1. kaylea_clark@yahoo.co.uk 4th Year Medical Student
Medic Cram!!!!
4th Year Medical Student

2. Cardiology

4. SHE’S OVER 55
KNOW THE STUPID PICTURE
Amlodipine

7. CHEST PAIN + FOOD = GORD

9. PREVIOUS EPISODES = ANGINA
CHEST PAIN OVER 30mins – THINK MI

11. Does this look like a “saw tooth to you?

12. *Previous question = Atrial Flutter

13. NYHA – New York Heart Association

15. Respiratory

17. What is the BIGGEST cause of COPD!!!

19. CTPA = GOLD STANDARD!!!

20. What is the likely diagnosis at this point?

21. EXPLANATION ON NEXT PAGE

22. Explanation Peak flow would be investigation of choice for asthma.
An echocardiogram would be used to diagnose Valvular disease.
An ECG may be used to show ischemic changes in MI or heart failure. It can also be considered in COPD if features of heart failure or cor pulmonale are present.
Sputum culture would be used to diagnose a pneumonia. May also be considered in COPD to identify organisms if recurrent infection.
COPD should be suspected in anyone aged over 35, with any risk factors (eg smoking) with:
exertional dyspnoea
chronic cough (3 months +)
regular sputum production
regular winter bronchitis
wheeze
A diagnosis of COPD is made using spirometry, where the FEV/FVC ratio is < 0.7. FEV1 value can also be used as a good indicator of future morbidity and mortality. A chest X-ray is also suggested on diagnosis in order to rule out a tumour or pneumonia, but cannot be used to diagnose COPD.

23. Endocrine

25. LOW Na+
HIGH K+
ALWAYS ADDISONS

27. READ THE QUESTION --- MOST COMMON

30. Oral glucose tolerance test
in normal patients GH is suppressed to < 2 mu/L with hyperglycaemia
in acromegaly there is no suppression of GH
SPADE LIKE HANDS = ACROMEGALY

32. Features of hypothyroidism
Goitre: firm, non-tender
Anti-thyroid peroxidase and also anti-Tg antibodies

33. LOW Na+
HIGH K+
Remember….

34. ADDISONS!!!!!

36. Anti TPO - Hashimoto

37. Gastrointestinal

39. RIF MASS = CROHNS

42. Theres a Triad here
Bonus points if you can get the name?

43. ASCENDING CHOLANGITIS
TRIAD = CHARCOTS =
ASCENDING CHOLANGITIS

45. G
Gall Stones E
Ethanol T
Trauma S
Scorpion Sting M
Mumps A
Autoimmune
Steroids H
Hyperlipideamia
ERCP D
Drugs

46. Distended abdomen
BOWEL OBSTRUCTION

47. Air in gall bladder =
Gallstone ileus

50. GRADUAL DYSPHAGIA…..

51. GRADUAL = MALIGNANCY

54. DYSPHAGIA FROM THE START…..

55. START = ACHALASIA

56. Achalasia
It looks like a ‘birds beak’
‘beaking’

57. Remember GET SMASHED????

58. G
Gall Stones E
Ethanol T
Trauma S
Scorpion Sting M
Mumps A
Autoimmune
Steroids H
Hyperlipideamia
ERCP D
Drugs

59. PAINLESS JAUNDICE?

60. Painless Jaundice = PANCREATIC CANCER

62. Fatty Food = GALL STONES/COLIC

63. Neurology

68. Read the question!! What raises GGT?

71. “A few months ago she had
blurred vision” = MS

73. LEARN THESE STUPID TRACTS

77. Radial is the BEST
B – Biceps
E – Extensors
S – Supinator
T - Triceps

80. C7 POINTS TO HEAVEN

81. HE HAS COPD!!!!

82. CO2 + FLAP = He’s Retaining
YOU TEST THIS IN YOUR RESP EXAM

84. Shakes + Weight Loss – THINK THYROID

85. Bones & Joints

90. HE HAS FOOT DROP

95. THE END
GOOD LUCK!!!!!!