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Chings Notes > Random Recalls > Flashcards

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A disorder in which a person believes that a friend,spouse , parent or other close family member has been replaced by an identical looking impostor.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

Most common ecg finding seen I. Hyperthyroidism

A

Sinus Tachycardia

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26
Q

LSIL

A

Referral for colposcopy

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27
Q

Investigation of choice for screening developmental dysplasia of the hip in beyond 6 months of age

A

Xray

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28
Q

Investigation of choice for screening developmental dysplasia of the hip in less than 6 months of age

A

Ultrasound of the hip

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29
Q

Strongest independent predictor of stroke in a patient with no valvular atrial fibrillation

A

Previous stroke

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30
Q

Persistent epigastric pain that gets worst with food
Age >55

A

Refer for upper GI endoscopy

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31
Q

OCPs most likely increase the incidence of which malignancy

A

Cervical cancer

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32
Q

Contraindicated in reperfusion therapy in aboriginals

A

Streptokinase

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33
Q

Drugs that can lead to osteoporosis if the jaw

A

Zoledronic Acid

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34
Q

Most common acute complications of haemodialysis

A

Hypotension

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35
Q

First line treatment of acute otitis media

A

Amoxicillin for 1 week

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36
Q

Treatment for Acute Tophous Gout

A

Prednisolone

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37
Q

Boggy swelling of knee clicking sound
Inv?

A

MRI
DX- ACL tear

38
Q

Old patient, bilateral shoulder and hip pain
Esr is RAISED AND CK normal

A

Prednisolone

39
Q

Ck and Esr both raised

A

Polymyositis

40
Q

ESR raised and CK normal

A

Polymyalgia Rheumatica

41
Q

ESR and CK both normal

A

DRUG INDUCED STEROUDS ANS STATIN

42
Q

Where is the lesion for the
Right homonymoushemianopia with Macular sparing

A

Left occipital cortex

43
Q

Epigastric hernia on lineaalba commonly contains what

A

Extraperitoneal fat

44
Q

Doctor is HIV positive. He doesn’t reveal the condition and continues to practice. What do you do?

A

Report to Aphra

45
Q

Appropriate management for the prolapsed hemmorhoids

A

Rubber band ligation

46
Q

Failure to thrive + chronic cough +loose bowel actions

A

Cystic Fibrosis

47
Q

What is the Inv to confirm the diagnosis for Good Pasture disease

A

Anti GBM antibody

48
Q

40 yo male with visible haematuria
Kidneys palpable
No pain symptoms
Dx?

A

POLYCYSTIC KiDNEY disease

49
Q

Presents in the last trimester with symptoms of fulminant hepatitis -
Jaundice, Vomiting, abdominal pain,headache and possibly coma

A

Acute FATTY liver of pregnancy

50
Q

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

A

Cholestasis of Pregnancy

51
Q

Bleeding from the genital tract after the 20th week of gestation and before the onset of labour

A

Antepartum Hemorrhage

52
Q

34 wks of pregnancy with complaints of itching

A

Cholestasis of Pregnancy

53
Q

Fever
Headache
Malaise
Nausea
Vomiting
Nasal blockage
Sorethroat
Myalgia

A

Epstein Barr mononucleosis

54
Q

Previous 1 wk hx of headache and fever
Now with dark urine. Jaundice,hepatomegaly and splenomegaly
Sexual partner is well.
Dx?

A

Ebv

55
Q

Picture of Herberdon nodes what condition is this

A

Coeliac Disease

56
Q

38 wks amniotomy meconium stained
Ctg normal what is next

A

Stop ctg

57
Q

Fatigue
Dizziness
Plus minus syncope

A

Cardiac Arrhythmias

58
Q

Female patient hx of syncope
Ecg Norma,BP sitting and lying dame and normal
What is next?

A

Holter

59
Q

Wallenberg syndrome is an occlusion of what artery

A

Inferior Cerebellar Artery
Supply lateral part or medulla

60
Q

What is the area of damage for the contralaterak body loss of pain and temperature

A

Spinithalamic Tract

61
Q

Areas of damage
Ipsilateral face loss of ain and temperature

A

Trufeminothalamic tract

62
Q

Areas of damage
Hoarseness. Dysphagia, loss of gag reflex

A

Nucleus ambiguus

63
Q

Acute onset of vertigo without hearing loss or tinnitus
An absence of tinnitus and hearing loss
Did Hallpike test is negative

A

Vestibular neuritis

64
Q

Type 2 dm
Hepatomegaly.congestive heart failure
Cardiomyopathy
Skin pigmentatjon

A

Herochromatosis
Decreased Lh and Fsh

65
Q

Painless swelling of the
scrotum
Solid mass in the left testicle
Ultrasound was done
What’s next

A

Seru. Beta HCG and afp

66
Q

What are the three serum tumour markers in the management with testicular cancer

A

BCG
AFP
LDH

67
Q

Tx of choice for pleomorphic adenoma

A

Superficial parotifectomy

68
Q

Screening for gestational diabetes in patient with no family hx of dm

A

24 to 28 wks

69
Q

Tonic clinic seziure lasting for one minute with coryza and fever for past 3 days

A

Reassurance

70
Q

Long term complication of mitral stenosis

A

Pulmonary hypertension

71
Q

Gait disturbance and memory impairment gradually worsening over the last 12 months after a lacunar stroke
HTN, AF, dm 2

A

Vascular Dementia

72
Q

Best treatment for Svt

A

Vagal maneuvers and Adenosine

73
Q

Inability to see in the right halves of both eyes

A

Left occipital obe lesion
- homonyms hemianopia

74
Q

Red injected conjunctiva
Red cracked lips
Maculopapular rash
Redness of palm’s and soles
Cervical lymphadenopathy

A

Kawasaki disease

75
Q

Sudden onset of severe headache

A

Subarachnoid haemorrhage

76
Q

Treatment of choice for paroxysmal supreventricular Tachycardia

A

Adenosine
It blocks transmission through Av nodes

77
Q

Contraindicated in asthma

A

Adenosine

78
Q

Treatment of choice for ventricular Tachycardia

A

Shock

79
Q

Medication to prevent malaria

A

Doxycycline

80
Q

Most common cause or elevated TSh with hard nodular thyroid

A

Hashimotos thyroiditis

81
Q

9 month
Dyspnoea
Unable to feed
Hyperinflation chest
With inspiratiry and expiratory wheeze
Next step and diagnosis

A

Oxygen via nasal prongs
Acute bronchiolitis
Caused by RSV

82
Q

Pagers disease is most commonly affect the

A

Pelvis

83
Q

Rushed to the ED
Upper abdominal pain which radiates to the back
Sybcopal episode
Low BP
Next inv?

A

Bedside ultrasound
Ruptured AAA

84
Q

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

A

Uterine Rupture

85
Q

Anti eplipetic drugs that does not affect the efficacy of hormonal contraceptive pills

A

Levetiracetam

86
Q

Strawberry narvus on the right eyelid

A

Infantile haemangioma
Tx is Oral Propanolol

87
Q

Most commonly injured nerve in anterior dislocation of the shoulder

A

Axillary Nerve

88
Q

Best treatment for plantar fascists

A

Exercise to stretch the fascia

89
Q

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

A

Rosella infantum

90
Q

Programed of coryza cough and kopecks spots

A

Rubella

Chings Notes (39 decks)

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