Samson Flashcards

1
Q

Management of TMJ dysfunction

A

Reassure

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2
Q

Hearing loss+swimming+invisible TM

A

Ear wax

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3
Q

Management of Barotrauma

A

Refer to ENT

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4
Q

Management of Ear wax

A

Olive oil ear drops

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5
Q

Advice for doxycycline side effects

A

Take after meals

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6
Q

Commonest causes of UTI

A

E. Coli
Proteus

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7
Q

First line in hyperkalemia

A

10mls of 10% Calcium gluconate

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8
Q

Purpura+arthritis+abdominal pains +GI bleeding+/- Nephritis

A

HSP

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9
Q

Hereditary Epistaxis/menorrhagia/joint bleeding

A

Von willebrand

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10
Q

Lab features of Von willebrand

A

High aPTT
Prolonged bleeding time

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11
Q

Clotting profile in liver disease

A

High PT
High TT
High aPTT
Normal bleeding time

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12
Q

Another name for HSP

A

Autoimmune hypersensitivity vasculitis

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13
Q

Normal bleeding time

A

1-9 minutes

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14
Q

MOA of Von willebrand

A

Impaired platelet aggregation

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15
Q

When to transfuse

A

<7g/dl

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16
Q

Aplasia+immature blood cells

A

Myeloblastic syndrome

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17
Q

Fundal features of CRVO (commoner)

A

Intensely hyperemic
Flame shaped hemorrhages

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18
Q

Fundal features of CRAO

A

Pale
Cherry red spots

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19
Q

Bilateral miosis+irregular pupils+non response to light but response to accommodation

A

Iritis/Uveitis

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20
Q

Gradual vision loss+inability to read even with glasses

A

Cataract

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21
Q

Upper homonymous quandrantanopia

A

Optic radiation -Temporal lobe

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22
Q

Lower homonymous quandrantanopia

A

Optic radiation -Parietal lobe

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23
Q

Non congruous homonymous hemianopia

A

Optic tract

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24
Q

Non congruous homonymous hemianopia

A

Optic tract

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25
Q

Congruous homonymous hemianopia

A

Occipital lobe

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26
Q

Management of anterior Uveitis

A

Prednisolone 0.5% drops 2hrly and cyclopentolate drops

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27
Q

Medial canthus painful swelling+purulent discharge following facial injury

A

Dacrocystitis

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28
Q

Flame hemorrhages+ optic disc edema+ painless loss of vision

A

Vitreous hemorrhage

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29
Q

Stages of Hypertensive retinopathy

A
  1. Silver wiring
  2. AV nipping
  3. Cotton wool spots
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30
Q

Stages of Hypertensive retinopathy

A
  1. Silver wiring
  2. AV nipping
  3. Cotton wool spots
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31
Q

Period for CVS

A

10-15 weeks

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32
Q

Period for Amniocentesis

A

15-18weeks

33
Q

Another name for candidiasis

A

Moniliasis

34
Q

Management of Stress incontinence

A

Pelvic floor exercises
Duloxetine

35
Q

Management of Urge incontinence

A

Bladder training
Anticholinergics e.g. Oxybutinin

36
Q

Test to differentiate types of incontinence

A

Urodynamic studies

37
Q

Most effective measure in stress incontinence

A

Weight loss

38
Q

Investigation in osteoporosis

A

DEXA

39
Q

Prophylaxis for Osteoporosis

A

Bisphosphonate therapy

40
Q

When to investigate in recurrent miscarriages

A

At least 3

41
Q

Endometrial thickness for Endometrial cancer

A

> 5mm

42
Q

First line contraceptive in Menorrhagia

A

IUS

43
Q

Tx. for exercise induced asthma

A

Na cromoglycate

44
Q

Features of life threatening asthma

A

PEFR<33%
Oxygen<92%
Silent chest/Cyanosis
Hypotension/Arrhythmia
Exhaustion/altered consciousness

45
Q

Chronic asthma steps

A

SABA
SABA+LICS
SABA+LICS+LTRA
LICS+LABA+/-LTRA
MART+LICS
MICS+LABA+SABA
HICS+/-Theophylline/Tiotropium
Oral steroid
Mab/immunosuppressant

46
Q

FEV/FVC improvement post salbutamol in asthma

A

> 15%

47
Q

Management of acute exacerbation of COPD

A

Nebulized salbutamol
Salbutamol
IV Hydrocortisone

48
Q

Low PaO2
High PaCO2

A

Type 2 Respiratory failure

49
Q

Low PaO2
Normal/low PaCO2

A

Type 1 respiratory failure

50
Q

Pneumonia after influenza

A

Staphylococcal pneumonia

51
Q

Pneumonia with confusion/spain/outbreak/hotel

A

Legionella

52
Q

Pneumonia in Cystic fibrosis

A

Staph. Aureus

53
Q

Pneumonia in hostels/close population

A

Mycoplasma

54
Q

Hospital acquired pneumonia<5days post admission

A

Streptococcus pneumonia

55
Q

Pneumonia with hyponatremia and lymphopenia

A

Legionella

56
Q

Tx. of choice in legionella pneumonia

A

Erythromycin

57
Q

Pneumonia in bronchiectasis and Cystic fibrosis

A

Pseudomonas

58
Q

Pneumonia with green phlegm/COPD

A

H. Influenza

59
Q

Tx. in Chlamydia Psittaci pneumonia

A

Doxycycline/tetracycline

60
Q

Mgt of acute STEMI

A

Aspirin
Ticagrelor
Morphine+Metoclopramide
PCI/rtPA

61
Q

Mgt of ACS without ST elevation

A

Aspirin
Morphine
GTN spray
Fondaparinux
Ticagrelor/Clopidogrel

62
Q

PCI window

A

120minutes

63
Q

Past PCI window?

A

Thrombolytics+Heparin

64
Q

Skin rash+positive glass test (non blanching)

A

Meningitis

65
Q

Normal child with multiple vomiting improved when upright

A

GERD

66
Q

Fever+vomiting+failure to thrive+no diarrhea

A

UTI

67
Q

Vaginal discharge in a child (non sexually active)

A

Foreign body

68
Q

First line tx. for enuresis<5yrs

A

Behavioral modification

69
Q

First line long term tx. for enuresis

A

Enuresis alarm

70
Q

Enuresis TX in sleep overs

A

Desmopressin

71
Q

Another name for breath holding spells

A

Reflexic anoxic seizures

72
Q

AD+recurrent LOC/pallor from childhood+sudden death

A

Long QT syndrome

73
Q

Seizures in infants+abnormal EEG+abnormal development

A

Infantile spasms

74
Q

Continuous machinery murmur+bounding pulse

A

PDA

75
Q

Newborn head circumference

A

34.5cm

76
Q

Microcephaly+short palpebral features+hx of alcohol

A

Fetal alcohol syndrome

77
Q

Indistinct nasal speech+wake at night+tiredness during the day

A

Adenoids

78
Q

Test for allergies

A

Radioallergosorbent test (RAST)