Jan 2020 Recall ( 120 so far) I have checked to make sure no repeat, im not saying these are the answers, these are the q) Please feel free to add:
1: Salmeterol longer duration of action : due to lipid solubility
2: lady with her left eye that was about to pop out with altered sensation over her left forehead. RAPD. HR 96 and BP up. What was going on there? Can anyone explain. TFT? CT angiogram?
3: RF: IGm against Igg other options Igg against IgM
4: waxy subsubtance in eye, stiaght lines look wavy :wet maculare degeneration, drusen deposits
5: Acne metronidazole topical
7: Also active lupus: low C3 and low c4? Or normal C3 and low C4?
8: The patient with xs alcohol use who presented with bruising but had low Hb mcv up and wcc/platelets down. Question said what would correct the blood abnormalities. ?B12, folate, vit c
9: In GCA what symptom predicts neuro-opthalmic problems are likely? jaw claudication?
10: Sinusitis and recurrent productive cough with NO test outcome: very low levels,? ABPA? Asthma?
11: the palliative gentleman with pancreatic cancer and two day history or confusion and agitation… IV saline or SC midazolam
12: untreated UC and raised igG ? Protein electrophoresis?
13: the guy with CKD ihd double amputation and systolic murmur with Hb of 62 and normal ferritin levels. Transfuse packed red cells or EPO?
14: Sensorineural feafness in right ear…weber lateralised to left, tinnitus ? menieres
15: Anal carcinoma ? casue HHV, HIv, HPV
16: elderly female,fall, long lie on floor, K high, what next investigation serum CK?
17: Gonorrhea rx ceftriaxone
18: uera breath test
19: sores mouth, ? infection strep pneumonia, staph aueurus
20: sepsis which interleukin IL1,IL4, IL6, IL10
21: Anti TB drug causing arthtris: pyrazimide
22: Pericarditiis one q: ST depression
23: Pericarsitis widespread STE elevation
24: S4 HS corresponding ECG P wave
25: chronic COPD reason for neutrophilia: prednisolone
26: Gonadotrophic hypogonadism- anosmia?
27: immediate structure posterior to left atrium, oeseophagus, descending aorta
28: Painful Ulcer without border surrounded by erythema? Which ulcer venous or arterial e.t.c
29: Indian ink stain–> cryptococcus–> amphotericin?
30: brings jar to doc, been investigated all negative: Delusional parasitosis
31: Hereditary telangiestia inhertance: autosomal dominant
32: neuropathic pain in DM: amitriptyline, pregabalin, gabapentin
33: touretts syndrome: tibuation random noises family hx
34: Vit k dependent: 27,9, 10
35: glucose 3.3, pt conscious but shivering; glucojuice, im glucagon
36: barretts oseophaagus: squamous, adenocarcinoma
37: difference btw erthyrocyte and retiucylte : small size, pallor
38: wilsons complication psychiatry
39: Ramadan fasting DM 500mg morning 1000mg evening
40: features of locked in syndrome
41: low glycaemic index, pasta with tomato sauce, porridge, orange juice
42: lithium htn pt what to give, amlodipine, Ramipril
43: family concerned: terminally ill s/c midazolam
44: women fell injury, daughter concerned: bed rails, low bed
45: Reactive arthritis
46: GI hemorrahgae cause: fluoxetine,
47: duodenal cap blood supply: gastrodudenal A
48: De quervian tenditonits
49: AF with palpitation trop 16( cut 16 cause of raised trop ) AF, MI
50: ceftriaxone anaplyaxis: adrenaline
51: obese lady: osa, investigation polysomnography
52: renal stenois: investigation : Mr angiography
53: female on COCP malaria proylaxis: atoqone and proguanil
54: levothyroxine and calcium carbonate interaction
55 hx of asbestosis, current smoker: next management: stop smoking
56: cryptococcal meningitis ampotercin and fluctosine?
57 itching ans execration : iron studies?
58 old lasy dyspareunia: dry vulva cause hypoestrogen
59 ciliary dsykienisa, azzospemia cftr gene abnormlity
60 Myotonic dystrophia: trinucleotide repeat
62 neutophil action: phagocytosis, b cell
63 MHC1: T helper cell, T cytoctoxic
64 family hx +ve, blisters on hands, porphyria cutana
65: Carbimazole MOA
66: eplenerone site of action: DCT
67: dapoglifozone: renal reabsorption of glucose
68: Site of central immunological tolerance- spleen, thymus, bone marrow
69 Poor predictor in AS with AR, ? AR , LVH, Severe AS
70 absolute contraindication fro pregnancy : pulmonary HTN
71 mother SLE, baby has heart block cause: anti Ro
72 CK high ? demartomycositis / polymostis
73 H/o dog bite rx: co-amox
74 L4 lumbar fracture: next investigation, PET scan, dexa scan
75 densoumab : rank ligand
76 letrozole : osteoporosis, endeometiral canceer
77 odds ratio 16
78: acene rosease: topical metronidazole
79: Irrtibale bowel syndrome: symptoms resolved on bowel movement
80: ? lead time bias, publication bia
81: glucose reabsorption takes place where: PCT
82: risk factor for further suicide: suicide note
83: IV drug abuser: botulin toxin ijection
84 another where to give botulin toxin flexors: iliospsa, vastus medias, Biceps femoris
85 recent trauma, clear edge deep ulcer cause? Traumatic ulcer, pyogransosum
86 subacute degeneration: dorsal column
87 S81 year old woman with ecchymosis, prolonged aPTT ? haemophila, von willibrand
88 another similar menohargia apptt high what other test: factor 8
89 IDA treated with iron supplements n corrected… Mother has CA Colon…No gastrointestinal sym…Feacel occult test, colonscopy, upper gi endscopy
90 minimal change disease treatment: prednisiolone
91 small cell ca: membranous nephropathy
92 PTH high and ALP: pagets, ostemalacia
93 Baclofen MOA: GABA
94 Cardiac arrest prolonged QT
95 Docatexel MOA: microtuble
96 recent MI evidence of heart failure next drug to add epelerone
97 Neuropathy paresthesia vincristine
98: Hemibleismus subthalamus
99: Aloprt ant lense dislocation?/sensorneural deafness
100: Nephrogenic dI on litiuhum
101: polcyemthia ?
102: SBP- ceftriaxone
103: methamglobinemia: methylene blue
104: Renal trasnplane from bother HLA probability: 50, 100
105 smoking and percentage of lung cancer
106 GBS rx IVIG
107 GBS monitoring, FVC
108 Left eye proptosis no adduction no elevation chemosis injections investigation of choice: usg
109 There was an ipsilateral 3rd nerve and contralateral sensory body
110 Obese lady with dizziness and raised papilloedema. Idiopathic intracranial htn
111 pt in nursing home diarrhoea: noravirus
112 delirum tremens: diazepam
113 ankyoksing sponyliis diagnosis ? xray lumbar
114 irradiated blood: CMV or graft vs host
115 cea colon cancer
116 Fastest conduction? SAN, AVN? Purkinje fibres
117 Ventricular rate 22,site of impulse generation? was this AV node?
118 Do you know phenytoin loading question? Phenytoin was 12 trough level was low, reload, increase
119 History of hearing voices since childhood ?, multiple cuts depressive? cant remeber options expect borderline personality
120 one scenario similar chicken pox, male on steroids, ,give immunogolibin?