Rheumatology & Haematology UK Medical PG Flashcards - Medical Study Cards
Master Rheumatology & Haematology 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.
Rheumatology & Haematology Flashcard Deck - 10 Cards
Flashcard 21: Would a Haemoglobin of 10.1 g/dL indicate LTOT?
Answer: No.
Secondary polycythemia (Hematocrit > 55%) is an indication for LTOT, not anemia.
Extra: LTOT Indication in COPD (Stable patients, non-smokers):
1. PaO2 < 7.3 kPa (regardless of other factors).
2. PaO2 7.3 – 8.0 kPa AND one of:
- Secondary polycythemia (Hct > 55%)
- Peripheral edema (cor pulmonale)
- Pulmonary hypertension
Flashcard 22: Haemoglobin of 18.4 g/dl?
Answer:
• Raised haemoglobin
• suggests secondary polycythaemia
Flashcard 23: What is the reversal agent for bleeding on dabigatran?
Answer:
• Idarucizumab
Flashcard 24: What is the management for Sjögren's Syndrome?
Answer: • Artificial tears (Eye drops)
• Artificial Saliva
• Vaginal lubricants
• Muscarinic agonists (e.g., Pilocarpine, Cevimeline) for dryness
• Hydroxychloroquine (for arthralgia/skin involvement)
Extra: Sjögren's Syndrome management focuses on symptomatic relief of sicca symptoms (dry eyes, dry mouth).
- Dry Eyes: Artificial tears, cyclosporine drops.
- Dry Mouth: Frequent sips of water, sugar-free gum, muscarinic agonists (pilocarpine).
- Systemic involvement: Hydroxychloroquine or immunosuppressants.
Note: "Vignal" in the original card was a typo for "Vaginal".
Flashcard 25: What are the skin features of Sarcoidosis?
Answer:
• Erythema Nodosum -> on shins
• Lupus Pernio -> cheeks and nose
Flashcard 26: What are the blood test findings to remember for Sarcoidosis?
Answer:
• Raised ACE
• Hypercalcaemia
Flashcard 27: What are the classic signs of a Hip Fracture?
Answer:
• Shortened and externally rotated leg
Flashcard 28: INR 5.0-8.0 + Minor Bleeding management?
Answer: • Stop Warfarin
• Give IV Vitamin K 1–3 mg
• Restart Warfarin when INR < 5.0 (at a lower dose)
Extra: Management of Warfarin Overdose (based on INR & Bleeding):
1. **INR > 5.0, no bleeding:** Omit 1-2 doses, reduce maintenance dose.
2. **INR 5.0–8.0, minor bleeding:** Stop warfarin, give IV Vitamin K 1–3 mg, restart when INR < 5.0.
3. **INR > 8.0, minor bleeding:** Stop warfarin, give IV Vitamin K 1–5 mg, restart when INR < 5.0.
4. **Major bleeding (any INR):** Stop warfarin, give IV Vitamin K 5–10 mg + Prothrombin Complex Concentrate (PCC) or FFP.
Flashcard 29: What is the classic triad of Fat Embolism Syndrome?
Answer: 1. Respiratory changes -> hypoxia, dyspnea
2. Neurological signs -> confusion
3. Petechial Rash
Flashcard 30: What are the antibodies associated with Sjogren's syndrome?
Answer:
• Anti-Ro
• Anti-La
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