Medicine

• Apex (Supine; Bell): Identify: Single S1 S2 Normal
• Apex (Supine; Bell): Identify: Split S1 Normal
• Apex (Supine; Bell): Identify: Mid-Systolic Click Mitral Valve Prolapse
• Apex (Supine; Bell): Identify: Early Systolic Murmur Acute Mitral Regurgitation
• Apex (Supine; Bell): Identify: Mid-Systolic Murmur Mitral Regurgitation due to CAD
• Apex (Supine; Bell): Identify: Late Systolic Murmur Mitral Regurgitation due to MVP
• Apex (Supine; Bell): Identify: Holosystolic Murmur Mitral Regurgitation or VSD (when heard along left sternal border)
• Apex (Left Decubitus; Bell): Identify: S4 Gallop Left Ventricular Hypertrophy
• Apex (Left Decubitus; Bell): Identify: S3 Gallop Normal or Cardiomyopathy
• Apex (Left Decubitus; Bell): Identify: Systolic Click with Late Systolic Murmur Mitral Valve Prolapse with Mitral Regurgitation
• Apex (Left Decubitus; Bell): Identify: S4 and Mid-Systolic Murmur Ischemic Cardiomyopathy with Mitral Regurgitation
• Apex (Left Decubitus; Bell): Identify: S3 and Holosystolic Murmur Dilated Cardiomyopathy with Mitral Regurgitation
• Apex (Left Decubitus; Bell): Identify: Mitral Opening Snap and Diastolic Murmur Mitral Stenosis
• Aortic Area (Sitting; Bell): Identify: Normal S1 and S2 Normal (duh)
• Aortic Area (Sitting; Bell): Identify: Systolic Murmur with Absent S2 Severe Aortic Stenosis
• Aortic Area (Sitting; Bell): Identify: Early Diastolic Murmur Aortic Regurgitation
• Aortic Area (Sitting; Bell): Identify: Combined Systolic and Diastolic Murmurs Combined Aortic Stenosis and Regurgitation
• Pulmonic Area (Supine; Diaphram): Identify: Single S2 Normal in Elderly
• Pulmonic Area (Supine; Diaphram): Identify: Split S2 Persistent Complete Right BBB (on ECG)
• Pulmonic Area (Supine; Diaphram): Identify: Split S2 Transient Normal
• Pulmonic Area (Supine; Diaphram): Identify: Ejection Systolic Murmur with Transient Splitting S2 Innocent Murmur
• Pulmonic Area (Supine; Diaphram): Identify: Ejection Systolic Murmur with Persistent Split S2 and Ejection Systolic Murmur (note - image should say *Atrial*) ASD
• Pulmonic Area (Supine; Diaphram): Identify: Ejection Systolic Murmur with Single S2 and Ejection Click Pulmonary Valve Stenosis
• Subacute endocarditis is a cardiac complication caused by Group D Streptococci (Enterococcus faecalis and Enterococcus faecium) following GI/GU procedures. 1402524179050
• Actinomyces spp. and Nocardia spp. are both gram-positive bacteria that form long, branching filaments resembling fungi. 1402592222774
• "Which gram-positive, filamentous bacteria is associated with yellow ""sulfur granules""? Actinomyces spp." 1402593770382
• Flucytosine is an antifungal agent that is used combination with Amphotericin B to treat Cryptococcus. Especially meningitis caused by Cryptococcus. 1403584762248
• Tabes Dorsalis is a spinal cord lesion that is caused by tertiary syphilis and involves degeneration of the dorsal columns and roots. Hence this will present with impaired sensation and proprioception and progressive sensory ataxia. 1405793592670
• What is the second most common cause of lower GI bleed in adults? Diverticulosis
• For a patient on a ventilator, what is the best way to correct low PaCO2? Decrease respiratory rate or VT Tidal volume (VT) is more efficient to change.
• Central Cord Syndrome is a spinal cord injury that is commonly seen in the elderly following forced hyperextension of the neck (i.e. a rear-end collision). Results in: - Paralysis in the upper extremities - Burning pain in the upper extremities - Preservation of most functions in the lower extremities May be accompanied by localized deficit in pain and temperature sensation; typically occurs with hyperextension injuries in elderly patients with pre-existing degenerative changes in the cervical spine ...
• What is the treatment for neurosyphilis in a patient with penicillin allergy? IV penicillin after desensitisation Allergy = treat with doxycycline Allergy + neurosyphilis or pregnancy = desensitization to penicillin
• What WBC level is seen on lumbar puncture in bacterial meningitis? >1000
• Sydenham's Chorea is a neurological feature of Acute Rheumatic Fever that presents with emotional instability and involuntary movements.
• Annular rash with bright red outer border and partial central clearing is diagnostic for ___. Erythema migrans (Lyme disease)
• A patient is going to begin treatment for a HER2-(+) invasive ducal carcinoma and therapy containing trastuzumab is planned. What should be done prior to starting the medication in this patient? Echocardiography Baseline assessment of cardiac function as Herceptin is cardiotoxic
• Microscopic Polyangiitis is a small vessel vasculitis that presents similarly to Wegener Granulomatosis, but lacks nasopharyngeal involvement and granulomas.
• Which type of primary headache may occasionally present with Horner syndrome? Cluster headache
• What is the diagnostic test for Pseudotumour Cerebri (Benign/Idiopathic Intracranial hypertension)? Lumbar puncture with normal CSF but increased opening pressure Remember, a negative CT/MRI is also required.
• Which vitamin toxicity can be a cause of Pseudotumour Cerebri (Idiopathic Intracranial hypertension)? Vitamin A Withdraw vitamin supplementation if this is suspected.