A mnemonic for rheumatic fever: Jones major criteria: JONES: J oints (polyarthritis) O bvious (i.e. cardiac criterion: carditis) N odules (subcutaneous) E rythema marginatum S ydenham’s chorea If you see a right bundle branch block (RBBB) on an ECG, look also for a left anterior fascicular block (LAFB). ECG findings of left anterior fascicular block (LAFB): Left axis deviation, i.e. mean frontal QRS axis between -30 and -90 degrees; qR in aVL and usually I; rS in III and aVF. Kerley B lines on the chest x-ray of a patient not responding to management of pulmonary edema? Think lymphangitic carcinomatosis.
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PSYCHIATRY
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Psychiatry MCQ PSYCHIATRY 1.A 34 year old lady with a previous divorce now comes to you with a seductive behaviour a. Narcistic b. Histrionic c. Borderline d. Panaroid e lack of insight 2.A 23 year old man set up fire deliberately. Which is true regarding pyromaniacs? a. Done for notoriety or publicity b. To hide their acts c. As they like to play with fire d. Set fire and get panic attacks e. For satisfaction 3.A 23 year old man presented with depersonalization, this may occur in a. Schizophrenia b. Ecstatic religious experience c. Depression d. Post traumatic disorder e. All of the above 4.A middle aged lady present to you with nausea dyspepsia abdominal distention. She had a past history of going to many doctors and being treated for many disorders. she has been treated by a rheumatologist for aches and pains, cardiologist for her palpitations and gave her propanolol without improvement , a neurologist for her epilepsy. On e...
MCQS WITH ANSWERS-AMC -AUSTRALIAN MEDICAL COUNCIL EXAM
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PSYCHIATRY 1.A lady with a previous divorce now comes to you with a seductive behaviour a. Narcistic b. Histrionic c. Borderline 2.In Australia bush fire are common either accidentally or some people lighting fire deliberately. Which is true regarding pyromaniacs? a. Done for notoriety or publicity b. To hide their acts c. As they like to play with fire d. Set fire and get panic attacks e. For satisfaction 3.Depersonalization may occur in a. Schizophrenia b. Ecstatic religious experience c. Depression d. Post traumatic disorder e. All of the above 4.A middle aged lady present to you with nausea dyspepsia abdominal distention. She had a past history of going to many doctors and being treated for many disorders. she has been treated by a rheumatologist for aches and pains, cardiologist for her palpitations and gave her propanolol without improvement , a neurologist for her epilepsy. On examination you find a tense anxious woman in spite of her daily dose of benzodia...
Pregnancy and Epilepsy
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1.Epilepsy does not carry an increased risk of miscarriage or obstetric complications per se. 2. A single fit during pregnancy is unlikely to impose any risk to the fetus nor is pregnancy associated with an increased risk of seizures. 3. Most anti-epileptic drugs are asssociated with incresed adverse outcome 4.Main culprit is Sodium Valproate.
Pregnancy Facts
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Child-bearing years span almost four decades, giving the GP ample opportunity to educate and prepare women for pregnancy. ■ 70-90% of women with bipolar disease and 60% of those with major depression will relapse if psychotropic medication is ceased in pregnancy. ■ It is recommended that the HbA1c be maintained at ≤6 in women with diabetes before and during pregnancy. ■ Maternal perinatal depression is a risk factor for premature birth, reduced foetal growth ,PET, poor neonatal bonding and longer-term neurodevelopmental problems. ■ Although there is no established safe level of alcohol, 10-15% of women continue to drink throughout