Revision and CAP Test Flashcards
Amnesia Post Head Injury
Need Head CT
O2 SATs in Carbon Monoxide Poisoning
Artificially High
Frail + Requiring Colon Ix
CT Colonography
Effects of Prochlorperazine
Rigidity
Tremor
Bradykinesia
Falls
Investigation of suspected osteomyelitis
Blood cultures
Prominent Feature
VSD vs ToF
VSD = heart failure Tetralogy = cyanosis
Type of Fluid Used as Maintenance Fluids in Children
0.9% saline + 5% glucose
Alprostadil =
Prostaglandin
Example of a Prostaglandin =
Alprostadil
Exclamation Point Hairs
Alopecia Areata
Association with Oropharyngeal Cancers
HPV
Area of brain associated with dressing apraxia
Parietal lobe
High random blood glucose + symptomatic
Next investigation
Need no further investigation to confirm T2DM
Mitral Regurgitation Post-MI Cause
Papillary Muscle Rupture
Investigation of Suspected AD PKD
USS
Cause of hypocalcaemia and 2y hyperparathyroidism in CKD
Reduced hydroxylation of vitamin D
Microorganisms implicated in Hospital Acquired Pneumonia
Gram negative bacteria
Spondylolisthesis =
= anterior slippage of the vertebra
Migraine with aura
Prophylaxis
- Propranolol
2. Topiramate
Resting Tremor
Better on Movement
= Parkinsonian tremor
Symphseal-Fundal Height =
Gestational Age +/- 3cm
Management of Essential Hypertension
Wanting to Get Pregnant
Methyldopa
Investigation of Choice
PCOS
Transvaginal USS
Sentinel Node Biopsy
Indications for Further Surgery
> 3 Nodes are +VE
Chronic Gut Infection HIV =
= cryptosporidium
Gram +VE Diplococci =
Streptococcus
Diagnosis of Glaucoma =
= tonometry
Investigation of Penetrating Eye Injury
CT of Orbits
Delusional Disorder vs Other Conditions
Delusions are present irrespective of mood and absence of hallucinations
Management of Paranoid Schizophrenia
Acutely Disturbed + Verbally Responsive
Oral lorazepam
Acute Dystonia
Pathogenesis
Management
= can occur with excess haloperidol
Results in a haloperidol: ACh imbalance
Need an anti-cholinergic e.g. procyclidine
Physical Complaints
Multiple Negative Investigations
= somatisation disorder
BP Finding in Aortic Dissection
= unequal/different BP in each arm
Sphena Varix =
= dilation of saphenous vein at the femoral vein junction
Disappears on lying flat VS hernia which will persist
Low BP and adequate fluids management
Need inotropes
e.g. noradrenaline infusion
Fragility Fracture
Management Post-Discharge
Bisphosphonates
Calcium and Vitamin D Supplements
Investigation of Pale Stools and Dark Urine
Split bilirubin
Indicates a conjugated hyperbilirubinaemia
Lack of head lag development stage
3 months
Management of acne
Topical retinoids
Topical antibiotics
Oral antibiotics e.g. lymecycline
Oral retinoids - only in refractory acne, issued in secondary care
What is Reinke’s oedema?
= vocal fold irritation, occurs as a result of voice misuse, smoking or GORD
Management of pain in OA
Lifestyle advice
Topical or oral NSAIDs
Paracetamol
Findings in oesophageal ulceration
Granulation tissue
Necrosis
Jarred knee
Haemarthrosis
Lateral tenderness
Pain on straight leg raise
Tibial plateau fracture
URTIs with ++ sputum
Young
Bronchiectasis
Investigation of suspected pulmonary TB
CXR
Sputum microscopy and smear
Which part of the brain is responsible for short term memory?
Temporal lobe
Depression and thoughts of suicide
GP review?
Need a review within 1 week
Gallstones in CBD + dilation
Management
- Antibiotics and Analgesia
2. ERCP
Pneumothorax >2cm
- Primary
- Secondary
Primary = aspiration Secondary = chest drain
IgA vasculitis =
Henoch-Schlein Purpura
Pathology Findings
- Pemphigoid
- Pemphigus
Pemphigoid = split at the junction between the epidermis and dermis Pemphigus = intradermal split
Management of post-partum thyroiditis
B blockers