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4th year revision > Random question bank mix 3 > Flashcards

Random question bank mix 3 Flashcards

1
Q

what is the management of a recurrent episode of c.diff within 12 weeks of symptom resolution?

A

oral fidaxomin

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2
Q

symptoms suggestive of cauda equina, what is next step?

A

urgent MRI

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3
Q

what condition is occasionally associated with a bisferins pulse

A

hypertrophic cardiomyopathy

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4
Q

painful bleeding gums with halitosis and punched out ulcers in the gums?

A

acute necrotising ulcerative gingivitis

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5
Q

what is the management of acute necrotising ulcerative gingivitis?

A

paracetamol + oral metronidazole + chlorhexidine mouthwash

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6
Q

what can happen if you give insulin in HHS?

A

central pontine myelinolysis

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7
Q

what are the contraindications to inserting a chest drain?

A
  • INR >1.3

- platelets <75

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8
Q

what drug class when coupled with NSAIDs increase the GI bleeding risk?

A

SSRIs

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9
Q

what is the most approproate initial imaging in acute pancreatitis?

A

USS

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10
Q

what drugs cause ototoxicity?

A

gentamicin, furosemide, aspirin

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11
Q

what side effects are seen in SSRI discontinuation syndrome?

A

GI symptoms

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12
Q

which TB drug causes drug induced lupus?

A

isonizid

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13
Q

what is the first and second line treatments for endometriosis in someone who does not want to be pregnant?

A
  1. paracetamol + NSAIDs

2. COC

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14
Q

what is the most common place where you get bone mets? (within the MSK system)

A

spine

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15
Q

what is ischemic hepatitis

A

hepatic ischemia following hypoperfusion such as in spetic shock. Causes elevated liver enzymes (AST 50x normal) and is associated with AKI or other end organ disease

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16
Q

what bacteria is associated with spontaneous bacterial peritonitis?

A

ecoli

17
Q

what is the management of mobitz type 1 heart block in an athlete?

A

reassure and safety net

18
Q

what electrolyte imbalances can prolong the QT?

A

hypocalcaemia

hypokalaemia

19
Q

when would a chronic UC be considered severe? and what is the management?

A

If get a severe relapse or 2 or more exacerbations in a year then its severe UC and needs oral azathioprine

20
Q

what can be used to treat the symptoms of carcinoid syndrome?

A

octrectide

21
Q

abdo pain + early satiety + bilateral flank masses

A

ADPKD

22
Q

what is the management of cellulitis which presents near the nose or eye

A

co-amoxiclav

23
Q

what drug is required in the management of hyperemesis gravida with neurological signs

A

pabrinex

24
Q

what is the management of acute prostatitis

A

ciprofloxacin

25
Q

what should you think if you see an x linked recessive condition in a girl

A

turners syndrome (due to only one X)

26
Q

what could you use in AF rate control in an asthmatic patient

A

calcium channel blockers

27
Q

what is mesenteric adenitis

A

inflamed mesenteric lymph nodes often proceeding a viral infection (abdo pain post viral illness)

28
Q

what is the management of acute cholecystitis?

A

IV antibiotics + early laparoscopic cholecystectomy within 1 week of diagnosis

29
Q

what is a common cause of vena cava syndrome

A

malignancy

30
Q

where is brocas area

A

left inferior frontal gyrus (frontal lobe)

31
Q

where is wernickes area

A

superior temporal gyrus (temporal lobe)

32
Q

what is an alternative management to symptomatic brady when atropine is contraindicated (ie in allergy)

A

adrenaline infusion

33
Q

what is the most approproate non pharmacological intervention for schizophrenia? ( to be used alongside pharmacological)

A

CBT

34
Q

what is the first and second line treatments for endometriosis in someone who wants to be pregnant?

A
  1. NSAIDs + paracetamol
  2. GnRH analogues (gosarelin acetate)
  3. Surgery (laparoscopic excision)

4th year revision (32 decks)

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