Random Recalls Flashcards

1
Q

Most appropriate treatment for Open angle Glaucoma

A

Topical Timolol

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2
Q

Tremor, shivering, agitation and confusion

A

Serotonin Syndrome

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3
Q

Multiple fractured ribs
Conscious and stable

A

Intubation and ventilation
Due to flair ribs

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4
Q

First line management to help her quit smoking

A

Cognitive behaviour therapy and counselling

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5
Q

Swelling on one side of her neck
No other symptoms and is generally healthy

A

Multinodular goitre

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6
Q

Mortality of ruptured abdominal aortic aneurysm

A

80%

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7
Q

Darj colour expanding lesion on the keg over the last one month

A

Excisions biopsy
- malignant melanoma

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8
Q

A disorder in which a person believes that a friend,spouse , parent or other close family member has been replaced by an identical looking impostor.

A

Cameras Syndrome
Ajka Delusional Misindentificatjon Syndrome

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9
Q

Not a feature of Fanconi Anemia

A

Auto somalia dominant

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10
Q

Most initial test for osteoporosis

A

Vitamin D level

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11
Q

Next step for renal colic

A

USG combined with abdominal Xray

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12
Q

Incorrect regarding raloxifene

A

It prevents non vertebral fractures

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13
Q

Not a contraindication to tocolysis

A

Maternal Hypothyroidism

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14
Q

Effective in healing anal fissures in children

A

Topical anusol cream

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15
Q

Most likely cause of oligohydramnios in the second trimester of pregnancy

A

Renal agents is

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16
Q

Breast cancer metastasis to right femur, pelvis and right humerus

A

Tamoxifen

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17
Q

Breast cancer and metastasis to only one spot of the bone

A

Radiation Therapy

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18
Q

True r3farding shoulder dystocia

A

Erbs palsy us a common female injury

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19
Q

Pregnant woman with Rheumatoid Arthritis well controlled with methrotrexate and hydroxychloroquine
What’s the best advice

A

Continue Hydroxycholoroquine
Stop methotrexate

Methotraxeate is teratogenic

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20
Q

Tender, swollen and painful breasts
(Mastalgia)
Management?

