You are on page 1of 121

Set_2: Sore eye

Set_3: AAA has genetic link (abdominal aortic aneurysm)


Set_4:

Set_5:

Set_6:
Melanoma is not treated with radiation therapy.

Skin cancer most common cancer in Canada.

Set_7: Toe nail infection

Set_8:

Set_9: Breast calcifications

____________________________________________________________________________

Tamoxifen:

Set_10: Renal transplant

CMV.

Set_11:

Suicide in aboriginals:

Annular skin lessions:

Granuloma annulare: Can be associated with DM and thyroid disorders.

Pale skin lessions:

Facts about Poisoning:

Salicyclate poisoning:

Minor depressive disorder:

For major depression, if there is contraindication to use ssri, venlafaxine can be used more broadly.

Amoebiasis:

Testicular tumor:

Recommended estimate of blood loss in patient with active bleeding:

Bloody show:

Pharmacological causes of galactorrhea:

Multiple sclerosis:

Vestibular neuritis: Acute vertigo, nausea and vomiting


Acute labyrinthitis: Acute vertigo, nausea and vomiting +/- hearing loss, +/- tinnitus

Whiplash injury:

Pityriasis alba:

Ureteric colic:

Preeclampsia:

___________________________________________________________________________________

______________________________________________________________________________

_________________________________________________________________________________

---------------------------------------------------------------------------------------------------------------------------------

Foreign Body in eye:

_____________________________________________________________________________________
Sigmoid diverticulitis:
Abd usg, xray abd, ct scan abd, hypaque enema (water soluble enema not the barium enema)
D/D: cystitis and incarcerated inguinal hernia
_____________________________________________________________________________________
Ectopic pregnancy:
Methotrexate contraindications: active vaginal bleeding, renal , hepatic or hematological malignancy.

_______________________________________________________________________________
Portal HTN in pedriatic population:

In splenomegaly, patient should avoid contact spots but can do athletes and swim.
__________________________________________________________________________________
_____________________________________________________________________________
Domestic violence:

Psychological abuse:

_______________________________________________________________________________
Impotence: prevalence in Canada is about 1 in 9 or 11%.

_____________________________________________________________________________

__________________________________________________________________________________

_______________________________________________________________________
Scapholunate ligament tear:

Osteoarthritis: Involves DIP mainly. But

________________________________________________________________________________
Preterm labor: Most common cause is idiopathic.

___________________________________________________________________________________
,
MOI in pregnancy can cause fetal growth retardation.

____________________________________________________________________________________
Amphetamine abuse:

__________________________________________________________________________

_____________________________________________________________________________

_______________________________________________________________________________
Ebsteins anomaly:

________________________________________________________________________

________________________________________________________________________________
Sleep stages:

Obstructive sleep apnea:

Weight loss will help but incorrect in patient with diagnosed case of obstructive sleep apnea who needs
immediate treatment.
_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

______________________________________________________________________________

____________________________________________________________________________

__________________________________________________________________________

Prostatic cancinoma:

___________________________________________________________________________
Hearing loss assessment:

______________________________________________________________________________

______________________________________________________________________________

________________________________________________________________________________
Aortic valve obstruction is tend to spread more rapidly in degenerative calcific aortic valve disease than
in congenital or rheumatic heart disease.
Heyde syndrome: GI bleeding in patient with angiodysplasia. This is due to induction of vWD type II due
to valvular stenosis. Best test is to perform platelet function analysis (with ADP closure time) or vWF
electrophoresis which identifies reduction of UVWF (ultra-large vWF).
____________________________________________________________________________________
Delayed milestones:

_____________________________________________________________________________________

____________________________________________________________________________________
Toruttes syndrome:
pathogenesis: basal ganglia and inferior temporal cortex.

___________________________________________________________________________________

___________________________________________________________________________
Scleroderma:

_____________________________________________________________________________
Organophosphate poisoning:

_____________________________________________________________________________________

In MI, initial portion of QRS complex is affected.


RBBB may be minor abnormality seen in healthy person.
Cardiomyopathy and HTN are common causes of RBBB.
_____________________________________________________________________________________
Infero-lateral MI:

____________________________________________________________________________________
Non_Q wave infarction:

____________________________________________________________________________________

_____________________________________________________________________________________
Child abuse:

Regression is not an emotional abuse.


_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
Li levels:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
ZES:

______________________________________________________________________________

_______________________________________________________________________________

_____________________________________________________________________________________

Statin induced myopathy:


One genetic risk factor is

____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

___________________________________________________________________________________

_____________________________________________________________________________________

___________________________________________________________________________________
Basal cell carcinoma: Most common sun related cancer.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

__________________________________________________________________________________

_________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
Pain transmission is by
,

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Diet does not affect acne.


