onset of red and swollen nontender scrotum including penis and perineum
testis is norma’l
dx?

A

Idiopathic scrotal edema

220
Q

poor feeding and bile stained vomiting
passing meconium on day 4 of birth
mild jaundice and abdominal distension and is irritable
abdomen is distended and tender
dx?

A

Hirschprung’s disease

221
Q

if the case has GCS
inv?

A

CT SCan

222
Q

central scotoma
dx?

A

Macular degeneration

223
Q

cherry red spot

A

CRAO

224
Q

history of surgery for achalasia
hoarseness and dysphagia
mass in the thoracic inlet
diagnosis?

A

Cancer of the larynx

225
Q

ZX

acute pain and earache R side of the face
with preauricular swelling omn the R
tender on palpation bilaterally
dx?

A

Mumps

226
Q

IF family has colon ca then siblings has ureteral ca
What dx related to the man ?

A

Lynch syndrome

227
Q

if there is 6cm laceration in the anterior part of the tibia
tibia grossly deformed and distal pulsations were absent
mgt?

A

Debridement

228
Q

swelling in front of the neck in the anterior triangle
hoarseness and difficulty in breathing esp when lying on his back

A

Multinodular goiter with retrosternal extension

229
Q

severe chest pain which occur after bouts of vomiting on examination and there is dullness over the left lower lobe of the lung
inv?

A

Gastrograffin swallow

230
Q

4yo blood stained in underwear
mgt?

A

Report for sexual abuse

231
Q

child with 3cm lump under mandible angle
painless
no lymphadenopathy
no fever
inv

A

Review in 1 week

232
Q

pinpoint lesions on the trunk and limbs of lesions were nonblanchable
Mgt?

A

ITP

233
Q

neck stiffness and anterior fontanelle full
Mgt and Dx

A

Viral meningitis
tx: Oral paracetamol

234
Q

baby born at term suddenly collpased and severely dyspneic
no murmur hear on cardiac auscultation
dx?

A

Hypoplastic Left Heart

235
Q

hypotonia, areflexia in all four limb feeing difficult, can’t control the head
Dx?

A

Spinal Muscular Atrophy

236
Q

cough, fever, rhinitis and rash
complains of chest pain during cough
What is the diagnosis?

A

Viral Pneumonia

237
Q

pain and drooling saliva
ingests washing detergent
complications?

A

Esophageal Stricture

238
Q

pain and stiffness in her pelvic and shoulder girdle
complains of painful mastication
ESR 95mm
Dx?

A

Polymyalgia Rheumatica
(difference vs Statin induced myopathy - ESR om SIM is low)

239
Q

3 organic causes of Panic Attack

A

Hyperthyroidism
Phaeochromocytoma
Hypoglycemia

240
Q

“feels something wrong in his body

A

“Panic Attack

241
Q

opacity with well defined round margin in the middle zone of the RIght Lung or “halo sign”
dx?

A

Aspergillus or the most common infection after renal transplant

242
Q
A
243
Q

excruiciating retrosternal chest pain that radiates to the back
pain as sharp and worsens with swallowing
Med hx significant for naorexia nervosa
inv?

A

Gastrograffin swallow

244
Q

fasciculation and weakness in both arms with absent reflexes

A

Motor neuron disease

245
Q
A
246
Q

if CO2 is increasing and O2 is decreasing
mgt

A

CPAP

247
Q
A

Chings Notes (39 decks)

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