Y4 Zero to finals mix 3 Flashcards
Adrenarche
1st stage of pubic hair development
Scarlet fever symptoms
Torso sandpaper rashSpares soles and palmsBack to School 24h post starting Abx
Impetigo School
No School until crusted over
Necrotising enterocolitis signs
Rigler sign| Football sign
Kawasaki tx
Aspirin, IVIG
Viral ilness + purpura
Idiopathic thrombocytopenic purpura
Newborn Hearing tests
Otoacoustic emission test| Auditory brainstem response tezt
Dehydration fluids
Maintenance + 50ml/kg over 4h
Fragile X syndrome
X linked dominant Elongated face Protruding earsOtitis mediaMacrocephalyLearning difficulty
Vesicoureteric reflux ix
Micturating cystourethrogram
Noonan syndrome
Webbed neck| Pectus excavatum
Patau syndrome
Small eyes| Polydactyly
Asthma paeds tx
SABASABA + ICSSABA + ICS + LTRASABA + ICS + LABA
Formuła baby allergy
1) Extensive hydrolysyed formuła| 2) amino acid formuła (CMPA severe)
Congenital diaphragmatic hernja
Displaced apex beat + decreased się entry + scaphoid abdomen
Achondroplasia
Short statuę ADshort limbs and fingers Large head Trident hands
Distended abdo + bilious vomiting
Intestinal malrotation
Threadworm tx
Mebendazole
William syndrome
Elf faceFriendlySocialShirt statureElongated philtrum
Pyloric stenosis ABG
Hypochloremic hypokalemic metabolic alkalosis
Newborn resuscitation
Dry beboAssess tone RR HR5 Inflantom breathsReasses<60bpm 3:1
Whooping cough tx
Clarithromycin/azithromycin/erythromycinNo School for 48h on AbxOr 21 days - if No treatment
Kocher criteria for septic arthritis
> 38.5Can’t weight bearWBC >12 ESR >40
ADHD drugs
Methylphenidate (stunted growth)| Lisdexamohetamine
Girl with haemophilia
Turner syndrome
Bebo laxatives
MovicolMovicol + SennaSenna + Lactulose/Docusate
Nephrotic syndrome
Proteinuria 1g/m3 Hypoalbuminaemia <25g/LOedema
Shaken baby syndrome
Retinal haemoorhage Subdural hematomaEncephalopathy
GORD bebo tx
2 week alginate therapy| 4 week omeprazole trial
Scarlet fever vs Kawasaki
Scarlet: phenoxymethylpenicillin and DOES NOT AFFCT CONJUNCTIVA AND LIPS
Triceps reflex
C7| Radial nerve
Stills disease
Pink rashJoint PainFever Increased Serum Ferritin and LeukocytesNegative RF, ANA
Hip fx staging
I stableII complete, undisplacedIII displaced (AVN)IV complete disruption of bone (AVN)
Brown sequard syndrome
Ipsilateral paralysis and propioception loss| Contralateral Pain and temp
Osteonyelitis in sickle cell
Salmonella
Reactive arthritis skin lesions
Circinate balanitis| Keratoderma blenorrhagica
Ehlers Danlos syndrome
AD connective tissue Increased skin elasticityJoint hypermobolity Aorthic regurgPectum excavatum
Biceps attachments
Long tendon: glenoid| Short tendon: coracoid
Anti phospholipid syndrome
VTEfoetal lossThrombocytopeniaRaised APTTlivedo reticularis
Simmonds triad
Test for Achilles rupture PalpationSqueezeDeclination at rest
Osteogenesis imperfecta / brittle bone disease
ADType 1 collagen abnormalityBlue scleraDeafnessNormal bloods!!!
