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15 Cards in this Set
- Front
- Back
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In sialolithiasis which duct gets blocked? |
Wharton's Duct (drains the salivary gland) |
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Which duct drains the submandibular gland? |
Stensen's Duct |
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How does amiodarone affect the thyroid gland? |
Can cause hypo or hyperthyroidism. Former due to stopping conversion of T4 to T3 , latter due to thyroiditis or releasing iodine content held within |
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Pt presents with widespread itching. Burrows in sides of fingers, interdigital webs and flexor aspects of elbows. What is the dx and management? |
Scabies Permethrin 1st line Malathion 2nd line Treat whole household/close physical contacts |
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Pt presents after taking overdose (not sure of which tablet). Initially their ABG shows Respiratory alkalosis. Then later they feel very unwell with ringing in ears and the ECG shows metabolic acidosis. What is the overdose and mx? |
Salicylate overdose (aspirin) due to initial respiratory stimulation(resp alkalosis) and then metabolic acidosis due to the metabolite salicylic acid. Mx = Charcoal, sodium bicarbonate urinary alkalisation and haemodyalisis (if salicylate concentration > 700) |
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A lady with osteoporosis is started on alendronate (bisphosphonate). What is the most important side effect you should warn her about? |
Heartburn (as bisphopsphonates cause oesophageal problems...oespohagitis, oesophageal ulcers) |
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What are some risk factors for developmental dysplasia of the hip? |
- Oligohydraminos - Female sex - Breech presentation - Fx - Birth weight > 5kg |
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Which medication is important to avoid in someone with parkinson's? |
Dopamine antagonists (metoclopramide) |
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29 year old lady with PCOS comes in who is having trouble conceiving. What is the optimal mx? |
Weight loss Clomifene (number 1 drug to treat infertility in someone with PCOS) |
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What components make up the APGAR score? |
Pulse, Respiratory Effort, Colour, Muscle Tone, Reflex Irritability |
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What is Kussmaul's breathing and when does it occur? |
Deep, laboured gasping breathing. Occurs in DKA and metabolic acidosis. Aim is to reduce concentration of C02 by excess exhalation of it to lower blood pH |
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What are typical blood results in someone with DKA? |
Low bicarb (hence acidosis) Hypokalaemia Hyponatraemia |
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Who does cryptococcal meningitis commonly occur in? What is the mx? |
People with HIV (can get 6 month insidious progression) Amphotericin CSF drainage if raised intracranial tension is present |
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Which medication if taken during pregnancy can cause neural tube defects? |
Warfarin |
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Pt who has schizophrenia comes in who has been poorly compliant with medication. But when he does take it the effect is good. What could be the Mx? |
Depot injections of antipsychotic medication |
