SBA paper 5 Flashcards
where does a hodgkins lymphoma present?
in the anterior triangle of the neck
what are the typical symptoms of a lymphoma?
progressive neck swelling
B symptoms : night sweats, fever, malaise, systemic itching
which virus can cause cervical lymphadenopathy as well as splenomegaly?
epstein barr virus
what is the corrective treatment for warfarin overdose
iv prothrombin and iv vitamin K
how would an adrenal crisis present?
collapse after a flu like illness, in patients with a history (personal or family) of autoimmune disease.
which treatment for DMT2 can cause hypoglycaemia?
Glicazide
Insulin but rarely used in T2
which treatment for BPD can cause Diabetes insipidus?
LITHIUM
how would addisons disease present?
history of vague abdo pain, weakness and tiredness, w/o V+/d+
would addisons disease be positive for postural hypotension?
yes.
which drug is used in acute pain relief eg. RTA?
IV morphine
why is the use of diamorphine in acute pain eg RTA avoided?
greater chance of resp depression
what is the most common cause of pneumonia in adults?
strep. pneumonia
would cholecystitis present with haematuria
yes
what is the most common viral infection in nursing/care settings?
NOROVIRUS
what are the risk factors for gallstones
F’s
Female, Fat, Forty, Fertile
explain the swiss cheese model
multiple mistakes (holes) can align which causes a big mistake.
what is a likely cause of SAH
rupture of saccular aneurysm affecting anterior communicating artery
which area of the brain initiates and controls voluntary movements?
Basal Ganglia!
does syncope or epileptic seizure have a prodrome (feeling prior) and a precipitant (behavioural cause)
syncope has both of these
which nerve innervates the muscles of the hand, sensation of the palmar surface of the thumb, index and middle fingers?
MEDIAN
does mild aortic stenosis or aortic regurgitation radiate to the neck
mild aortic stenosis radiates to the neck.
CRITICAL AS would not have a normal carpotid pulse or second heart sound
what is the first line Tx for cardiac failure
ACEi
which drug can cause hypokalaemia with hypertension, plus headache and muscle weakness
thiazide diuretics
does increasing the dose of thiazide diuretic increase the reduction in hypertension?
no, flat response curve
what drug would be used in the treatment of irregulary irregular pulse, AFIB when a patient is at risk of thrombus formation?
warfarin sodium
which antibiotic is bacteriostatic? (does not kill bacteria)
clindamycin
which type of bacteria is vancomycin effective against?
gram positive
used in MRSA treatment!
which serological result will have the poorest prognosis of RA?
Anti CCP!
25-hydroxycholecalciferol is converted to 1, 25-dihydroxycholecalciferol in which of the following tissues?
kidney
which is the most common organism that infects prosthetic joints?
coagulase negative staphylococcus
what type of cell is an APC?
dendritic cell in the skin, a monocyte or a macrophage.
which antibodies are present in SLE?
anti-DNA
a type of anti nuclear antibody!
what is the predominant cell of acute inflammation?
neutrophil polymorph
which cells are involved in allergic reactions?
basophils and mast cells
which cells are involved in chronic inflammation
lymphocytes and macrophages.