__________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Medullary sponge kidney disease has multiple renal calculi which form in dilated distal collecting ducts.
It produces the characteristics pyramidal blush on IVP.
POKD, gout, hyperparathyroidism and sarcoidosis cause renal calculi.
_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

_____________________________________________________________________________________

affect dominant wrist in men of 20 to 40 years age.

________________________________________________________________________________
Cluster headache:

____________________________________________________________________________________

_____________________________________________________________________________________
Decision making capacity:

_________________________________________________________________________________
UTI:

Perinephric abscess:

____________________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

________________________________________________________________________________

___________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
Ulcerative colitis:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
TOF:

_____________________________________________________________________________________

Chronic inflammatory demylinating polyneuropathy:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
Primary prevention: Vaccination
Secondary prevention: Mamogram to detect early cancer, DEXA scan to detect osteophoresis.
Tertiary prevention: DM patient given treatment to prevent end organ damage. Stroke or heart attack
patient given treatment to prevent another attack.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
_ Bulimia nervosa tend to run in families so that there may be a genetic link.
_ GBS: risk factors can be infection with CMV, herpes, EBV, viral hepatitis, GIT infection with
Campylobacter jejuni,. Patient with AIDS, lymphoma, SLE. Recent surgery account for about 5% of GBS
patinets.

- Avoidant personality disorder: defense mechanism.projection


______________________________________________________________________________
Management of acute stress: No benzodiazepines.

______________________________________________________________________________
______

_____________________________________________________________________________________

_____________________________________________________________________________________
PTSD patients has high mortility due to CV diseasesaccelerated atherosclerosis.
Tourette syndrome: ADHA, OCD, obsessive compulsive behavior, conduct disorder, opositional defiant
behavior. Schizephrenia is not associated with tourette syndrome.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

___________________________________________________________________________________

_____________________________________________________________________________________

_________________________________________________________________________

_____________________________________________________________________________________

Trichomonas vaginalis treatment:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________________
..

..

_____________________________________________________________________________________

including genetics and viral ( EBV and HHV ).

possible.
are anticholinergics.
______________________________________________________________________________

___________________________________________________________________________________

____________________________________________________________________________________

___________________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

specific for NTD.

_____________________________________________________________________________

___________________________________________________________________________________

______________________________________________________________________________

________________________________________________________________________________

.
..
( anti-metabolite drugs).

( DNA strand scisson).

( topoisomerase inhibitors)
_____________________________________________________________________________________

_____________________________________________________________________________________

___________________________________________________________________________

than 10% cases.


________________________________________________________________________________

About one third of children has ADHD.

______________________________________________________________________________

_____________________________________________________________________________
IMPORTANT:

______________________________________________________________________________

_____________________________________________________________________________________
Radiation induced dermatitis: (very important)

___________________________________________________________________________________

_____________________________________________________________________________________
Bullous impetigo:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Ganglion:

____________________________________________________________________________________
CTS:

_____________________________________________________________________________________

__________________________________________________________________________________

_____________________________________________________________________________________
Atopic eczema:

____________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

_________________________________________________________________________________
Mitral stenosis:

-----------------------------------

______________________________________________________________________________

_______________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________
Incidence of delirium is high in nursing home residents than in hospitalized patients.
UTI with delirium in elderly patient: TMP-SMZ used not ciprofloxacin as fluoroquinolones increase risk of
delirium and cause QT interval prolongation.

_____________________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

_________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________
:

________________________________________________________________________

__________________________________________________________________________________

________________________________________________________________________________

_______________________________________________________________________

_________________________________________________________________________

Screening test criteria:

_____________________________________________________________________________

_______________________________________________________________________________

_________________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

__________________________________________________________________________
Tourette syndrome:

__________________________________________________________________________
DM:

_____________________________________________________________________________

__________________________________________________________________________________
Gout:

__________________________________________________________________________________
Atrial fibrillation:

________________________________________________________________________________

___________________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

___________________________________________________________________________
Brutons agammaglobinemia:

____________________________________________________________________________

_____________________________________________________________________________

____________________________________________________________________________

_________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________

_________________________________________________________________________________

________________________________________________________________________________

___________________

______________________________________________
SLE:

__________________________

_______________________________________________

..

______________________________

_________________________

______________________

( patient is diabetic with copd)

________________________
CURB score and PSI (pneumonia severity index) for CAP:

..
______________________
Japenese encephalitis:

_______________________________

________________________________

____________________________
________________________________
..
_________________________________

_________________________

________________________________

_______________
Non organic back pain:

_______________________________

_______________

_________________

______________________________

You might also like