Ques med difficult

Question 1

Listers tubercle - what is this and which extensor compartments does it seperate

Answer 1

Listers tubercle is a bony prominence on the distal radius, which seperates the secodna dn third extensory compartments

Question 2

The subtypes and defintiions of different acute coronary syndrome and manaagement

Answer 2

• Unstable angina - Cardiac chest pain + abnormal/normal ECG + normal troponin
• NSTEMI - Cardiac chest pain + abnormal/normal ECG (but not ST-elevation) + raised troponin
  
  • Mx = Aspirin 300mg, GTN spray, morphine/diamorphose, antithrombin therapy
• STEMI - Cardiac chest pain + Persistent ST-elevation/new LBBB (note that there is no need for a troponin in this case).
  
  • Mx = O2 therapy, aspirin 300mg, gtn SPRAY, iv morphine/diamorphine, PCI if present within 12hours pain
• Post MI: Apsirin, beta blcoker, ace inhibitor, high dose statin

Question 3

Antibiotic that is commonly associated with dyspepsia

Answer 3

Clarithromycin

Question 4

How often do ou have ultrasound etc with small, meduium, large aortic aneursysms

Answer 4

• If small AAA (3-4.4cm) – offered yearly repeat ultrasound
• If medium AAA (4.5-5.4cm) – offered repeat ultrasound every 3 months
• If large AAA (>5.5cm) – surgery generally recommended.