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 |
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|
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
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|
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
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|
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
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|
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 |
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|
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. |
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|
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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