General Medicine — Flashcards

Flashcard 1: In which condition is the following circulation pattern observed: _____

Answer: IVC obstruction

Flashcard 2: _____ is a zoonotic infection caused by Rickettsia rickettsii that presents with a rash that typically starts at the wrists and ankles and then spreads to the trunk, palms and soles.

Answer: Rocky Mountain Spotted Fever

Flashcard 3: The **Parkinson-plus syndromes** (atypical parkinsonism) include _____, Progressive Supranuclear Palsy (PSP), Corticobasal Degeneration (CBD), and Dementia with Lewy Bodies (DLB).

Answer: Multiple System Atrophy (MSA)

Extra: These conditions are characterized by parkinsonian features (tremor, rigidity, bradykinesia) but typically have additional neurological signs (e.g., autonomic dysfunction, vertical gaze palsy) and a poor response to levodopa.

Flashcard 4: What infection can cause this spinal cord lesion? _____

Answer: Poliovirus

Flashcard 5: What are the indications and contents of the **Black Kit** (Kit 7) in STI syndromic management?

Answer: Indication: **Inguinal Bubo** Contents: **Doxycycline 100 mg** twice daily for **21 days**. *Partner treatment is recommended.

Flashcard 6: What disease is associated with this spinal cord lesion? _____

Answer: Amyotrophic lateral sclerosis (ALS)

Flashcard 7: The three clinical criteria for the **qSOFA score** are: 1. _____ 2. Systolic blood pressure ≤ 100 mmHg 3. Respiratory rate ≥ 22/min

Answer: Altered mental status (GCS < 15)

Extra: A qSOFA score ≥ 2 is associated with an increased risk of mortality or prolonged ICU stay. It was introduced in the Sepsis-3 guidelines as a rapid bedside assessment tool that does not require laboratory testing.

Flashcard 8: In **paracetamol-induced** acute liver failure, the King's College Criteria for liver transplantation includes an arterial **pH** of < _____ (after fluid resuscitation) or the combination of INR > 6.5, Creatinine > 3.4 mg/dL, and Grade 3/4 encephalopathy.

Answer: 7.3

Extra: King's College Criteria for Liver Transplantation: **Paracetamol-induced:** Arterial pH < 7.3 (after fluid resuscitation) OR all three of: 1. Grade III or IV encephalopathy 2. Prothrombin time > 100s (INR > 6.5) 3. Serum creatinine > 3.4 mg/dL (300 µmol/L) **Non-Paracetamol induced:** INR > 6.5 OR any three of: 1. Age < 10 or > 40 years 2. Etiology: Seronegative hepatitis, halothane hepatitis, idiosyncratic drug reactions 3. Duration of jaundice before encephalopathy > 7 days 4. INR > 3.5 5. Serum bilirubin > 17.5 mg/dL (300 µmol/L)

Flashcard 9: What disease is associated with this spinal cord lesion? _____

Answer: Syringomyelia

Flashcard 10: The first line of treatment for Isospora diarrhoea condition is _____.

Answer: cotrimoxazole