Acute Medical Presentations UK Medical PG Flashcards - Medical Study Cards
Master Acute Medical Presentations with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Acute Medical Presentations Flashcard Deck - 10 Cards
Flashcard 91: In ALS what should be given in patients who are in VF/pulseless VT after 5 shocks have been administered?
Answer:
• Amiodarone 150mg
Flashcard 92: What is the appropriate treatment for symptomatic bradycardia if atropine is ineffective or contraindicated (e.g., atropine allergy)?
Answer: Adrenaline infusion or Transcutaneous Pacing (TCP)
Flashcard 93: What ECG signs are suggestive of previous myocardial infarction?
Answer: Pathological Q waves (signifying transmural scar/necrosis)
Extra: Pathological Q waves are defined as:
• Width > 0.04 sec (1 small box)
• Depth > 25% of the following R wave height
• Seen in contiguous leads (except aVR)
Other signs of old MI include persistent T-wave inversion or loss of R-wave height (poor R-wave progression).
Flashcard 94: Which artery infarction is most commonly associated with arrhythmias (like bradycardia or heart block) due to its supply to the conduction system?
Answer: Right Coronary Artery (RCA) - it supplies the SA and AV nodes in most individuals.
Flashcard 95: Past history of _____ ↑ the risk of Parkinson's disease
Answer: traumatic brain injury
Flashcard 96: _____ can occur from leaving a wound packing in too long, or a tampon in too long
Answer: Toxic shock syndrome
Flashcard 97: Toxic shock syndrome can be caused by _____ in menstruation
Answer: high-absorbency tampons
Extra: Toxic Shock Syndrome (TSS) in this context is usually caused by toxin-producing strains of **Staphylococcus aureus** (releasing **TSST-1**). It presents with high fever, rash, hypotension, and multi-organ involvement.
Flashcard 98: Toxic shock syndrome is associated with _____ caused by group A Strep (GAS) infection of soft tissue
Answer: necrotising fasciitis
Flashcard 99: What is the management of toxic shock syndrome?
1. Stabilise the patient with _____
2. Identify & remove the source of infection
3. Obtain blood cultures then administer empirical antibiotics
Answer: IV fluids
Flashcard 100: Toxic shock syndrome presents with a "_____-like" rash that desquamates 1-2 weeks later particularly affected the soles & palms
Answer: sunburn
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