MSK 2

Question 1

Impetigo tx

Answer 1

Hydrogen peroxide cream

Question 2

Necrotising enterocolitis

Answer 2

Prematurity
Formula milk
Small baby

Question 3

Gillick vs Fraser

Answer 3

Gillick is about medical decisions before 16yo
Fraser relates to contraception and sexual health

Question 5

Scarlet fever tx

Answer 5

Penicillin

Diagnosis: clinical +- anti streptolysin O

Question 6

Weight estimate in children <10yo

Answer 6

Weight = (age + 4) x2

Question 7

Hand foot mouth cause

Answer 7

Coxsackie virus

Question 8

Fifth disease cause

Answer 8

/slapped cheek/

Parvovirus b19

Question 9

MMR vaccine schedule

Answer 9

12 months and 18 months

Question 10

How to discern between Episcleritis and scleritis?

Answer 10

Phenylephrine will reduce redness in Episcleritis

But NOT scleritis

Question 11

Sensorineural hearing loss

Answer 11

Air > bone

W: lateralises to HEALTHY ear

Question 12

Conductive hearing loss

Answer 12

Bone > air in SICK ear
Lateralises to affected air

Question 13

Lichen planus:

Answer 13

Characteristic Wickham striae on oral mucosa tx topical steroids

Question 14

Trichomonas

Answer 14

Tx oral metronidazole

Low ph

Yellow - green discharge

Wet mount with motile flagellated organisms

Question 15

Superior Homonymous quadrantopia

Answer 15

Lesion of inferior optic radiation in temporal lobe (piTS)

Question 16

Inferior Homonymous quadrantopia

Answer 16

Lesion of superior optic radiation in parietal lobe PIts

Question 17

Upper quadrant bitemporal hemianopia

Answer 17

Pituitary tumour

Question 18

Lower quadrant bitemporal hemianopia

Answer 18

Craniopharyngioma

Question 19

Episcleritis vs Blepharitis vs Keratitis

Answer 19

Episcleritis - redness
Blepharitis - redness and pain
Keratitis- redness pain photophobia

Question 20

Gonorrhoea under a microscope:

Answer 20

Gram negative diplococci

Question 21

Shaken baby syndrome

Answer 21

Retinal haemorrhages
Subdural haematoma
Enxcephopathy

Question 22

Measles

Answer 22

3 Cs
Cough coryza conjunctivitis

Rash spreads from hairline

Question 23

Silicosis

Answer 23

Upper zone fibrosis (asbestosis is lower zone)
Miner occupation
Egg shell calcification

Question 24

DM mediation contraindicated in heart failure

Answer 24

Pioglitazone

Question 25

Anal fissure tx

Answer 25

Topical GTN

Question 26

Yellow green discharge with strawberry cervix

Answer 26

Trichomonas vaginalis PO metronidazole 400mg BD

Question 27

Beta blocker OD tx

Answer 27

Glucagon

Question 28

G6DP deficiency

Answer 28

HEINZ bodies, bite cells

Question 29

Pytriasis rosea

Answer 29

HHV 7 Herald patch

Question 30

Granulomatosis with polyangitis

Answer 30

cANCA

Question 31

Eosinophilic granulomatosis with polyangitis

Answer 31

pANCA

Question 32

Thyrotoxicosis in pregnancy

Answer 32

1st trimester: propylthiouracil 2nd and 3rd: Carbimazole

Question 33

Flashers , floaters, curtain

Answer 33

Retinal detachment

Question 34

Central vision loss and blurring of straight lines

Answer 34

Macular degeneration

Question 35

Central retinal artery vs vein occlusion

Answer 35

Artery - sudden Vein - gradual

Question 36

Which cancer presents as actinic keratoses?

Answer 36

SCC

Question 37

Glucagonoma

Answer 37

4D Diabetes Dermatosis DVT Depression Diarhoea Weight loss

Question 38

Scabies tx

Answer 38

Permethrin

Question 39

If you lose some function due to stress

Answer 39

Conversion disorder

Question 40

Migraine acute treatment

Answer 40

NSAID and triptan Or paracetamol and triptan

Question 41

Migraine prophylaxis

Answer 41

Topiramate and propranolol

Question 42

IV Sodium bicarbonate- treatment for which OD?

Answer 42

TCA Salicylate

Question 43

Episcleritis

Answer 43

Painless

Question 44

BC > AC

Answer 44

Conductive hearing loss

Question 45

Dabigatran reversal

Answer 45

Idaricuzumab

Question 46

Thessaly test

Answer 46

Test for meniscus tear

Question 47

ER + breast cancer

Answer 47

Tamixifen in pre menopause / perimenopause Anastrozole in postmenopause

Question 48

HER+ breast cancer tx

Answer 48

herceptin

Question 49

Membranous Glomerulonephritis

Answer 49

Spike and dome appearance

Question 50

Whooping cough tx

Answer 50

Azithromycin or clarithomycin

Question 51

Scarlet fever vs Kawasaki

Answer 51

Scarlet fever lips are spared and NO conjunctivitis (tx phenoxymethylpenicillin) Kawasaki tx aspirin

Question 52

Genital warts type vs tx

Answer 52

Multiple/cauliflower : topical podophyllum Solitary: cryotherapy

Question 53

Organophosphate insecticide poisoning

Answer 53

Bradycardia

Question 54

Men1

Answer 54

Parathyroid Pancreatic tumour Pituitary adenoma

Question 55

Men 2A / 2b

Answer 55

Both have phaeochromocytoma and medullary thyroid ca A: hyperparathyroid B: marfanoid

Question 56

Retinal vein vs artery occlusion

Answer 56

Vein: redness, flames Artery: pale

Question 57

Cytochrome 450 inducers

Answer 57

PCBRASS phenytoin Carbamazepine Barbiturate Alcohol Sulfonylurea Smoking Induced enzymes, quicker metaboism, therefore shorter drug effect or lower drug concentration, will LOWER INR

Question 58

neurofibromatodis 2

Answer 58

Vestibular schwannoma and hearing loss

Question 59

Neurofibromatosis 1

Answer 59

Cafe au lait Axillary freckling

Question 60

Auer rods

Answer 60

AML