A

Primrose oil
1000 mg 3 x a day for 3-4 months

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21
Q

Axial rigidity
Dysphagia
Vertical graze abnormality

A

Supranuclear palsy

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22
Q

Resting tremors .cogwheel rigidity.bradykinesia
Festinating gait

A

Parkinsons disease

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23
Q

Ataxia
Falls
Past pointing
Robert sigb
Nystagmus

A

Cerebellar stroke

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24
Q

Degenerative disease of the CNS caused by infectious proteins

A

Creutzfeldt-Jakob Jacob disease

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25
Most common ecg finding seen I. Hyperthyroidism
Sinus Tachycardia
26
LSIL
Referral for colposcopy
27
Investigation of choice for screening developmental dysplasia of the hip in beyond 6 months of age
Xray
28
Investigation of choice for screening developmental dysplasia of the hip in less than 6 months of age
Ultrasound of the hip
29
Strongest independent predictor of stroke in a patient with no valvular atrial fibrillation
Previous stroke
30
Persistent epigastric pain that gets worst with food Age >55
Refer for upper GI endoscopy
31
OCPs most likely increase the incidence of which malignancy
Cervical cancer
32
Contraindicated in reperfusion therapy in aboriginals
Streptokinase
33
Drugs that can lead to osteoporosis if the jaw
Zoledronic Acid
34
Most common acute complications of haemodialysis
Hypotension
35
First line treatment of acute otitis media
Amoxicillin for 1 week
36
Treatment for Acute Tophous Gout
Prednisolone
37
Boggy swelling of knee clicking sound Inv?
MRI DX- ACL tear
38
Old patient, bilateral shoulder and hip pain Esr is RAISED AND CK normal
Prednisolone
39
Ck and Esr both raised
Polymyositis
40
ESR raised and CK normal
Polymyalgia Rheumatica
41
ESR and CK both normal
DRUG INDUCED STEROUDS ANS STATIN
42
Where is the lesion for the Right homonymoushemianopia with Macular sparing
Left occipital cortex
43
Epigastric hernia on lineaalba commonly contains what
Extraperitoneal fat
44
Doctor is HIV positive. He doesn't reveal the condition and continues to practice. What do you do?
Report to Aphra
45
Appropriate management for the prolapsed hemmorhoids
Rubber band ligation
46
Failure to thrive + chronic cough +loose bowel actions
Cystic Fibrosis
47
What is the Inv to confirm the diagnosis for Good Pasture disease
Anti GBM antibody
48
40 yo male with visible haematuria Kidneys palpable No pain symptoms Dx?
POLYCYSTIC KiDNEY disease
49
Presents in the last trimester with symptoms of fulminant hepatitis - Jaundice, Vomiting, abdominal pain,headache and possibly coma
Acute FATTY liver of pregnancy
50
This condition is due to osteregen sensitivity Symptoms are mild, low grade jaundice and pruritus during the latter half of pregnancy Usually at or before 38 wks of gestations and perform Lots and consider Vit K supplements
Cholestasis of Pregnancy
51
Bleeding from the genital tract after the 20th week of gestation and before the onset of labour
Antepartum Hemorrhage
52
34 wks of pregnancy with complaints of itching
Cholestasis of Pregnancy
53
Fever Headache Malaise Nausea Vomiting Nasal blockage Sorethroat Myalgia
Epstein Barr mononucleosis
54
Previous 1 wk hx of headache and fever Now with dark urine. Jaundice,hepatomegaly and splenomegaly Sexual partner is well. Dx?
Ebv
55
Picture of Herberdon nodes what condition is this
Coeliac Disease
56
38 wks amniotomy meconium stained Ctg normal what is next
Stop ctg
57
Fatigue Dizziness Plus minus syncope
Cardiac Arrhythmias
58
Female patient hx of syncope Ecg Norma,BP sitting and lying dame and normal What is next?
Holter
59
Wallenberg syndrome is an occlusion of what artery
Inferior Cerebellar Artery Supply lateral part or medulla
60
What is the area of damage for the contralaterak body loss of pain and temperature
Spinithalamic Tract
61
Areas of damage Ipsilateral face loss of ain and temperature
Trufeminothalamic tract
62
Areas of damage Hoarseness. Dysphagia, loss of gag reflex
Nucleus ambiguus
63
Acute onset of vertigo without hearing loss or tinnitus An absence of tinnitus and hearing loss Did Hallpike test is negative
Vestibular neuritis
64
Type 2 dm Hepatomegaly.congestive heart failure Cardiomyopathy Skin pigmentatjon
Herochromatosis Decreased Lh and Fsh
65
Painless swelling of the scrotum Solid mass in the left testicle Ultrasound was done What's next
Seru. Beta HCG and afp
66
What are the three serum tumour markers in the management with testicular cancer
BCG AFP LDH
67
Tx of choice for pleomorphic adenoma
Superficial parotifectomy
68
Screening for gestational diabetes in patient with no family hx of dm
24 to 28 wks
69
Tonic clinic seziure lasting for one minute with coryza and fever for past 3 days
Reassurance
70
Long term complication of mitral stenosis
Pulmonary hypertension
71
Gait disturbance and memory impairment gradually worsening over the last 12 months after a lacunar stroke HTN, AF, dm 2
Vascular Dementia
72
Best treatment for Svt
Vagal maneuvers and Adenosine
73
Inability to see in the right halves of both eyes
Left occipital obe lesion - homonyms hemianopia
74
Red injected conjunctiva Red cracked lips Maculopapular rash Redness of palm's and soles Cervical lymphadenopathy
Kawasaki disease
75
Sudden onset of severe headache
Subarachnoid haemorrhage
76
Treatment of choice for paroxysmal supreventricular Tachycardia
Adenosine It blocks transmission through Av nodes
77
Contraindicated in asthma
Adenosine
78
Treatment of choice for ventricular Tachycardia
Shock
79
Medication to prevent malaria
Doxycycline
80
Most common cause or elevated TSh with hard nodular thyroid
Hashimotos thyroiditis
81
9 month Dyspnoea Unable to feed Hyperinflation chest With inspiratiry and expiratory wheeze Next step and diagnosis
Oxygen via nasal prongs Acute bronchiolitis Caused by RSV
82
Pagers disease is most commonly affect the
Pelvis
83
Rushed to the ED Upper abdominal pain which radiates to the back Sybcopal episode Low BP Next inv?
Bedside ultrasound Ruptured AAA
84
37 was gestation Sudden onset of severe abdominal pain Vaginal bleeding Abdomen irregularly distended Shifting dullness and fluid thrill both are present Feral heart sounds not audible
Uterine Rupture
85
Anti eplipetic drugs that does not affect the efficacy of hormonal contraceptive pills
Levetiracetam
86
Strawberry narvus on the right eyelid
Infantile haemangioma Tx is Oral Propanolol
87
Most commonly injured nerve in anterior dislocation of the shoulder
Axillary Nerve
88
Best treatment for plantar fascists
Exercise to stretch the fascia
89
High grade fever tjay resolves abruptly followed by the development of rash starting on the neck and trunk and spreading to the face and extremities
Rosella infantum
90
Programed of coryza cough and kopecks spots
Rubella