Recalls Flashcards
First ultrasound at what week
18-20 weeks
First line management in a high OGTT pregnant mother
Daily monitoring and lifestyle modification
CT findings of liver in melanoma
diffuse irregular lesions
CT findings of cirrhosis
irregular surface of the liver
Hypertrophy of the caudate lobe
upper eyelid swelling with itchiness and dryness
Blepharitis
Formula for Sensitivity
No. of true positives divided by total no. of people with illness
Formula for Specificity
No. of True negatives divided by Number of people without illness
Test for suspected Meckel’s diverticulum bleeding
Tc- Labelled RBC scan
next management after an unsuccessful Endoscopy for bleeding
CT angiogram
POA 36 weeks. Comes with PV bleeding and abdominal pain. Abdomen tender to touch. No fetal heart sounds
BP- 80/60 After resuscitating the pt, wt to do?
- Misoprostol
- LSCS
- Amniotomy
-USG
Amniotomy
- POA- 16 wks. Present with PV bleeding. On examination clots around cervix seen. BP- 80/40
IV N.S given in resuscitations. Wt to do next?
Ultrasound
- A patient comes with history of stricturoplasty for Crohn’s disease. Six months ago he was started on warfarin after an episode of pulmonary embolism. Now presents with right iliac fossa tenderness. Rest of the examination is normal. hat is
your diagnosis?
Rectus sheath hematoma
Most common etiology for rectus sheath hematoma
Anti coagulation therapy
- Woman on sodium valproate for an epilepsy history of 15 years. Wants to concieve now. What to do?
- stop the drug
- Stop n start some other drug
- Reduce the dose
- Refer to a psychiatrist
Reduce the dose
wean off valproate 2-4 weeks and add folic acid 5 mg
Coombs positive indicates which conditions
Autoimmune Hemolytic Anemia- Hemolytic Disease of the Newborn- Transfusion Reactions- Systemic Lupus Erythematosus- Certain leukemias
Old guy with prostate cancer extended to seminal vesicles. No lymph node extension. Management?
a. ERBT
b. Radical prostatectomy
c. Orchidectomy
External Beam Radiation Therapy (EBRT): This is considered the mainstay of treatment for patients with seminal vesicle invasion (SVI). Hypo fractionated radiotherapy with image-guided intensity-modulated radiotherapy (IMRT) is recommended, often combined with androgen deprivation therapy (ADT) to improve outcome
First line treatment of U T I
Trimethoprim 300mg OD 3 days
Cephalexin 500mg BID 5 days
Norfloxacin 400mg BID 3 days ( Resistant to above )
First line treatment of U T I in men
Trimethoprim 300 mg od for 7 days
How much is a prolonged latent phase in primigravida and multigravida
20 and 14, latent phase abnormalities are caused by injudicious use of analgesia
5) JMO, had a needle stick injury, patient is an IV drug user, JMO not sure about the vaccination?
a) Check hepatitis serology in 4 weeks.
b) HHIG
c) HHIG + Vaccine
d) Vaccine
HHIG + Vaccine
Test for active Hep C infection
HCV RNA
What is Dengue fever
Also called breakbone fever
low grade fever with myalgia
aedes Aegyptus viral infection
5-6 days incubation
Maculopapular rubelliform rash on limbs trunk (hand pressure for 30 seconds causes blanching)
What is leptospirosis
fever , myalgia , headache
2-30 days incubation
Biphasic illness
optic manifestations like hemorrhages, neurites, uveitis
MAT test and ELISA are used
Listeriosis
Food borne pathogen that affects immunocompromised and pregnant people.
*unpasteurised dairy products, such as raw milk
*soft-serve ice-cream
*soft cheeses such as brie, camembert, ricotta, blue and feta
*raw seafood such as oysters, or cooked ready-to-eat seafood
*pre-prepared fruit or vegetables, such as from a salad bar
*rockmelon
*unwashed raw vegetables
*paté or meat spreads
*cold meats or chicken, including packaged sliced meats
Brucellosis
by farm animal and products
seen in pig hunters
Fever, myalgia
Can lead to hepatic and splenic involvement
Question Patient came for routine check-up. With result of 60% carotid stenosis. No symptoms. Looks
well. Management?
A. Give Unfractionated heparin -
B. Carotid endartectomy
C. Angiography
D STATIN AND ASPRIN
if asymptomatic and < 70% stenosis give STATINS and ASPIRIN
cardiovascular risk modification (Aspirin not for >70 y/o patients)
- If bilateral carotid endarterectomy
- Check if symptomatic or asymptomatic
j- If symptomatic > 50%: enderectomy
If asymptomatic > 80% enderectomy
essential tremors and management
First-Line Treatments:
Propranolol: A beta-blocker that reduces tremor amplitude.
Primidone: An anticonvulsant effective in controlling symptoms.
Alternative Medications (if first-line agents are ineffective or contraindicated):
Other beta-blockers (e.g., atenolol, sotalol).
Other anticonvulsants (e.g., gabapentin, topiramate).
Benzodiazepines (e.g., alprazolam, clonazepam) for situational relief.
