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Question 1

hypogylcaemia - Mx

- community

Answer 1

conscious - oral glucose 10-20g in tablet
drowsy - oral glucose 10-20g in liquid/gel
unconscious - IM glucagon

Question 2

hypoglycaemia - Mx

- hosp

Answer 2

alert - quick acting carb 10-20g

unconscious or unable to swallow - IM/ s.c. glucagon or IV 20% glucose in large vein

Question 3

drugs causing SIADH

Answer 3

carbamezapine
sulphonylureas
SSRIs
tricyclics

Question 4

rabies - mx

- unvaccinated

Answer 4

human immunoglobulines and vaccination

Question 5

rabies - mx

- vaccinated

Answer 5

2 further doses of vaccine

Question 6

primary hyperaldosterism - Mx

Answer 6

bilateral adrenal hyperplasia - 4W spironolactone

unilateral adrenal adeoma - adrenalectomy

Question 7

parvovirus presentation

Answer 7

fever
rash sparing eyes and nose (slapped cheek)
haem condition - pancytopaenia

Question 8

antithrombotic therapy in stroke

Answer 8

clopidogrel

- aspirin and dipyridamole if not tolerate clopidrogrel

Question 9

vomiting and addisons disease

Answer 9

take IM hydrocortisone until vomiting stops

Question 10

addisonian crisis - mx

Answer 10

double hyodrocortisone

fludrocortisone stays the same

Question 11

reduced gastric motility nausea - mx

Answer 11

domperidone

metoclopramide

Question 12

chemically mediated nausea mx

Answer 12

ondanestron
haloperidol
levomepromazine

Question 13

visceral/ serosal nausea mx

Answer 13

cyclizine and levomepromazine

Question 14

RICP nausea mx

Answer 14

cyclizine

Question 15

vestibular nausea mx

Answer 15

cyclizine

refractrory - metoclopramide, prochlorperazine

Question 16

cortical nausea mx

Answer 16

anticipatory - BDZ

BDZ cI - cycliczine

Question 17

Hep B - exposure prophylaxis

Answer 17

HBV vaccine responder - booster
non-responders - HBIG and vaccine
in process of vaccination - accelerated HBV vaccine

Question 18

painful third nerve palsy caused by

Answer 18

post communicating aa aneurysm

Question 19

cause of sig renal impairment after starting ACEi

Answer 19

undiagnosed bilateral renal aa stenosis

Question 20

uraemia complications

Answer 20

encephalopathy

pericarditis

Question 21

RRT e.g. haemodialysis indications

Answer 21

hyperkalaemia
pulmonary oedema
acidosis
uraemia

Question 22

surgery to remove head of pancreas called

Answer 22

kausch-whipple procedure - also called radical pancreaticoduodenectomy

Question 23

toxic shock syndrome - presentation

Answer 23

shock
fever
erythroderma >90% body
+ wound

Question 24

complication of ERCP

Answer 24

ascending cholangitis

Question 25

mx ascending cholangitis

Answer 25

abx and IVI
ERCP - stent
PTC - pc ddrain
surg drain

Question 26

Mx - low grade MALToma

Answer 26

h.pylori therapy

Question 27

longstanding achalasia is a RF for

Answer 27

oesophageal scc

Question 28

LBO - causes

Answer 28

colonic tumours
strictures - secondary to diverticular disease, IBD
volvulus
hernias
adhesions

Question 29

Mx - carcinoud crisis

Answer 29

octretodie - somatostatin analogue, blocks serotonin release

Question 30

HbsAg for >6M indicates

Answer 30

carrier

Question 31

HBeAg determines

Answer 31

infectious-ness

Question 32

HBsAg-Ab

Answer 32

previous vaccination

Question 33

HBcAg-Ab

Answer 33

prior infection

Question 34

hereditary haemochromatosis - features

Answer 34

bronze skin
T2DM
fatigue
joint pain
liver cirrhosis
adrenal insufficiency

Question 35

polyarteritis nodosa associated with

Answer 35

Hep B

Question 36

mm relaxant of choice for RSI

Answer 36

suxamethonium

Question 37

difficulty initiating abduction - mm

Answer 37

supraspinatus mm damage

Question 38

nn suppling supraspinator

Answer 38

suprascapular nerve

Question 39

osteomyelitis on xray

Answer 39

regional osteopenia
focal cortical loss
periosteal cahnges

Question 40

1st l;ine ix in AS

Answer 40

pelvic xray

Question 41

Ix for becet’s

Answer 41

pathergy testing

HLA B51

Question 42

boxer’s fracture - most common

Answer 42

fifth metacarpal