yay

Question 1

tinel and phalens

Answer 1

carpal tunnel

Question 2

management myasthenic crisis

Answer 2

• IV immunoglobulin

- plasma electophoresis

Question 3

thyroid storm management

Answer 3

iv hydrocortisone
iv fluids
propanolol

Question 4

addisonian crisis management

Answer 4

iv hydrocortisone
iv fluids
glucose
abx

Question 5

meningism

Answer 5

photophobia, neck stiffness

Question 6

CA19-9

Answer 6

pancreatic cancer

Question 7

most common type glomerulonephritis in SLE

Answer 7

diffuse proliferative glomerulonephritis

Question 8

common cause of hyponatraemia following SAH

Answer 8

SIADH

Question 9

what would a raised calcium and low phosphate suggest

Answer 9

primary hyperparathyroidism

Question 10

what does bones groans stones and psychic moans refer to

Answer 10

primary hyperparathyroidism

Question 11

eye unilaterally dilated

Answer 11

• compression of 3rd nerve

- optic nerve injury

Question 12

eyes bilaterally dilated

Answer 12

• bilateral 3rd nerve palsy

- poor CNS perfusion

Question 13

eyes bilaterally constricted

Answer 13

• opiates
• pontine lesions
• metabolic encephalopathy

Question 14

what is most useful investigation for diagnosing ankylosing spondylitis

Answer 14

Plain x-ray of the sacroiliac joints

Question 15

what would subchondral sclerosis of sacroiliac joint indicate

Answer 15

ankylosing spondylitis

Question 16

hand foot and mouth disease is commonly caused by?

Answer 16

coxsackie A16 and enterovirus

Question 17

antihistone antibodies

Answer 17

drug induced lupus

Question 18

anti jo-1 antibodies

Answer 18

polymyositis.

Question 19

anti scl70 antibody

Answer 19

diffuse systemic sclerosis

Question 20

anticentromere antibody

Answer 20

limited systemic sclerosis

Question 21

causes drug induced lupus

Answer 21

isoniazid
phenytoin
procainamide
hydralazine 
minocycline

Question 22

phenytoin is for

Answer 22

tonic clonic seizures
focal seizures
prevention of seizures
status epilepticus

Question 23

absolute contraindications thrombolysis

Answer 23

• known intracranial neoplasm
• recent haemorrhage
• coagulation and bleeding disorders
• stroke <3 months
• aortic dissection
• recent head injury
• severe hypertension

Question 24

3 thrombolytic drugs

Answer 24

streptokinase
alteplase
tenecteplase

Question 25

what nerve carpal tunnel

Answer 25

median

Question 26

Addisons management

Answer 26

hydrocortisone + fludrocortisone

Question 27

termination of pregnancy <9 weeks

Answer 27

medical abortion | - mifepristone + prostaglandin 48 hours later

Question 28

termination of pregnancy 9-13 weeks

Answer 28

surgical dilation and suction of uterine contents

Question 29

anterior cerebral artery stroke effects

Answer 29

Contralateral hemiparesis and sensory loss, lower extremity > upper

Question 30

middle cerebral artery stroke effects

Answer 30

Contralateral hemiparesis and sensory loss, upper extremity > lower Contralateral homonymous hemianopia Aphasia

Question 31

posterior cerebral artery stroke effects

Answer 31

Contralateral homonymous hemianopia with macular sparing | Visual agnosia

Question 32

basilar artery stroke effect

Answer 32

'locked in' syndrome

Question 33

lacunar stroke effect

Answer 33

present with either isolated hemiparesis, hemisensory loss or hemiparesis with limb ataxia strong association with hypertension common sites include the basal ganglia, thalamus and internal capsule

Question 34

what age should you hop on one leg

Answer 34

3-4

Question 35

what age should you squat to pick up a ball

Answer 35

18 months

Question 36

what age should you pull to standing

Answer 36

8-10 months

Question 37

diabetes insipidus osmolality findings

Answer 37

high plasma osmolality | low urine osmolality.

Question 38

what test is used to confirm diabetes insipidus

Answer 38

water deprivation test

Question 39

2 types diabetes insipidus

Answer 39

cranial and nephrogenic

Question 40

describe cranial diabetes insipidus

Answer 40

reduced production of anti diuretic hormone by pituitary

Question 41

describe nephrogenic diabetes insipidus

Answer 41

reduced sensitivity to anti diuretic hormone

Question 42

pegvisomant

Answer 42

GH receptor antagonist

Question 43

what is a hydrocele

Answer 43

accumulation of fluid within the tunica vaginalis

Question 44

initial management hypercalcaemia

Answer 44

iv saline (3-4 litres per day) +/- bisphosphonates

Question 45

effect of calcitonin on calcium levels

Answer 45

reduces

Question 46

examples of DOACs

Answer 46

apixaban | rivaroxaban

Question 47

first line management haemochromatosis

Answer 47

regular venesection

Question 48

primary causative organism for croup

Answer 48

parainfluenza virus

Question 49

primary causative organism for bronchiolitis

Answer 49

RSV

Question 50

side effects ACE inhibitors

Answer 50

- cough | - hyperkalaemia

Question 51

side effects calcium channel blockers

Answer 51

Headache • Flushing • Ankle oedema

Question 52

side effects beta blockers

Answer 52

• Bronchospasm (especially in asthmatics) • Fatigue • Cold peripheries

Question 53

acute migraine management

Answer 53

triptan + NSAID/ paracetamol

Question 54

migraine prophylaxis

Answer 54

topiramate or propanolol

Question 55

what food group should patients taking warfarin avoid

Answer 55

foods high in vitamin k e.g. brocolli, kale, sprouts

Question 56

is methotrexate used to manage UC or Crohns

Answer 56

Crohns

Question 57

what is associated withPhiladelphia chromosome - t(9:22)

Answer 57

chronic myeloid leukaemia

Question 58

ecg change associated with haloperidol

Answer 58

prolonged qt

Question 59

ecg changes associated with hyperkalaemia

Answer 59

tented t waves, absence of p waves, broad qrs complex

Question 60

management raynauds

Answer 60

CCB e.g nifedipine

Question 61

what age good pincer grip

Answer 61

12 months