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15 Cards in this Set

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  • Back
What is this

What is this

Retinitis Pigmentosa

A woman has pain is the base of her thumb and swelling of the first carpometacarpal joint. What is likely to be going on here?

Osteoarthritis

A 40 year old lady comes in with swelling and pain on the radial side of his wrist, tenderness on the radial styloid process. Abduction of thumb under resistance is also painful. What is going on here?

De Quervain's tensosynovitis (condition wherein sheath containing the extensor pollicis brevis and abductor pollicis longus tendons are inflammed)

What do you see kerley b lines in and what do they mean?

In congestive cardiac failure and they represent interstitial oedema.

What would you see on CXR in someone with congestive cardiac failure?

Cardiomegaly, kerley b lines, pleural effusion

What do you see a globular heart on CXR in?

What do you see a globular heart on CXR in?

Pericardial effusion

A 23 year old male presents with bilateral foot pain which is now preventing him from walking. He has also been recently diagnosed with non-specific urethritis on return from his holiday in spain. He complains of iritis also. On examinatin he is tender over both soles of his feed. What is the diagnosis?

Reiter's syndrome (iritis, arthritis and urethritis) with plantar fasciitis

Why can antipsychotic drugs such as risperidone cause hyperprolactinaemia?

As some antipsychotics block dopaminergic transmission and thus cause hyperprolactinaemia. This is because dopamine inhibits prolactin release.

A woman comes in with a two month history of progressive jaundice and a mass in her right hypochondrium. What is the likely diagnosis?

Gall bladder cancer (jaundice +palpable gall bladder which is likely the mass)

If you suspect DVT in a lady what is the most likely investigation to confirm your suspicion?

Venous doppler

What is echolalia?

Meaningless repetition of phrases or words said by other people. This is a feature of the autistic spectrum disorder

Concerned parents come in with 8 year old son. They say he is having difficulties building relationships and interacting with other people his age, he has so repetitive behaviours and has found it difficult to widen his vocaulary. What is the likely diagnosis?

Autism Spectrum Disorder (characterised by repetitive/ritualistic behaviours, developmental language problems, difficulties building social relationships and more common in boys)

When do the symptoms of delirium tremens peak?

48-72 hours after stopping alcohol (in an alcoholic). The symptoms may begin a mere few hours after stopping drinking though.

A 35 year old pregnant lady presents to the GP for her first prenatal checkup. He notes that the BP in her arms differs to that in her legs. What is the likely diagnosis?

Coarctation of the aorta

Coarctation of the aorta

A 13 year old boy presents with dyspnoea and a short stature. He is noted to have finger clubbing. CXR reveals a boot shaped heart and a large aorta. What is the diagnosis?

Fallot's Tetralogy




Defect - VSD


Rvh - Right ventricular hypertrophy


O - Overriding aorta


P - Pulmonary stenosis