resit girl flashcards

1
Q

what is this

A

a wart

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2
Q

what is the histology of psoriasis

A

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

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3
Q

what is this

A

bullous pemphigoid

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4
Q

build up of what occurs in porphyria cutanea tarda

A

urophorphinogen

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5
Q

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

A

erythropoietic protoporphyria

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6
Q

first line treatment for acne rosacea

A

topical metronidazole

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7
Q

first line treatment for acne vulgaris

A

benzoyl peroxide or topical clindamycin

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8
Q

what is epidermolysis bullosa

A

breakdown of anchoring between epidermis and dermis

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9
Q

which insulin do you give once a day

A

basal e.g. lantus

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10
Q

which diabetic drug is weight neutral

A

DPP4 inhibitors e.g. sitagliptin

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11
Q

strawberry milkshake coloured blood

A

hyperlipidaemia

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12
Q

which hormone do you test for pregnancy

A

HCG

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13
Q

which hormone peaks before ovulation

A

LH - 12 hours before

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14
Q

which hormone do you test for fertility

A

progesterone

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15
Q

pathophysiology of pagets

A

increased osteoclastic reabsorption followed by increased osteoblastic activity

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16
Q

complications of paget’s

A
  • deafness
  • cardiac failure
  • fractures
  • skull thickening
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17
Q

blood test results for osteomalacia

A

low calcium
low phosphate
high ALP

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18
Q

which drug causes reactivation of latent TB

A

TNF alpha

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19
Q

tingling in the ring and pinkie finger

A

cubital tunnel syndrome

compression of ulnar nerve in cubital fossa

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20
Q

what DMARD causes interstitial pneumonitis

A

methotrexate

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21
Q

what rheumatoid drug causes tarry black stool

A

NSAIDS

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22
Q

what rheumatoid drug is nephrotoxic

A

Gold, penicillamine

23
Q

what conditions is behcets associated with

A

IDB, arthritis

24
Q

what age is a social smile

A

6 weeks

25
Q

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

A

18 months

26
Q

how long is the vertigo in BPPV

A

secs to mins

27
Q

diagnosis of BPPV

A

hallpike

28
Q

treatment for BPPV

A

epley manoeuvre

29
Q

what does compression of CN VII in facial canal cause

A

Bell’s palsy

30
Q

what is ramsay hunt syndrome

A

reactivation of varicella zoster virus in geniculate ganglion of CN7

31
Q

symptoms of ramsay hunt syndrome

A
  • auricular pain (first feature)
  • facial nerve palsy
  • vesicular rash around ear
  • vertigo
  • tinnitus
32
Q

management for ramsay hunt syndrome

A

oral aciclovir and corticosteroids

33
Q

what is central scotoma

A

absence of central vision

blind spot occurs in centre of vision

34
Q

what can cause central scotoma

A

RAMD (dry)

optic neuritis

35
Q

what does third nerve palsy cause

A
  • eye looking down and out
  • fixed dilated pupil
  • proptosis and ptosis
36
Q

what does fourth nerve palsy cause

A
  • eyes look upwards
  • vertical diplopia
  • cannot look down and in
  • head held tilted
37
Q

sixth nerve palsy

A
  • horizontal diplopia
  • eyes medially deviated and cannot move laterally from midline
  • convergent squint (start in)
38
Q

what is the first line treatment for BPH

A
  • alpha blocker - TAMSULOSIN

- 5 alpha reductase - FINESTRIDE

39
Q

diagnosis of BPH

A

transrectal ultrasound

40
Q

what do you give for proteinuria and hypertension

A

ACEi

41
Q

what is IgA nephropathy associated with

A
  • arthritis
  • colitis
  • purpuric skin rash
42
Q

Churg-strauss (EGPA)

A
  • asthma
  • allergic hypersensitivity
  • eosinophilic
  • some ENT associations
  • 2/3rds skin involvement
43
Q

granumloamtous with polyangitis (Wegners)

A
  • c-ANCA
  • small and medium
  • rhinitus
  • epistaxis
  • saddle nose
  • conductive hearing loss
  • rapidly progressing glomerulonephritis
  • haemoptysis
44
Q

which Ig is found in mucosa

A

IgA

45
Q

what produces endotoxin

A

gram neg

46
Q

what produces exotoxin

A

gram positive

47
Q

what antibiotics for gram positive

A
  • penicillin
  • cloxacillin
  • erythromycin
48
Q

when are ACEis contraindicated

A

renal artery stenosis

49
Q

side effect of spironolactone

A

gynaecomastia

50
Q

what type of mouth disease do people with crohns have

A

stomatitis gangrenosum

51
Q

which type of pneumonia for birds

A

chlamydiophilia psittaci

52
Q

which type of pneumonia for sheep/farms

A

coxiella burnetti

53
Q

what type of pneumonia from water

A

legionella