Fellowship Written > Monash > Flashcards

Monash Flashcards

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1
Q

indications to fix type B dissection

A

uncontrolled hypertension
end organ damage.ischaemia
refractory oain
enlarge size despite medical maangement
leaking or ruptured

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2
Q

ECG changes dissection

A

STEMI
pericarditis
tampanade

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3
Q

risk factors PID

A

STD - gonorrhoes
IUD - mirena
during and after menses - post partum
surgical proceudre eg D+C

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4
Q

risk factors non epileptic seizures

A

PTSD
female
abuse
personality traits

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5
Q

non motor suggestions non epileptic

A

normal lactate
normal obs
over 5 mins
worse with treatment

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6
Q

pre intubation checklist

A
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7
Q

ARDS vent settings

A

tv 4-8ml/kg
PEEP 5-20 on sliding scame
plateu pressure under 30cm h20

end point
permissve hypercapner
sats 88-95
Ph 7.3-7.4

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8
Q

increasing oxygention when tubed

A
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9
Q

admission for anorexia

A
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10
Q

steps in preparing deparment

A

activate
staff
space
equipment

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11
Q

inhaled FB
managment then if things get worse

A
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12
Q

meigs

A

benign ovarian tumour
ascites
pleural effusion

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13
Q

reponse to fire

A

close entry and exit
fire warden takes charge
move away from imminent danger
record everyin in department
estalish communicaiton with hosputal incident commander
prepare evcuation

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14
Q

indications splenic lac embolisation

A

no indication for laparatomy
haem instability
wont survive ga
high grade

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15
Q

anterior humeral line

A

middle third cap

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16
Q

aim of sieve and sort

A
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17
Q

how to prevent triad death

A
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18
Q

Teeth labelling

A
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19
Q

Drugs exacerbate myasthenia

A
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20
Q

red flag featurs child headache history and exam

A

history:
trauma ones
early morning waking
worse leaning forward
worse in coughing
not relieved analgrdia
seizures
behavioural change

Exam
focual neuro - hyperreflecia
meningoecephalitis signs
abnoral head position
abnormal eye movements

tumour
development regerssion
head circumfernace

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21
Q

risk factors for cervical artery dissection

A

CTD eg lehlor danlos
cervical manipulation
neck or facial trauma
hypertension
migraine
OCP

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22
Q

signs/sx of Carotid artery dissection

A

unilateral frontal headache
imcomplte horners
anterior stroke eg hemiparsis
monoocular pain
11 and 12 cranial nerve signs

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23
Q

signs/sx vertebral artery stroke

A

occipital headache
facial parasthesia
lateral medullary
full horner
posterior stroke eg vertigo, ataxia

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24
Q

treatment for spontaneous cervical artery dissection

A

thrombolysis if stroke syndrome present
anti hypertensives eg hydralzine
hepratin.anticoagulaton

