Things To Remember... Flashcards

1
Q

Antibiotic that causes C.diff and achilles tendonitis

A

Ciprofloxacin

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2
Q

Zollinger-Ellison disease

A

Peptic ulcer dx
Islet cell tumour (pancreas)
Gastric acid hyper-secretion (on PPIs)

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3
Q

Coffee ground vomit

A

Upper GI bleed from stomach or duodenum
> partially digested
> ulcer, gastritis

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4
Q

Blood diarrhoea + LIF pain

A

UC

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5
Q

Egypt + haematemesis =

A

Schistomosiasis
mature in mesenteric veins > hepatosplenomegaly > portal HTN > varices > haematemesis
(SCC bladder too & swimmers itch)

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6
Q

Antibiotics H.Pylori

A

PAC500 - PPI, amoxicillin, clarithromycin

PMC250 - PPI, metronidazole, clarithromycin

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7
Q

Lump jaw ugandan expresses EBV antigens

A

Burkitts lymphoma

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8
Q

Christmas disease

A

Haemophilia B

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9
Q

Flamingo pink tympanic membrane

A

Otosclerosis

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10
Q

Feltys syndrome

A

Splenomegaly
RA
Neutropenia

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11
Q

Boerhaave’s syndrome

A

Oesophageal perf with massive bleed

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12
Q

Diuretic of choice cirrhosis

A

Spironolactone

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13
Q

Polycythaemia rubra vera

A

Pruritis / plethora
Cyanosis
Ringing in ears
Visual disturbance

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14
Q

JAK2

A

Polycythaemia rubra vera

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15
Q

Low O2, normal CO2

A

T1RF

PE, pnrumonia

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16
Q

Low O2, high CO2

A

T2RF

COPD, asthma, myasthenia gravis, opiate overdose

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17
Q

Dizziness, loss of vision, headaches, HTN, cysts in liver, kidney

A

Von Hippel Lindau disease

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18
Q

Whilst measuring BP, person’s fingers flex and draw together

A
Trosseau's sign
Low calcium (after neck surgery can have stunned parathyroids)
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19
Q

Bud-chiari

A

Portal HTN

Haematemesis

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20
Q

Wegeners

A

URTI + LRTI + kidney
c-ANCA
Dry cough

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21
Q

Goodpastures

A

Anti-GBM

Lung + kidney

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22
Q

Sheehans syndrome

A

Hypopituitarism due to post partum pituitary haemorrhage

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23
Q

Waterhouse friedrichsen

A

Acute adrenal failure following meningococcal septicaemia (intra-adrenal haemorrhage)

