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15 Cards in this Set
- Front
- Back
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What are the main side effects of recombinant human growth hormone therapy? And why? |
Headaches and idiopathic intracranial hypertension. Most likely due to fluid retention associated with this therapy. |
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Middle aged man comes in with partner saying he is starting to forget things very easily, says he sees things and has become unlike himself recently. He has also been losing his balance easily, has jerky movements and has been having seizures. What is the diagnosis? |
Creutzfeldt-Jakob's disease |
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What is the classic EEG pattern seen in someone with CJD (Creutzefeldt-Jakob's disease)? |
Generalised periodic sharp wave pattern |
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What is the mx of an atrioventricular re-entry tachycardia (SVT)? |
Haemodynamically stable -- Vagal maneuvres, if it doesn't work then adenosine Haemodynamically unstable - DC cardioversion |
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How does penicillin work and what could cause resistance towards it? |
Penicillin works by inhibiting cell wall synthesis in bacteria A mutation in the penicllin binding protein in the bacteria can lead to resistance |
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21 year old man attends hospital for anterior dislocation of the lens operation. On examination he is tall, has BP of 134/84 and has a mid systolic murmur with a click. What is the diagnosis? And why? |
Mitral valve prolapse (as it is common in people with marfan's syndrome which this man has...and you get a mid systolic murmur with a click) |
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What should post splenectomy patients be immunised against? |
- Pneumococcal vaccine - Influenza vaccine |
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What is the most common visual field defect in multiple sclerosis? |
Central Scotoma (an area of partial alteration of vision) |
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Person comes in with pubic lice and gonorrhoea. How do you treat them individually? |
Pubic lice - Permethrin Gonorrhoea - Cefotaxime |
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What are the common pathogens causing community acquired pneumonia? And what about nosocomial pneumonia (hospital acquired pneumonia)? |
CAP - Strep pneumoniae, Haemophilus Influenzae, Mycoplasma pneumoniae HAP - gram -ve enterobacteria, Staph A |
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Woman comes in complaining of a dry eye, droopy eyelid and also has a constricted pupil. What is the diagnosis? And in this woman what could be the cause? |
Horner's syndrome Cervical rib, pancoast tumour (apical lung tumour), goitre |
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What substance abuse could cause a rash around the mouth and nose? |
Glue sniffing |
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Patient has a JAK2 mutation. What disease are they likely to have? |
Polycythaemia Vera |
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What is the most significant blood test result to look at in someone with Polycythaemia? |
Haematocrit (>0.48 in women, >0.52 in men) |
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Which basteria causes toxic shock syndrome? What is the biggest cause? |
Staphylococcus Aureus Biggest cause is women using tampons |
