Irregular Verbs in English: A Slideshow Revision Exercise by
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![Page 1: Slideshow Revision](https://reader035.fdocuments.in/reader035/viewer/2022070400/5681351b550346895d9c7441/html5/thumbnails/1.jpg)
Slideshow Revision
Ian AndersonMarch 2008
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Question 1
WCC 8.24 Ferritin LowHb 8.06 Folate NormalMCV 69 Vit B12 NormalPlts 350 TIBC High
a) What is the diagnosis? (1 mark)
b) What cells might you see on a blood film? (1 mark)
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Question 2
a) What is this sign? (1 mark)
b) What is the diagnosis?(1 mark)
c) How long will it typically take to heal? (1 mark)
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Question 3
a) What is your diagnosis in this patient who presented with chest pain? (1 mark)
b) How would you further investigate this patient?
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Question 4a) What is this sign called?
(1 mark)
b) What is it diagnostic of?(1 mark)
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Question 5What is your diagnosis in this lady who has deranged LFTs?
(1 mark)
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Question 6
a) What is the diagnosis? (1 mark)
b) What should you do? (1 mark)
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Question 7
a) What is this investigation?(1 mark)
b) What is the diagnosis?(1 mark)
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Question 8
a) What is the diagnosis? (1 mark)
b) Name two life-saving treatments that you would give. (1 marks)
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Question 9
a) What is the diagnosis? (1 mark)
b) Name two treatments. (2 marks)
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Question 10a) What is the
diagnosis?
(1 mark)
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Question 11a) What is the diagnosis?
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Question 12
a) What operation has this elderly gentleman had?
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Question 13
This man has started a new tablet because he’s “Got blood pressure, Dr”.
a) What is your diagnosis of this painful toe?
b) What class of tablet is likely to be responsible?
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Question 14a) What is this sign?
(1 mark)
b) What is it usually predictive of?(1 mark)
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Question 15a) What is this sign?
b) What is the underlying pathology?
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Question 16a) What is this
procedure?(1 mark)
b) Name a potential complication(1 mark)
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Question 17a) What is the diagnosis in this patient with a history of atrial fibrilation and collapse? (1 mark)
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Question 18
a) Diagnosis (1 mark)
b) Treatment in non-diabetic(1 mark)
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Question 19a) What does the
arrow denote?
b) What is it diagnostic of?
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Question 20
a) What is this? (1 mark)
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Question 21a) What is this clinical
sign?
b) What is the diagnosis in this 30 year old man with chronic backache?
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Question 22a) What did this patient die of?
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Question 23
a) What is the device that has been circled? (1 mark)
b) What are the indications for this?(1 mark)
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Question 24
a) What procedure has been performed here?
b) What complication has occurred?
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Question 25
a) What procedure has been performed?
b) What is the indication for doing this?
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Question 26A) Diagnosis? B) Treatment?
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Answers
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Answer 1WCC 8.24 Ferritin LowHb 8.06 Folate NormalMCV 69 Vit B12 NormalPlts 350 TIBC Higha) Iron deficiency anaemia (microcytic anaemia with low ferritin)
b) Poikilocytosis / anisocytosis
NB: Other microcytic anaemias include: Chronic disease (where MCV may be normal or low but ferritin is
high and TIBC is low)Thalassaemia / sideroblastic anaemia (where ferritin is high and
TIBC is low)
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Answer 2
a) Dinner fork deformity
b) Colle’s fracture of left hand
c) 6 weeks
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Answer 3
a) PE (1 mark)
b) D-dimer, V/Q Scan or CTPA
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Answer 4a) Pepperpot skull
(1 mark)
b) Multiple myeloma(1 mark)
NB: If you suspect myeloma in a patient, first line investigation is Bence Jones protein (urine sample) together with myeloma screen (blood electrophoresis), not a skull x-ray!
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Answer 5Wilson’s Disease
(1 mark)
These are Kayser-Fleischer rings
You will never diagnose Wilson’s disease as a Dr. as is almost always picked up in childhood
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a) Acute angle closure (blockage of the drainage angle causes IOP to rise. High pressure results in a constellation of signs seen in acute angle closure glaucoma including redness of conjunctiva (red arrow), haziness of the cornea, and a mid-dilated pupil (white arrow).
b) Get help! (We think that this was the answer they were looking for, rather than starting IV acetazolamide)
Answer 6
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Answer 7
a) Barium swallow(1 mark)
b) Oesophageal stricture(1 mark)
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Answer 8
a) Non ST-elevation MI (MI alone is not enough)
b) Oxygen, Aspirin, (GTN & Morphine)
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Answer 9
a) Atrial Flutter (1 mark) [With 4:1 block – for the geeks]
b) DC cardioversion, pharmacological cardioversion (flecanide, sotalol), digoxin, beta blockers, verapamil, AV node ablation & PPM, overdrive pacing.
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Answer 10
a) Cystic fibrosis
Frontal chest x-ray in cystic fibrosis shows diffuse interstitial disease with bronchiectasis and nodular densities of mucoid impaction
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Answer 11a) Left pleural effusion
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Answer 12
a) Pnemonectomy
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Answer 13
This man has started a new tablet because he’s “Got blood pressure, Dr”.
a) Gout
b) Thiazide diuretics (e.g. bendroflumethiazide)
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Answer 14a) Cullen’s sign
(peri-umbilical bruising)
b) Acute pancreatitis
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Answer 15a) Ascites
b) Cirrhosis of the liver
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Answer 16a) Coronary
angiogram
b) Stroke, MI, rupture, death, femoral haematoma & (pseudo) aneurysms
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Answer 17a) Extradural haematoma(Subdual shown for comparison)
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Answer 18
a) Cellulitis
b) Ben-pen & fluxlox
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Answer 19a) “Looser’s
zone” (pseudo-fracture)
b) Osteomalacia(Note diffuse osteopenia)
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Answer 20
a) Incisional hernia
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Answer 21a) Bamboo spine
b) Ank Spondy
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Answer 22a) Saddle PE
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Answer 23
a) REVEAL implant (not a pacemaker, see top image)
b) Dizziness, syncope, palpitations, collapse, brady/tachy arrhythmias
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Answer 24
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Answer 25
a) Fasciotomy
b) Compartment syndrome
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Answer 26A) Small bowel obstruction B) Drip & suck!
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Good luck in your finals
You’ll all be fine. If I can pass, ANYONE can!