0/03/24

Question 1

Psychotherapy for AN and BN?

Answer 1

• AN: AN focussed CBT 1st line, Maundsley anorexia nervosa treatment for adults (MANTRA)/specialist supportive clinical management 2nd line
• BN: BN focussed guided self help 1st line, BN focussed CBT 2nd line
• If patient is a child do family therapy for both

Question 2

Budd chiari syndrome features?

Answer 2

• Hepatic vin thrombosis
• Triad of sudden onset abdo pain, ascites, and tender hepatomegaly
• Patients ofte have history of thrombophilia (e.g. antiphospholipid syndrome)

Question 3

What can cause falsely low HbA1c levels?

Answer 3

Sickle cell and other haemoglobinopathies

Question 4

Macrocytic anaemia in the presence of hyper-segments neutrophil polymorphs suggests what?

Answer 4

Folate deficiency

Question 5

What symptoms are a poor prognostic indication of Hodgekin’s lymphoma?

Answer 5

• B symptoms
• Night sweats, fever >38, weight loss 10% in last 6 months