resit girl flashcards

Question 1

what is this

Answer 1

a wart

Question 2

what is the histology of psoriasis

Answer 2

parakeratosis (cell nuclei within stratum corneum) and thickened projections of the prickle cell layer of keratinocytes

Question 3

what is this

Answer 3

bullous pemphigoid

Question 4

build up of what occurs in porphyria cutanea tarda

Answer 4

urophorphinogen

Question 5

what could be the cause of a child crying in direct sunlight

Answer 5

erythropoietic protoporphyria

Question 6

first line treatment for acne rosacea

Answer 6

topical metronidazole

Question 7

first line treatment for acne vulgaris

Answer 7

benzoyl peroxide or topical clindamycin

Question 8

what is epidermolysis bullosa

Answer 8

breakdown of anchoring between epidermis and dermis

Question 9

which insulin do you give once a day

Answer 9

basal e.g. lantus

Question 10

which diabetic drug is weight neutral

Answer 10

DPP4 inhibitors e.g. sitagliptin

Question 11

strawberry milkshake coloured blood

Answer 11

hyperlipidaemia

Question 12

which hormone do you test for pregnancy

Answer 12

HCG

Question 13

which hormone peaks before ovulation

Answer 13

LH - 12 hours before

Question 14

which hormone do you test for fertility

Answer 14

progesterone

Question 15

pathophysiology of pagets

Answer 15

increased osteoclastic reabsorption followed by increased osteoblastic activity

Question 16

complications of paget’s

Answer 16

• deafness
• cardiac failure
• fractures
• skull thickening

Question 17

blood test results for osteomalacia

Answer 17

low calcium
low phosphate
high ALP

Question 18

which drug causes reactivation of latent TB

Answer 18

TNF alpha

Question 19

tingling in the ring and pinkie finger

Answer 19

cubital tunnel syndrome

compression of ulnar nerve in cubital fossa

Question 20

what DMARD causes interstitial pneumonitis

Answer 20

methotrexate

Question 21

what rheumatoid drug causes tarry black stool

Answer 21

NSAIDS

Question 22

what rheumatoid drug is nephrotoxic

Answer 22

Gold, penicillamine

Question 23

what conditions is behcets associated with

Answer 23

IDB, arthritis

Question 24

what age is a social smile

Answer 24

6 weeks

Question 25

what age can a child build a tower of 3 bricks and enjoy picture books

Answer 25

18 months

Question 26

how long is the vertigo in BPPV

Answer 26

secs to mins

Question 27

diagnosis of BPPV

Answer 27

hallpike

Question 28

treatment for BPPV

Answer 28

epley manoeuvre

Question 29

what does compression of CN VII in facial canal cause

Answer 29

Bell's palsy

Question 30

what is ramsay hunt syndrome

Answer 30

reactivation of varicella zoster virus in geniculate ganglion of CN7

Question 31

symptoms of ramsay hunt syndrome

Answer 31

- auricular pain (first feature) - facial nerve palsy - vesicular rash around ear - vertigo - tinnitus

Question 32

management for ramsay hunt syndrome

Answer 32

oral aciclovir and corticosteroids

Question 33

what is central scotoma

Answer 33

absence of central vision | blind spot occurs in centre of vision

Question 34

what can cause central scotoma

Answer 34

RAMD (dry) | optic neuritis

Question 35

what does third nerve palsy cause

Answer 35

- eye looking down and out - fixed dilated pupil - proptosis and ptosis

Question 36

what does fourth nerve palsy cause

Answer 36

- eyes look upwards - vertical diplopia - cannot look down and in - head held tilted

Question 37

sixth nerve palsy

Answer 37

- horizontal diplopia - eyes medially deviated and cannot move laterally from midline - convergent squint (start in)

Question 38

what is the first line treatment for BPH

Answer 38

- alpha blocker - TAMSULOSIN | - 5 alpha reductase - FINESTRIDE

Question 39

diagnosis of BPH

Answer 39

transrectal ultrasound

Question 40

what do you give for proteinuria and hypertension

Answer 40

ACEi

Question 41

what is IgA nephropathy associated with

Answer 41

- arthritis - colitis - purpuric skin rash

Question 42

Churg-strauss (EGPA)

Answer 42

- asthma - allergic hypersensitivity - eosinophilic - some ENT associations - 2/3rds skin involvement

Question 43

granumloamtous with polyangitis (Wegners)

Answer 43

- c-ANCA - small and medium - rhinitus - epistaxis - saddle nose - conductive hearing loss - rapidly progressing glomerulonephritis - haemoptysis

Question 44

which Ig is found in mucosa

Answer 44

IgA

Question 45

what produces endotoxin

Answer 45

gram neg

Question 46

what produces exotoxin

Answer 46

gram positive

Question 47

what antibiotics for gram positive

Answer 47

- penicillin - cloxacillin - erythromycin

Question 48

when are ACEis contraindicated

Answer 48

renal artery stenosis

Question 49

side effect of spironolactone

Answer 49

gynaecomastia

Question 50

what type of mouth disease do people with crohns have

Answer 50

stomatitis gangrenosum

Question 51

which type of pneumonia for birds

Answer 51

chlamydiophilia psittaci

Question 52

which type of pneumonia for sheep/farms

Answer 52

coxiella burnetti

Question 53

what type of pneumonia from water

Answer 53

legionella