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24
Q

Only hepatitis which is DNA not RNA

A

Hep A

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25
Q

Hormones in adrenal cortex

A

ACTH - cushings & addisons
Aldosterone - Conns
Testosterone - virilism

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26
Q

3 days post RTI nephropathy

A

IgA nephropathy

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27
Q

10-14 days post nephropathy

A

Post-strep nephropathy

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28
Q

DMARD causing loss of taste

A

Penicillamine

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29
Q

Curtain falling down in vision

Temporary loss of vision

A

Amourosis fugax

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30
Q

RAPD

Pupil dilates

A

Marcus gunn pupil

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31
Q

Absent knee jerk & dilated pupil

A

Holmes-Adie pupil

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32
Q

Pupil accommodates but does not react to light

A

Argyll-Robertson

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33
Q

Superior quadrantanopia

A

Temporal lobe lesion

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34
Q

Inferior quadrantanopia

A

Parietal lobe lesion

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35
Q

Legally blind acuity

A

6/60

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36
Q

Redcurrant sputum

A

Klebsiella penumonia

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37
Q

Redcurrant stool

A

Intusussception

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38
Q

Non-necrotising granuloma

A

Sarcoidosis

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39
Q

Necrotising granuloma

A

TB

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40
Q

Leiomyoma

A

Fibroids
African women
INFERTILITY

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41
Q

Vegetarians and Asians can be deficient in Vit d…putting them at risk of…

A

Osteomalacia

42
Q

Factor 8 deficiency

A

Haemophilia A

43
Q

Factor 9 deficiency

A

Haemophilia B

44
Q

Tall young adult, small testes, gynaecomastia

A

Klinefelters syndrome

47XXY

45
Q

Tall young adult who can’t smell

A

Kallmans syndrome

46
Q

Gram positive organism meningitis

A

Strep pneumonia

47
Q

Gram negative organism meningitis

A

Neisseria meningitidis

48
Q

Neonatal jaundice - Mediterranean parents

A

G6PD

49
Q

Neonatal jaundice - reducing substances in urine

A

Galactosaemia

50
Q

Neonatal jaundice - asian parents, raised direct & indirect bilirubin

A

Neonatal hepatitis

51
Q

Causes neonatal jaundice due to unconjugated (indirect) hyperbilirubinaemia

A

Crigler-Najaar
Gilberts
Hypothyroidism

52
Q

Mild jaundice pt fasting, LFTs normal

A

Gilberts

53
Q

Causes neonatal jaundice due to conjugated (direct) hyperbilirubinaemia

A

Hepatitis
Galactosaemia
Biliary atresia

54
Q

CLO test aka…

A

Rapid urease test for h.pylori

55
Q

Behçets

A

Uveitis
Genital ulcers
Oral ulcers

No see, no pee, no spicy curry

56
Q

p-ANCA, alleryg, asthma, eosinophilia, granuloma

A

Churg strauss

57
Q

HTN refractory to medication & worsened by ACEi

A

Renal artery stenosis

58
Q

Indications for emergency haemodialysis

A

persistent pericarditis, acidosis, hyperkalaemia

59
Q

24 hour urinary HIAA raised

A

carcinoid syndrome

60
Q

management of carcinoid syndrome

A

somatostatin analogue (octeotride)

61
Q

pericardial rub, 3rd heart sound

A

pericarditis

62
Q

c-anca

A

granulomatosis with polyangitis (wegeners)

63
Q

anti-dsDNA + anti-nucler

A

SLE

64
Q

anticentromere

A

CREST

65
Q

anti-jo

A

dermatomyositis

66
Q

anti-nuclear + RF

A

Sjorgens

67
Q

Cystic bone lesions + precocious puberty + cafe au lait spots

A

Mccune-Albright

68
Q

Mx pericarditis

A

NSAIDs

69
Q

Dresslers

A

Pericarditis weeks - months post-MI

Tx: colchicine

70
Q

AED causing gingival hypertrophy

A

Phenytoin

71
Q

AED causing low IQ and autism of child

A

Sodium valproate

72
Q

Mx status epilepticus

A

1) Rectal diazepam x2
2) Buccal midazolam
3) IV lorazepam + their usual AED
4) IV phenytoin

73
Q

Acute alcohol withdrawal Mx

A

Diazepam or chlordiazepoxide

74
Q

Delirium tremens Mx

A

Oral lorazepam

75
Q

Antidote TCA overdose

A

Flumazenil

76
Q

Antidote calcium channel / beta blockers

A

Glucagon

77
Q

Presentation TCA overdose

A

Coma
Cardiac arrhythmia
Convulsions

78
Q

Digoxin overdose presentation

A

Yellow - green discolouration to vision & bradyarrythmia

79
Q

Which nerve is damaged by mid shaft humerus #

A

Radial nerve

80
Q

Post-op complication THR is damage to which nerve…?

A

Sciatic nerve

81
Q

Which nerve extends arm back to normal anatomical position?

A

Triceps

82
Q

Non-motile bacteria causing diarrhoea

A

Shigella

83
Q

Motile bacteria causing diarrhoea

A

Salmonella

84
Q

Bloody diarrhoea aka…

A

Dysentery

85
Q

Chest pain on swallowing caused by…

A

Oesophageal spasm

86
Q

Conus medullaris

A

Sudden onset
Symmetrical
Back pain
Bilateral

87
Q

Solar lentigines

A

Sun spots / age spots

Flat & brown

88
Q

Actinic keratosis

A

Thick scaly crusty

89
Q

Seborrheic keratosis

A

Senile wart

Palpable

90
Q

Hip pain 4-10 y/o

A

Perthes (AVN femoral head with subchondral sclerosis & flattening femoral head)

91
Q

Hip pain 10-16 y/o

A

SUFE

92
Q

Onion skin / moth eaten hip on Xray

A

Ewings sarcoma

93
Q

Anti-topoisomerase

A

Systemic sclerosis

94
Q

Aurimime stain acid fast bacili

A

TB

95
Q

Query fever

A

Farm workers

C.burnetti

96
Q

Stokes-Adams attack

A

Sudden collapse due to bradyarrythmia

97
Q

1 aplha adrenoceptor blocker (prostate)

A

Tamsulosin

98
Q

High calcium

A

1’ hyperparathyroidism

99
Q

Low calcium, high PTH

A

2’ hyperparathyroidism

100
Q

High calcium, high PTH

A

3’ hyperparathyroidism