resit girl flashcards
what is this
a wart
what is the histology of psoriasis
parakeratosis (cell nuclei within stratum corneum) and thickened projections of the prickle cell layer of keratinocytes
what is this
bullous pemphigoid
build up of what occurs in porphyria cutanea tarda
urophorphinogen
what could be the cause of a child crying in direct sunlight
erythropoietic protoporphyria
first line treatment for acne rosacea
topical metronidazole
first line treatment for acne vulgaris
benzoyl peroxide or topical clindamycin
what is epidermolysis bullosa
breakdown of anchoring between epidermis and dermis
which insulin do you give once a day
basal e.g. lantus
which diabetic drug is weight neutral
DPP4 inhibitors e.g. sitagliptin
strawberry milkshake coloured blood
hyperlipidaemia
which hormone do you test for pregnancy
HCG
which hormone peaks before ovulation
LH - 12 hours before
which hormone do you test for fertility
progesterone
pathophysiology of pagets
increased osteoclastic reabsorption followed by increased osteoblastic activity
complications of paget’s
- deafness
- cardiac failure
- fractures
- skull thickening
blood test results for osteomalacia
low calcium
low phosphate
high ALP
which drug causes reactivation of latent TB
TNF alpha
tingling in the ring and pinkie finger
cubital tunnel syndrome
compression of ulnar nerve in cubital fossa
what DMARD causes interstitial pneumonitis
methotrexate
what rheumatoid drug causes tarry black stool
NSAIDS
what rheumatoid drug is nephrotoxic
Gold, penicillamine
what conditions is behcets associated with
IDB, arthritis
what age is a social smile
6 weeks
what age can a child build a tower of 3 bricks and enjoy picture books
18 months
how long is the vertigo in BPPV
secs to mins
diagnosis of BPPV
hallpike
treatment for BPPV
epley manoeuvre
what does compression of CN VII in facial canal cause
Bell’s palsy
what is ramsay hunt syndrome
reactivation of varicella zoster virus in geniculate ganglion of CN7
symptoms of ramsay hunt syndrome
- auricular pain (first feature)
- facial nerve palsy
- vesicular rash around ear
- vertigo
- tinnitus
management for ramsay hunt syndrome
oral aciclovir and corticosteroids
what is central scotoma
absence of central vision
blind spot occurs in centre of vision
what can cause central scotoma
RAMD (dry)
optic neuritis
what does third nerve palsy cause
- eye looking down and out
- fixed dilated pupil
- proptosis and ptosis
what does fourth nerve palsy cause
- eyes look upwards
- vertical diplopia
- cannot look down and in
- head held tilted
sixth nerve palsy
- horizontal diplopia
- eyes medially deviated and cannot move laterally from midline
- convergent squint (start in)
what is the first line treatment for BPH
- alpha blocker - TAMSULOSIN
- 5 alpha reductase - FINESTRIDE
diagnosis of BPH
transrectal ultrasound
what do you give for proteinuria and hypertension
ACEi
what is IgA nephropathy associated with
- arthritis
- colitis
- purpuric skin rash
Churg-strauss (EGPA)
- asthma
- allergic hypersensitivity
- eosinophilic
- some ENT associations
- 2/3rds skin involvement
granumloamtous with polyangitis (Wegners)
- c-ANCA
- small and medium
- rhinitus
- epistaxis
- saddle nose
- conductive hearing loss
- rapidly progressing glomerulonephritis
- haemoptysis
which Ig is found in mucosa
IgA
what produces endotoxin
gram neg
what produces exotoxin
gram positive
what antibiotics for gram positive
- penicillin
- cloxacillin
- erythromycin
when are ACEis contraindicated
renal artery stenosis
side effect of spironolactone
gynaecomastia
what type of mouth disease do people with crohns have
stomatitis gangrenosum
which type of pneumonia for birds
chlamydiophilia psittaci
which type of pneumonia for sheep/farms
coxiella burnetti
what type of pneumonia from water
legionella
