52 year old female presents with increasing fatigue over the last few months. She has also noticed pains in the joints of his fingers. She has noticed she is irritable and is having severe mood swings. Recently her periods have stopped. She has also noticed being thirsty and increased urinary frequency. On examination she appears very tanned and there is evidence of hepatomegaly. Given the most likely diagnosis, what is most useful for monitoring response to treatment?
Ferritin correct answer
Transferrin saturation
Glucose
CRP
Haemoglobin
A 25 year old former soldier presents with insomnia, low mood and nightmares that wake him. He has been formally discharged at his own request from the army for 6 months and has been unable to hold down a job since. He describes witnessing a series of bomb explosions in which many of his colleagues lost their lives or were brutally injured and cannot stop repeating them in his head. What is the most likely diagnosis?
1.Depression
2.Acute stress disorder
3.Personality disorder
4.Post traumatic stress disorder
5.Schizophrenia
A 41 year old complains of low mood and problems sleeping which get a lot worse during the winter months. The rest of the history and examination reveal nothing of note. What is the likely diagnosis?
1.Dysthymia
2.Normal
3.Bipolar
4.Seasonal affective disorder
5.Depression
Parkinson Patient become excessively agitated n confused .treatmen a)*midazolam b)lorazepam
c)haloperidol
Which of the following is not commonly found in a manic episode of bipolar disorder?
1.Elevated mood
2.Visual Hallucinations
3.Low attention span
4.Pressured speech
5.Hypersexuality
Lactational amenorrhoea is due to…???
a) Prolactin induced inhibition of #GnRH
b) Prolactin induced inhibition of FSH
c) Oxytocin induced inhibition of GnRH
d) Oxytocin induced inhibition of FSH
Drugs cause photosensitivty = PAST
P = Psoralens+Piroxicam(NSAID)
A = Amiodarone
S = Sulphonylureas+ Sulphonamides
T = Thiazide + Tetracycline
A patient is found to have hypokalaemia, hypercholaraemic acidosis and a urinary pH of 6.0.
What type of renal tubular acidosis does this indicate?
1- Type 2
2- Type 3
3- Does not indicate renal tubular acidosis
4- Type 4
5- Type 1
A 26 year old man Is having problems conceiving with his partner. He is tall and is noted to have gynaecomastia and microorchidism on examination. What is the most common cause of infertility in a man of this description?
Marfan syndrome
Fragile X
Cystic fibrosis
Klinefelters syndrome
Down syndrome
You are asked to see a 70 year old man with memory problems. He has problems recalling past events from his life and he is unable to recall a list of everyday items. He cannot tell you where he is or the month of the year, and gives bizarre answers to many of your questions. What is the diagnosis?
1.Korsakoffs syndrome
2.Early signs of Alzheimers
3.Vascular dementia
4.Stroke
5.Post ictal state
A 24 year old female presents to her GP with feeling anxious. On further questioning she states she is constantly ruminating about things. On numerous occasions she constantly obsesses about whether or not she has locked the doors or switched off the gas and she has to go back three or four times to check if this is the case. She has also had repeated images of violent acts which she tries to resist but cannot. What is the most likely diagnosis?
1.Schizophrenia
2.Depressive disorder
3.Obsessional personality
4.Anxiety
5.Obsessive compulsive disorder
An elderly man is on the ward due to a left sided pneumonia. He becomes acutely distressed and punches a nurse. His notes state that he drinks 4 pints of beer a day. On examination his temperature is 38.1 C, BP is 110/60 mmHg, pulse is 95/min and regular, there is consolidation at his left lung base, his white cell count is raised significantly and renal function is impaired. What has caused his symptoms?
1.Korsakoffs psychosis
2.Undiagnosed dementia
3.Wernickes encephalopathy
4.Delirium tremens
5.Delirium secondary to infection
The strongest indicator of schizophrenia is ?
1.Auditory hallucinations
2.Agitation
3.Headaches
4.Lack of insight
5.Social isolation