Passmed wrong

Question 1

Symptoms of multiple endocrine neoplasia type I?

Answer 1

Peptic ulceration, galactorrhoea, hypercalcaemia

Question 2

What is an indication that kidney disease is chronic not acute?

Answer 2

Hypocalcaemia is an indication that kidney disease is chronic and not acute

Question 3

What are the symptoms of acute graft failure?

Answer 3

Acute graft failure happens within months, is usually asymptomatic and is picked up by a rising creatinine, pyuria and proteinuria

Question 4

What is the investigation for reflux nephropathy?

Answer 4

MCUG

Question 5

What is used to asses the level of scarring in vesicouteric reflux?

Answer 5

DMSA

Question 6

What are the symptoms of seborhoeic dermatitis?

Answer 6

red, itchy rash, along with greasy, flaky scales particularly in the nasolabial folds

Question 7

What are the common complications of seborrhoeic dermatitis?

Answer 7

Otitis externa and blepharitis are common complications of seborrhoeic dermatitis

Question 8

What os Slow growing, painless, mobile lump in the parotid gland of older female

Answer 8

Pleomorphic adenoma

Question 9

What is charcot’s triad?

Answer 9

right upper quadrant (RUQ) pain, fever and jaundice.

Question 10

What is reynold’s pentad?

Answer 10

right upper quadrant (RUQ) pain, fever and jaundice.

Plus hypotension and confusion

Question 11

Symptoms of Central retinal vein occlusion

Answer 11

sudden painless loss of vision, severe retinal haemorrhages on fundoscopy

Question 12

Risk factors for Central retinal vein occlusion?

Answer 12

increasing age, hypertension, high cholesterol, diabetes, smoking, glaucoma, and polycythaemia

Question 13

What is the difference between central vein and artery occlusion?

Answer 13

Central retinal artery occlusion has similar risk factors to retinal vein occlusion, but the appearance on fundoscopy is very different. Fundoscopy in central retinal artery occlusion shows a pale retina with a red macula (cherry-red spot).

Question 14

Signs and symptoms of Non-arteritic ischaemic optic neuropathy?

Answer 14

Non-arteritic ischaemic optic neuropathy causes sudden, painless loss of vision.

The damaged of the optic nerve is seen as a hyperaemic, oedematous optic disc with a small cup to disc ratio.

Question 15

Signs and symptoms of retinal detachment?

Answer 15

causes painless loss of vision, but patients usually report preceding flashes or floaters. There are different risk factors for retinal detachment including increasing age, eye injury, or extreme myopia.

Question 16

What are the signs and symptoms of a dermatofibroma?

Answer 16

Solitary firm papule/nodule that dimples on pinching

Question 17

Should you refer to ENT for a unilateral glue ear in an adult?

Answer 17

Unilateral glue ear in an adult needs evaluation for a posterior nasal space tumour

Question 18

What is lichen planus?

Answer 18

. Oral lichen planus is a chronic inflammatory disorder of the mucous membranes. It often affects middle-aged women and can occur without skin involvement. Patients commonly report a persistent burning or stinging pain, worse with spicy or acidic foods. Management is usually with topical corticosteroids, and long-term follow-up is required due to a small risk of malignant transformation.

Multiple well-defined, thin white striations arranged in a reticular (lacy) pattern. These are located on the right inner cheek, without surrounding erythema or ulceration. The surface appears smooth and non-scrapable. There is no evidence of bleeding, induration, or mucosal erosion.