Compartment syndrome pressure
20mmHg abnormal| 40mmHg diagnostic
Methrotrexate and other drugs
Do not give with co-trimoxazole or trimethoprin: causes bone marrow surpression
Osteomalacia
Raised ALP| Low Ca, PO
Pott’s fx
Bimalleolar fx| Eversion foot
Monteggia fx
Ulnar fxFOOSHProximal radioulnar joint dislocation
Galeazzi fx
FooshDistal radioulnar jointRadial shaft fx
Drugs that induce lupus
IsoniazidPhenytoinHydralazine
Mirtazapine
NaSSA| increased sedation and appetite
Smoking cessation drug
Bupropion
GAD tx
1) SSRI2) SSRI/SNRI3) Pregabalin
Panic disorder tx
CBT or SSRI| End step: clomipramine/imipramine
Othello syndrome
Delusional jealousy that partner is unfaithful
Dystonic reactions and tx
TorticollisDysarthiaOculogyric crisisTx Procyclidine
Adolescent/children SSRI
Fluoxetine
New onset psychosis ix
CT head
Torticollis
Wry neck Sustained muscle contraction Neck hyperextension
Oculogyric crisis
Upward eye deviation| Clenched jaw
PTSD symptoms
> 4 weeks<4w is Acute stress reactionHyperarousalRe experiencingAvoidance of remindersEmotional numbing
Treatment of PTSD
Trauma focused CBTEMDRVenlafaxine/SSRI/Risperidone
OCD tx
CBT| ERP exposure and response prevention
Conversion dislrder
Drop arm test| Psych stress manifested as physical symptoms
Dissociative disorder
Erasing certain disorders
Tardive dyskinesia tx
Tetrabenazine
Flight of ideas
Leaps from one topic to another but with link
Knights move thinking
No asdociations between ideas
grief stages
DenialAngerBargainingDepressionAcceptance
Capgras syndrome
Pt believe someone significant in life has been replaced by imposter
Fregoli syndrome
Pt believes multiple people are one person changing appearance
Circumstantiality vs tangentiality
Wonder off but circumstaniality DOES RETURN TO QS/TOPIC
Clang assoc
Topics are related by sounding familiar
Clerambault syndrome
Delusions someone famous is in love with them
Wernickes
NystagmusOphthalmoplegiaAtaxia
Korsakkofs syndrome
Confabulation| Anterograde/retrograde amnesia
Paranoid personality
SensitiveUnforgivingQuestions loyalty
Schizoid prrsonality disorder
Lack of interest, indifference| Negative symptoms schuzoprenia
Schizotypal
Magical weird thinking
Clozapine se
If >48h missed, must be retitratedReduce dose if stopped smokingReduce seizure thresholdHypersalivationConstipationAgranulocytosis/neurtropemia
Central Vision loss
Age related macular degeneration
Peripheral Vision loss
Primary open angle glaucoma
Retinal detachment symptoms
Peripheral curtain over VisionSpider websFloaters and Flashing lightsStraight lines appear curved
Flashers and floaters
Vitreous detachment
Red saturation Vision
Vitreous haemorrhage
Red desaturation
Optic neuritis
Retinal detachment
Flashers and floaters
Acute angle closure glaucoma tx
IV acetazolamide
Global aphasia
No speech, no comprehension
Conductive aphasia
Fluent speech and comprehensionAware of errors Poor repetition
MCA Broca’s aphasia
No speech but comprehension (expressive)
MCA Wernicke’s area
Speech but no comprehensionReceptive Word salad, neologisms
Normal pressure hydrocephalus
Urinary incontinence + gait + dementia
Cushing triad
Raised ICPraised pulse pressure + bradycardia + irregular breath
Brain abscess
IV cephalosporin and metronidazole
Anterior circulation infarct
Total 3Partial 2Unilateral hemiparesisHomonymous hemianopiaDysphagia
Otitis externa in diabetics
Ciprofloxacin for pseudomonas
Audio gram
1) anything below 20? NO normal, YES step 22) is there a gap between air and bone?YES conductive/mixed, NO sensorineural3) one or both below 20? ONE conductive, BOTH mixed
Burns fluids
% surface area x weight x 41/2 administered in 8h
Curlings ulcer
Stress ulcer causing haematmesis
Guttae psoriasis vs Pityriasis rosacea
Guttae (strep throat, tear drop rash, 2-3mth resolve) Pityrasis (resp/viral infection, Herald patch, 6 weeks resolve)
India ink stain
Cryptococcus neoformans| in HIV
CMV treatment
Gancyclovir or Valgancyclovir
Toxoplasma gondii tx
Sulphadiazine and pyrimethamine