Week 1 Flashcards

1
Q

First line Mx of Syphilis

A

IM Benzathine Penicillin

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2
Q

1st line imaging in multiple myeloma

A

Whole body MRI

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2
Q

Management of Epididymo-orchitis?

A

500mg IM ceftriaxone + BD oral doxycycline 14 days

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3
Q

Treatment of Pneumocystis jiroveci pneumonia

A

Co-trimoxazole

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4
Q

What should all patients with peripheral arterial disease take?

A

Atorvastatin and clopidogrel

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4
Q

What lobes are affected in Wernicke’s and Brocas dysphasia?

A

Spoken word is heard at the ear. This passes to Wernicke’s area in the temporal lobe (near the ear) to comprehend what was said. Once understood, the signal passes along the arcuate fasciculus, before reaching Broca’s area. The Broca’s area in the frontal lobe (near the mouth) then generates a signal to coordinate the mouth to speak what is thought (fluent speech).

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5
Q

An ECG shows sinus tachycardia and tall R waves and ST depression in V1 and V2

A

Posterior MI

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6
Q

Primary biliary cirrhosis is most characteristically associated with which antibodies?

A

Anti-mitochondrial antibodies

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7
Q

Tender, boggy prostate?
Mx?

A

Prostatitis

14 days ciprofloxacin

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7
Q

What nerve is affected in weak thumb adduction

A

Ulnar

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7
Q

Best anaesthetic agent for haemodynamically unstable patients

A

Ketamine

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7
Q

How is Ascites classified

A

SAAG <11 –> malignancy, nephrotic, infections

SAAG >11–> liver failure, heart failure

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8
Q

Mx of Ascites

A

Reduce dietary Na
Spironolactone (aldosterone antagonist)

Large volume paracentesis
Prophylactic oral ciprofloxacin

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8
Q

Mx of intracapsular hip fracture

A

Undisplaced Fracture:
internal fixation, or hemiarthroplasty if unfit.

Displaced Fracture:
Total hip replacement or hemiarthroplasty if unfit

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8
Q

Mx of extracapsular hip fracture

A

stable intertrochanteric fractures: dynamic hip screw

if reverse oblique, transverse or subtrochanteric fractures: intramedullary device

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8
Q

What causes pathological cupping of the optic disc

A

Primary open-angle glaucoma

8
Q

Primary open-angle glaucoma Mx

A

Prostaglandin analogues (e.g. latanoprost)

2nd line Beta Blocker