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Samson Mocks Flashcards

1
Q

Next process for recurrent palpitations

A

Holter monitoring

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2
Q

Hereditary hearing loss in a pregnant woman

A

Otosclerosis

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3
Q

Hereditary bilateral SNHL

A

Presbycusis

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4
Q

Obese 35yr old with generalized itching

A

Primary biliary cirrhosis

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5
Q

Penile discharge+dysuria+pain around the anus

A

Prostatitis

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6
Q

Memory loss in DM/HTN

A

Vascular dementia

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7
Q

Visual hallucinations+Memory loss

A

Lewy body dementia

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8
Q

Cause of Bronchiolitis

A

RSV

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9
Q

Lower abdominal pain+hematuria

A

Renal calculi

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10
Q

HbA1c target in Metformin users

A

53mmol/l (7%)

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11
Q

First line trigeminal neuralgia

A

CBZ

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12
Q

What drug causes rectal ulcers

A

Nicorandil

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13
Q

Swinging fever
Abdominal pain
Hx. of swimming

A

Schistosomiasis

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14
Q

Oculogyric crisis/Torticollis

A

Acute dystonia

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15
Q

Sticking out the tongue (Extrapyramidal)

A

Tardive dyskinesia

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16
Q

Acute Asthma Protocol

A

Oxygen
Nebulized salbutamol/ipratropium
IV Hydrocort/Oral Prednisolone
MgSO4

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17
Q

COPD Protocol

A

Smoking/Vaccines/Rehabilitation
SABA or SAMA
LABA+LAMA
LABA+LAMA+ICS
Long term oxygen therapy

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18
Q

Recurrent chest infection+FTT

A

Cystic fibrosis

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19
Q

Normal COCP dose

A

Levonogestrel 150ug
Ethinylestradiol 30ug

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20
Q

MSK with rigidity of spine

A

Charcot Marie Tooth disease

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21
Q

Diff btw Tamsulosin and Finasteride

A

Tamsulosin causes falls
Finasteride is for >65yrs
Both cause sexual dysfunction

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22
Q

Top lateral shoulder pain+positive impingement test

A

Supraspinatus tendinopathy

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23
Q

Prostate drug that causes flushing

A

Goserelin

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24
Q

Tx. for Akathisia and Dystonia

A

Procyclidine

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25
Q

Vision: specks of dots/floaters when you move eyes from side to side, better with dark glasses

A

Posterior vitreous detachment

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26
Q

Saudi Arabia/Anemia/Hydrops fetalis

A

Thalassemia

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27
Q

Middle age+tremors+forgetfulness

A

Huntington

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28
Q

Specks or dots in vision

A

Vitreous hemorrhage/Posterior vitreous detachment

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29
Q

Bloody diarrhea+low platelets and Hb+blood in urine

A

HUS

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30
Q

Fever+peeling hands/feet

A

Kawasaki (LFT)

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31
Q

Chronic blood and mucus in stool

A

Ulcerative colitis

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32
Q

Color blindness

A

Retinitis pigmentosa

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33
Q

Fever+mouth ulcers+blistering of palms, feet and trunk

A

Hand, foot and mouth disease

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34
Q

Management of Delirium I

A

Oral Haloperidol

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35
Q

When atypical antipsychotics fail in Schizophrenia

A

Clozapine

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36
Q

Constipation in children

A

Macrogol

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37
Q

GERD in children

A

Alginates

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38
Q

Low TSH+Low T4+ Feeling unwell

A

Sick Euthyroid syndrome

39
Q

Cause of CROUP

A

Parainfluenza virus

40
Q

Difficulty swallowing+fever (cause)

A

Epiglottitis (H. Influenza)

