Shared Flashcard Set

Details

liverpool papers
some 1 markers
18
Medical
Undergraduate 4
06/04/2017

Additional Medical Flashcards

 


 

Cards

Term
respiratory alkalosis can cause reduced ionised calcium. how can this present in a pt?
Definition
tingling around the mouth
painful cramping in fingers
Term
in perths, what would the X-ray show?
Definition
loss of height of the epiphysis.

there is a limp but other parameters are normal i.e. no fever, no raised platelets, WCC or crp
Term
What is the most appropriate management of cervical intraepithelial neoplasia grade 3?
Definition
largo loop excision of the transformation zone of the cervix
Term
out of these options which is the major risk factor for developing pre-eclampsia

diabetes melitus
age >40
FHx of HTN
twins
multiparity
Definition
diabetes melitus
Term
if a urine dipstick in a 21 year old lady is positive for leucocyte esterase only what is the most likely causative organism?
Definition
chalmydia trachomitis
Term
72 year old man presents with SOB and ankle swelling. you auscultate and hear fine bilateral basal crackles. what ix do you do next?
Definition
12 lead ECG and pro-BNP
Term
3 physical signs that would indicate increased risk for IHD
Definition
HTN
obesity
xanthelasma
gout
peripheral neurppathy
retinal changes
Term
what 2 tests can be used to make a diagnosis of angina?
Definition
treadmill test
coronary angiography
Term
symptoms of hypercalceamia
Definition
depression
constipation
polyuria
polydipsia
abdominal pain
bone pain
nausea and vomiting
myalgia
cognitive imairment
Term
calcium and phosphate levels in primary hyperparathyroidism?
Definition
calcium high
phosphate low

most common cause elf primary hyperparathyroidism is parathyroid adenoma
Term
2 physical complications of primary hyperparathyroidism?
Definition
renal calculi
osteoporosis
Term
GOLD standard test for primary hyperparathyroidism?
Definition
parathyroid hormone immunoassay
Term
primary and tertiary hyperparathyroidism present the same way.

high calcium low phosphate.

what in the history can help to differentiate primary from tertiary?
Definition
a history of Chronic renal failure
Term
definitive curative rx for primary hyperparathyroid?
Definition
removal of solitary adenoma

or all 4 parathyroid glands if they are all hypertrophied
Term
reasons for weakness and drowsiness in a palliative pt with non small cell lung cancer
Definition
medications
dehydration
delirium
dying
metabolic abnormalities
Term
issues that need to be addressed with a deteriorating palliative care patient
Definition
communication with familly; that they are dying check insight
rationalise medication/stop oral meds
just incase meds syringe driver
coordination of care
equipment at home e.g. hospital bed.
Term
4 signs that might be observed in the mental state examination of someone with depression
Definition
poor personal hygiene
poverty of speech
reduced eye contact
psychomotor retardation
Term
which class of antidepressant are well tolerated in the elderly?
Definition
SSRIs in particular Citalopram
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