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stuff that comes up alot Flashcards

1
Q

what Ig is found in mucosa

A

IgA

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2
Q

what are ACEis contraindicated in

A

renal artery stenosis

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3
Q

side effect of spironolactone

A

gynaecomastia

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4
Q

what type of mouth disease do people with crohn’s have

A

stomatitis gangrenosum

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5
Q

what enzyme is affected in porphyria cutanea tarda

A

uroporphyrinogen decarboxylase

Cutanea = deCarboxylase

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6
Q

what does porphyria cutanea tarda cause build up of

A

coproporphyrinogen iii

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7
Q

presentation of porphyria cutanea tarda

A

blisters and fragility on hands and scalp

  • hyperpigmentation
  • hypertrichosis
  • solar urticaria
  • morphoea
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8
Q

what enzyme is affected in erythropoietic protoporphyria

A

ferrochelatase

E F off

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9
Q

presentation of erythropoietic protoporphyria

A

child crying in sunlight

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10
Q

what enzyme is affected in acute intermittent porphyria

A

PBG deaminase

intermittent =dea(ling with stuff)minase

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11
Q

presentation of acute intermittent porphyria

A
  • abdo pain
  • tachycardia
  • hypertension
  • dark or red urine
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12
Q

investigation for porphyria cutanea tarda

A

wood lamps

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13
Q

investigations for erythropoietin protoporphyria

A
  • fluorocytes

- quantitative RBC porphyrins

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14
Q

what does acute intermittent porphyria cause a build up of

A

hydroxymethylbilane

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15
Q

what does shingles affect

A

dermatomes and nerve supplies

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16
Q

first line treatment for acne rosacea

A

topical metronidazole

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17
Q

what is ramsey hunt syndrome

A

shingles in the ear that old people get

-reactivation of varicella zoster virus in geniculate ganglion of CN VII

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18
Q

what is epidermolysis bullosa

A

breakdown of anchoring between epidermis and dermis

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19
Q

pathophysiology of paget’s disease of the bone

A

abnormal osteoclastic activity followed by increased osteoblastic activity

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20
Q

which drug causes reactivation of latent TB

A

TNFalpha inhibitor

  • etanercept
  • infliximab
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21
Q

what DMARD causes interstitial pneumonitis

A

methotrexate

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22
Q

what rheumatoid drug causes black tarry stool

A

NSAIDs

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23
Q

side effect of penicillamine

A

pneumonitis

24
Q

who gets antiphospholipid syndrome

A

young autoimmune women presenting with recurrent miscarriages, DVT, PE

25
Q

pathophysiology of sjogrens

A

lymphocytes invading glands

26
Q

what other conditions is Bechet’s associated with

A

IBD and arthritis

27
Q

what does the P stand for in CREST-P

A

pulmonary hypertension

28
Q

which diabetic drug is weight neutral

A

DPP-fi inhibitors

-sitagliptin

29
Q

symptoms of hypocalcaemia

A
  • muscle spasms
  • tingling
  • nervousness
  • chvokste sign
30
Q

side effects of carbimazole

A
  • neutropenia
  • bone marrow suppression
  • aganulocytosis
31
Q

what tuning fork do you use for a diabetic foot exam

A

128-Hz

32
Q

who gets PCOS

A

obese women

33
Q

how do you treat endometrial polyps

A

-myomectomy

34
Q

when do kids build a tower of 3 bricks and enjoy picture books

A

18 months

35
Q

what is the mechanism of a live attenuated vaccination

A

pathogen alive but weakened

-it replicates and induces an immune reponse

36
Q

what is an inactivate vaccine

A

dead pathogen or part of the pathogen given to stimulate immune reponse

37
Q

how long does it take for scarlet fever to develop after tonsillitis

A

3 weeks

38
Q

what is the left ear depicted as on an audiogram

A

an X

39
Q

what is the right ear depicted as on an audiogram

A

O

40
Q

what is bone depicted as on an audiogram

A

triangle

41
Q

if when they lift their head they feel like they’re going to throw up what does this indicate

A

labyrinthitis

42
Q

what antibiotic do you not give in a sore throat

A

amoxicillin

43
Q

compression of what nerve is Bell’s palsy

A

CN VII

44
Q

presentation of ramsey hunt syndrome

A
  • auricular pain
  • facial nerve palsy
  • vesicular rash around ear
  • vertigo
  • tinnitus
45
Q

diagnosis of BPPV

A

Hallpike

46
Q

treatment of BPPV

A

epley manoeuvre

47
Q

motor innervation of the ocular muscles

A

LR6-SO4-AO3

  • lateral rectus CN 6
  • superior oblique CN 4
  • all others CN 3
48
Q

what is seen in cranial nerve III palsy

A

oculomotor nerve

  • eyes looking down and out
  • fixed dilated pupil
  • proptosis and ptosis
49
Q

cranial nerve IV palsy

A
  • eyes look upwards
  • vertical diplopia
  • cannot look down and in
  • head held tilted
50
Q

cranial nerve VI palsy

A
  • horizontal diplopia
  • eyes medially deviated
  • cannot move laterally from midline
  • convergent squint
51
Q

what GFR is stage 3 CKD

A

30-60

52
Q

first line investigation for hydrocele

A

doppler ultrasound with colour

53
Q

what is the biggest cause of kidney disease

A

diabetes

54
Q

diagnosis of BPH

A

trus with biopsy

55
Q

what does secondary infection of eczema cause

A

monomorphic punched out lesions called dermatitis herpetiCUM

56
Q

how do you treat dermatitis herpeticum

A

acyclovir

57
Q

meningococcal pneumonitis symptoms

A
  • really bad headache
  • photophobia
  • stiff neck
  • fever
  • nausea
  • vomiting

exam stuff (55 decks)

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