41
Q

Cough+localized monophasic wheeze

A

Foreign body

42
Q

First line tx. in Carpal tunnel syndrome

A

Wrist splinting at night

43
Q

Most appropriate diagnostic test in MS

44
Q

Investigation of choice in NMS

A

Creatinine kinase

45
Q

Kidney problem of NSAIDS

A

Interstitial nephritis

46
Q

First line in renal colic

A

IM or Rectal Diclofenac

47
Q

Contraceptive for teenager+menorrhagia

48
Q

Contraceptive for menorrhagia

49
Q

Contraceptive in fibroids

50
Q

Contraceptive in learning disability

A

IUCD/Injectables

51
Q

Contraceptive in DVT/PE

52
Q

Contraceptive in heavy smokers (long term)

53
Q

Red strawberry tongue+sandpaper rash

A

Scarlet fever

54
Q

Red strawberry tongue+rash on hands and feet

55
Q

Contraceptive<21days postpartum

56
Q

First investigation in infertility

A

Chlamydia test

57
Q

Flushing while treating acne

A

Doxycycline

58
Q

Young+recurrent wheeze+negative IgE

A

Hereditary angioedema (C1esterase inhibitor)

59
Q

Muscle weakness/aches+high CK

A

Polymyositis

60
Q

Bilateral CHL in 30-60yrs

A

Otosclerosis

61
Q

Itchy dry skin in winter (Elderly)

A

Asteatotic eczema

62
Q

Warfarin overdose(major bleeding)

A

IV Phytomenadione+Prothrombin concentrate/FFP

63
Q

Warfarin overdose (minor bleeding, INR>8)

A

IV Phytomenadione

64
Q

Warfarin overdose (no bleeding, INR>8)

A

Oral Phytomenadione

65
Q

Warfarin overdose (no bleeding, INR:5-8)

A

Reduce warfarin dose

66
Q

Contraceptive in menorrhagia

67
Q

Mgt. of slapped cheek syndrome

A

Advise not to go to school

68
Q

Labia minora raised shiny scaly lesion

A

Lichen planus

69
Q

Testicular pain+absent cremasteric reflex

A

Testicular torsion

70
Q

High FSH and LH, low Estrogen

A

Premature ovarian failure

71
Q

Drug that causes Raynaud’s phenomenon

A

Bisoprolol

72
Q

Medical treatment of Cushing’s disease

A

Fluconazole

73
Q

2 Risk factors for VF

A

Hypokalemia
Long QT Syndrome

74
Q

Tx. for post-menopausal hot flushes

A

Combined HRT

75
Q

Tx. for post-menopausal hot flushes after hysterectomy

A

Estrogen only HRT

76
Q

Single most appropriate investigation in Plantar fascitis

77
Q

Age for Perthes disease

78
Q

Fever+heart murmur

A

Infective Endocarditis

79
Q

Prophylaxis for Cluster headache

80
Q

Prophylaxis for Migraines

A

Propranolol/Topiramate

81
Q

Rash: Stuck-on, greasy, elderly

A

Seborrheic keratosis

82
Q

What condition do you use low FODMAPs

83
Q

Management of Parainfluenza

A

Ganciclovir

84
Q

3 Causes of sterile pyuria

A

Bladder/Renal Cancer
Renal tuberous sclerosis
Chlamydia infections

85
Q

4 Statin follow up

A

LFT
HbA1c
Renal function
TSH

86
Q

Acute leg pain+palor on lifting leg

A

Acute limb ischemia

87
Q

Emphysema+abnormal LFTs

A

Alpha1 antitrypsin deficiency

88
Q

Ovarian cyst <0.5cm

A

No follow up

89
Q

Ovarian cyst 0.5cm-0.7cm

A

Yearly USS

90
Q

Ovarian cyst>0.7cm

A

Further imaging/surgery

91
Q

First line in tension type headache

A

Ibuprofen 400mg

92
Q

First line in Schizophrenia

A

Typicals; Risperidone and Olanzapine

93
Q

Rash+generalized body pain

A

Dermatomyositis

94
Q

Brown round patches between nose and upper lip+/- Epistaxis
Treatment

A

HHT/OWRS
No treatment

MSRA (4 decks)

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