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25
clinical features secondary syphillis
3-6 weeks post primary stage macupapular rash on palms and soles sore throat lymphadenopathy malaise fever headache patchy alpecia jepatitis, meningitis
26
treamtent early syphillis
doxy 100mg/bd 2 weeks IM benpen 2.4 million unit
27
differentials for penis lesion
28
syphyllis test intepretation
29
drug causes heasring loss
gent vanc aspirin chemo frusemide
30
causes SSNHL
idiopathic menierers acoustic neuromas meningitis labyrinthtiis post viral
30
NB Rinnes
where sound lasts longer
31
clopid dose stemi
300-600
32
indications STEMI thrombolysis
chest pain under 12 hours STEMI on eCG annd cest pain no contraindications cant get to PCI withon 120 mins pre hospital or 90 from hospital
33
pros and cons LP before tx for meningitis
pro - need LP to confirm tailored tx cons - delay to treatment and bad outcomes agitation and safety risk
34
unilateral visual loss
35
drugs to avoid in af with WPW
adenosine - class 5 beta blockers calcium channel blockers digoxin - cardiac glycoside amioderone - class 3
35
Findings
posterior displacent internal rotation humeral head widened glenohumeral space
36
complications posterior dislocation shoulder
reverse hill sachs reverse bankard axillary artery comression brachial plexus compression osteronerosis humeral head recurrent dsoilocations rotator cuff tear
37
temporising measures for button battery ingestion
honey 10ml 10minutely sucralfate crushed in water
38
ways to cool
remove clothing fan tepid sponge ice bags cooling blaknets intubation
39
drugs to stop shivering
benzos opiods anaesthetic agents clonidine
40
why oxazepam over dizepam
COPD liver cirrhosis extremes of age
41
thought disorders with psychois
tangential thought flight of ideas distractable speech clanging thought insertion thought blocking thought broadcasting
42
medical over psych for psychosis
age over 40 first psychosis abnormal vital signs sudden onset abnormal physical signs drug or alcohol withdrawal recent medical problem HIV/AIDS visual and tactile hallucinations
43
psych over medical for psychosis
FH past psych history slow onset auditory hallucinations non compliant psych meds recent significnat life event
44
45
healthy practices for skin infections for strep A
good personal hygeine - showers and baths regular washing and no sharing clothes/towels wound care - early first aid and GP early scabies treatment address overcrowsing - preparing and storing food improve nutrition
46
complications SAH
hydrocephalus seizure coning and death neurogenic APO re-bleed dysthyrmia - VF
47
sengstaken-blackmore insertion
48
acute peri lunarte comps chronic
acute: compartment median nerve carpal instability vascular comrpession chronic AVN lunate median nerve dysfuncaiton CRPS chronic stffness instability
49
Rheumatic fever treatment
Benzylpenicllin
50
causes massive haemoptysis
TILDA Tracheobronchial disorders eg aspiration bronchial adenoma foreign body aspiation tracheo oesophageal fistula Iatrogenic intubation syction catheres bronchosocpy localsied paryhchymal diseas pneumonia PE metastatic cancer Diffuse parynchymal disease good pastures SLE Anticoagulations DIC bleeding diathesis
51
sepsis criteria
52
exacerbators of TOF
crying defactting pain dehydration
53
TOF murmurs
systolic left sternal edge through to back
54
causes prolonged qt
drugs mI electrolytes hypothermia
55
clinical findings methylglobulnaemia
seizures headaches chest pain tachypnea cyanosis and saturation gap
56
indications for methylene blue in methamgolbulinaema
methb over 20% over 10% and symptoms or anaemia
57
causes high NA
poor oral intake GI losses chronic renal failure excess diuretics alcohok excess Diabetes insipidus
58
complications high sodium
death seizures ICH altered conscioes state ataxia and tremor
59
safe drugs for migraine in pregnancy
Mg steroids codeine
60
pregnancy catergories for drugs
61
some unsafe preggo drugs
lithium - heart defects warfarin - bleeding NSAIDS - pda closure gent - ototox salicylates - bleeding mtero- facial defcts
62
US findings pneumothorax
loss of lung sliding loss of ling pulse presence of lung point no comet tail
63
false posotive for pneumothorax on lung us
COPD mucuous plug ILD pneumonia ARDS
64
SAH
65
characteristic compatment syndrome pain
66
features or lemierre
oro facial infection IJ thrombosis distal septic emboli or infection
67
exam in lemierre key ix
enlarged tonsils trismus unulateral neck swellin and IJ pain sign of metastic emboli ix - septic emboli
68
modofiable risk factors for pyloric stenosis
maternal smoking formula
69
why correct bicarb before pyloric stenosis surgery
risk of hypoventilation in setting of metabolic alkalss
70
peritoneal packing v angio
71
biochem affects of bicarb
high sodium low potasiun hyperosmolar alkalaemia
72
use of long term DVT treatment
unproviked ongoinf cancer multiple large disease burden
73
pulse ox in new born
right hand for pre duct
74
hot debrief
75
Why is a VBG bad in shock
p02 poor correlation cant do A-a in shock ph correlates prroly
76
SLICE protocol
77
Csf analysis
Rbc over 2000 for sah
78
Joint aspirate
79
risk factore broncholitis
downs congenital heart immuno under 10 weeks born under 37 indiginous
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