(I’m sorry for this) Rhyming with a certain slur, this diagram demonstrates the different pressures in the cardiac chambers.
What is Wigger’s diagram?
In an ecg, there are 4 large boxes between each R-R interval.
Calculate the heart rate.
What is 75?
These vaccinations are offered to patients with chronic heart failure.
What are annual influenza vaccine and one-off pneumococcal vaccine?
SPIKES
What is a mnemonic? (breaking bad news)
A microcytic blood abnormality which can be caused due to a normocytic blood abnormality.
What is iron deficiency anaemia of chronic disease?
(chronic disease can cause iron deficiency)
This specific assessment sounds like an American delicacy.
What is Buerger’s test?
Best eye response = Opening to painful stimulus
Best verbal response = Inappropriate but comprehensible words
Best motor response = Withdraws from painful stimulus
Calculate the GCS.
What is 9?
A patient with CKD mentions he has been experiencing fatigue and weakness lately at his dialysis appointment. The clinician suspects anaemia.
Give first line management.
What is IV iron? (give Fe before ESA) (oral if not on haemodialysis) (IV if on haemodialysis)
TALIS
What is a mnemonic? (microcytic anaemia) (jumbled around to confuse yall)
A condition that is treated with a CCB and damage to the skin following a period of immobility.
What is high blood pressure ulcer/sore?
A profession that makes pies that are filled with pus.
What is Baker’s cyst?
Na = 136, K = 4, Cl = 105, HCO3 = 25
Calculate the anion gap.
Is this in the normal range?
What is 10 and normal? (8-14mmol/L)
A patient presents to the ED having overdosed on Paracetamol 2 hours ago. His parents mention he was in his room for 30 minutes before they went to check up on him and found him unconscious.
Give next steps.
What is check plasma concentration after 2 more hours?
(also abcde)
ARON
What is a pokemon?
Periumbilical discoloration seen on abdo exam and the findings on an ecg for a patient presenting with SOB after recent travel abroad.
What is Cullen's sign-us tachycardia? (sinus)
I hear ringing sounds, but I am unable to frown.
What is Bell’s palsy?
This is how often nice recommends Kegel exercises for Stress incontinence.
What is 8 contractions 3x daily, for 3 months?
In case of a severe acute COPD exacerbation, give management.
1) Oxygen
2) Nebulised Bronchodilators - in case doesnt work- IV theophylline
3) Steroids (IV hydrocortisone/oral prednisolone)
KLANG
What is a pokemon?
A pregnant lady having significant proteinuria with marked oedema in her ankles and the most common cause of back and unilateral leg pain.
What is pre-eclamp-scia-tica?
This is a scam and will likely increase your blood pressure.
What is Conn’s syndrome?
Describe the FLUID REPLACEMENT in DKA in as much detail as you are able.
1) NaCl 0.9% 1 L over 1 hr
2) Then add KCl to this 1 L over 2 hrs x 2
3) 1 L over 4 hrs x 2
4) 1 L over 6 hrs
this is if BP >90 systolic (if <90 systolic then 1-NaCl 0.9% 500mL over 15min)
A patient is diagnosed with T2DM during his annual blood tests. He looks you in the eyes and asks you which medication you would want to put him on.
When you did an abdo examination you could ballot his right kidney.
What is gliptin/pioglitazone/sulfonylurea?
VINDICATE
What is a mnemonic? (Differentials)
One of the complications of pancreatitis and small cell lung carcinoma
What is acute respiratory distress syndrome of inappropriate ADH?