Random Recalls 3 Flashcards

1
Q

Right testicular paon for 2 hours
Scrotum is tender and swollen spermatic cord thickened and can go abov3 the lump

A

Surgery

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2
Q

Three most commonly performed operations for the treatment of obesity in Australia

A

Sleeve gastronomy
Adjustable gastric band
Round en Y gastric Bypass

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3
Q

Most effective treatment of obstructive sleep apnea

A

Continuous positive airway pressure

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4
Q

Which medication should be avoided in parkinsons disease

A

Haloperidol

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5
Q

Melanoma 2.5mm deep with clear margins 1-2cm

A

Wide excision

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6
Q

Pus surrounding the urethral meat’s
Foreskin partially retractable
No erythenatous or skin changes

A

Mypirocin cream
Bacterial balanitis

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7
Q

Waddling
Difficulty in walking

A

Duchenne Musculat Dystrophy

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8
Q

Patient sitting forward in distress
Visible peristalsis
Loud borborygmi
Dehydration
Increased sharp and tinkling bowel sounds

A

Small bowel obstructions

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9
Q

Palpable breast mass
Quickest and most effective to diagnose breast cancer

A

Fnac

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10
Q

Left sidedfacial weakness
Inability to close left eye and drooling from the corner of the moutherythematous vesicular rash along the auditory canal

A

Dx Ramsay Hunty Syndrome
It is a lower motor neuron facial palsy which results in the abrupt oneself of unilateral facial weakness, I.paired blinking and drooling from the corner of the mouth

Tx ACYCLOVIR ORAL

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11
Q

Main complications of surgery for the retroperitoneal lymph node Dissection for the retroperitoneak metastasis from a non seminomatous testicular tumour

A

Retrograde ejaculation

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12
Q

Right leg pain and swelling after swimming in the beach
Sharp sting on the right leg
By a bLue bottle jellyfish

A

Hot water immersion

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13
Q

Fever
Right upper quadrant ain
Developing jaundice

A

Acute cholabgitis

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14
Q

Vsd
Doppler USG shows small.left to right shunt with pulmonary to systemic flow ratio of less than 1.5

A

Infective endocarditis

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15
Q

Best test to monitor heparin therapy

A

Activated partial thromboplastin time

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16
Q

Deep.pain in the calf muscles that occurs intermittently after walking for a given distance and subsides after a few minutes of resr

A

Atherosclerosis stenosis of the distal duperficial femoral artery

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17
Q

PSA below 4 0 ng /dl
Best initial treatment to prescribe

A

Finssteride
Dx. Benign Prostatic Hyoerteophy

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18
Q

Mantoux test is reactive
Chest xray shoes a right made lobe infiltrate and hilar lymphadenopathy
Child s grandmother has similar symptoms
Fever cough and night sweats for 3 wks
Most appropriate enzt step

A

Gastric aspiration
PULMONARY TUBERCULOSIS

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19
Q

Small red draining pustule on the lateral side of the right ring finger

A

CUTANEOUS sporotrichosis caused by the fungus sprothrix schenckii
Treated by Itraconazole

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20
Q

Woman complains that her mother is undereducated and selfish and on the other hand she idealizes her aunt whom.she describes to be kind and source of strength in her life

A

Splitting

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21
Q

Refers to the attribution of one’s feelings or beliefs to another

A

Projection

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22
Q

Refers to the exaggeration of an individual qualities by an admirer

A

Idealization

23
Q

Refers to the transformation of psychological stressors into physical complaints

A

Conversion

24
Q

Refers to the selection of a particular object tor event to represent other meanings

A

Symbolization

25
Q

Trajectory bullet above the level of the angle of the mandible
Most appropriate next step

A

Arteriogram

26
Q

Continuous machinery murmur that is most audible at the left infraclavicular area
LVH is present in the Ecg
CXR shows slight enlargement of the heart and increased venous markings

A

PDA

27
Q

Widely split and fixed second heart sound

A

ASD

28
Q

Harsh holosystolic murmur best heard over the lower left sternal border

A

VSD

29
Q

Presence of VSD right ventricular hypertrophy, plutonium stenosis and overriding aorta.
Murmur is a long systolic ejection murmur

A

Tetralogy of Fallot

30
Q

High outched systolic ejection murmur most audible at the upper left sternly border
Systolic thrill maybe present at the left sternly border and in the suprasternal notch

A

Pulmonic stenosis

31
Q

Chronic diarrhoea and weight loss
Growth retardation
Muscle wasting
Distended abdomen
Hyperactive bowel sounds
Decrease serum iron and Foliate levels
Dx?

A

Coeliac disease

32
Q

Continuous machinery murmur

A

PDA

33
Q

Sixty nerve palsy is caused very rarely by which one of the Ff

A

Low csf pressure after lumbar puncture

34
Q

Most common cause of acute limb ischaemia

A

Thrombosis

35
Q

Cognitive behavioural therapy is useful in all except

A

Sleep walking

36
Q

Jaundice, dark urine and pale stool
Palpable gallbladder and moves with respiration
No pain elicited
Denied hx of pancreatic or alcohol intake

A

Periampullary tumour

37
Q

Best test todiagnose falcon’s anaemia

A

Chromosome fragility test

38
Q

Bilateral parotid swelling noted with pre-sternal oedema

A

Parymyxovirus can be isolated from CSF in mumps meningitis

39
Q

Best initial treatment of Mallet finger caused by tendon injury

A

Maintain hyper extension of the distal interphalangeal joint for 6 wks

40
Q

Blinking of both eyes and smacking of mouth esp when watching television ir feeding
Shrugging his shoulder on and off when walking

A

Habit spasms
Aka Tics

41
Q

Fever, anaemia, high esr, elevated estr, scalp ain or tender

A

Grant cell arthritis
Tx Prednisolone

42
Q

Blurring of vision
Glare

A

Cataract

43
Q

Malodorous Gray with burning and itching

A

Gardnerella vaginalis
Bacterial vaginosis

44
Q

Loud borborygmi
Patient sitting forward in distress
Visible peristalsis
Dehydration
Increase sharp and tinkling bowel sounds

A

Small bowl obstruction

45
Q

Tc for high blood pressure within end organ damage
Fundoscooy shows bilateral papilloedema with exudate and haemorrhages

A

Intravenous Sodium nitroprusside

46
Q

Drug of choice for malignant hypertension in pregnancy

A

Hydralazine

47
Q

Dementia
Myoclonus
Ataxia
Chorea

A

Creutzfeldt-Jakob Jakob disease

48
Q

Respiratory unfertilised and diarrhea

A

Cystic Fibrosis
Sweat chloride Test

49
Q

Classic triad of dementia, gait disturbance and urinary incontinence

A

Normal.pressuee hydrocephalus

50
Q

Management I’d Psoriasis Arthritis

A

Sulfasalazine

51
Q

Man with dirty laceration on the keg 5 wks earlier got tetanus prophylaxis . What to administer ?

A

Fluxocacillin

52
Q

Breat lum 55 ductal
35 fibro
245 cystcic

A
53
Q

Danger sign breast

A

Dimpling

54
Q

Nipple discharge
Bloody papillary ca below 50
Ductal carcinoma more than 50

A