100 concepts

Question 1

What is the treatment of rosecea?

Answer 1

• Topical ivermectin
• add oral doxycycline if there are severe papules or pustules

Question 2

Aortic stenosis

Answer 2

• syncope/presyncope
• slow rising pulse
• Soft S2

Question 3

Start in reduced LVEF

Answer 3

• beta blocker
• ACEi

Question 4

What is the most common cause of mitral stenosis?

Answer 4

Rheumatic fever

Question 5

When Dresslers?

Answer 5

4 weeks post

Question 6

When would you add a new diabetes drug in the management of T2DM?

Answer 6

If the HBA1c is greater than 58

Question 7

Diagnosis of cellultitis

Answer 7

Clinical

Question 8

What is the most common cancer in smokers?

Answer 8

Adenocarcinoma

Question 9

Treatment of reactive arthritis

Answer 9

NSAIDs

Question 10

Lucid interval followed by a coma

Answer 10

Intracranial extra dural haematoma

Question 11

What is protective against endometrial cancer?

Answer 11

OCP

Question 12

Kallmann bloods

Answer 12

low LH, FSH and testosterone

Question 13

Aplastic crisis reticulocytes

Answer 13

Reduced

Question 14

Sequestration crisis reticulocytes

Answer 14

Increased

Question 15

First line treatment of lyme disease

Answer 15

Doxycycline

Question 16

Post lumbar puncture headache management

Answer 16

Fluids and caffeine

Question 17

Klinfelter’s bloods

Answer 17

Low testosterone, high FSH and LH

Question 18

Kallmanns key symptom

Answer 18

Anosmia

Question 19

Swelling of whole digit

Answer 19

Suggests psoriatic arthritis or ankylosing spondylitis

Question 20

Prevention of cluser headaches

Answer 20

Verapamil

Question 21

What drug increases the anticoagulant effect of warfarin?

Answer 21

Metronidazole

Question 22

What drug polymorphic ventricular tachycardia?

Answer 22

Macrolides (torsades de pointes)

Question 23

t(9;22)(q34;q11)

Answer 23

Philadelphia - CML (25% have in ALL)

Question 24

SLE antibody most sensitive

Answer 24

ANA

Question 25

What drugs cause hypercalcaemia?

Answer 25

Thiazides

Question 26

Severe hepatitis in pregnant women

Answer 26

Hep E

Question 27

Which vaccines should you avoid in HIV

Answer 27

Measles, mumps, rubella and BCG and varicella

Question 28

When should you give prophylactic co-trimoxazole

Answer 28

When CD4 is less than 200

Question 29

What causes seborrhoeic dermatiits?

Answer 29

Malassezia furfur

Question 30

What is used to destory liveer hypnozoites and prevent malarial relapse?

Answer 30

Primaquine

Question 31

How long does it take for HIV seroconversion to occur?

Answer 31

3-12 weeks

Question 32

Which pathogen is most associated with gangrene

Answer 32

Clostridium perfringens

Question 33

What is the presentation of sarcoidosis?

Answer 33

• erythema nodosum
• hilar lymphadenopathy
• swining fever
• polyarthralgia
• dyspnoea, non productive cough, malaise, weight loss
• hypercalcaemia

Question 34

Management of perianal abscess

Answer 34

incision and drainage

Question 35

What can cause a falsely high HBA1c?

Answer 35

• splenectomy
• b12/folic acid deficinecy
• iron deficiency anaemia

Question 36

What can acause a falsely low HbA1c?

Answer 36

• sickle cell
• GP6D
• hereditary spherocytosis
• haemodialysis

Question 37

Bone marrow multiple myeloma

Answer 37

Plasma cells

Question 38

Ca 15-3

Answer 38

Breast cancer

Question 39

CA 19-9

Answer 39

Pancreatic cancer

Question 40

What is double duct sign?

Answer 40

Tumour in the head of the pancreas leading to obstruction of the common bile and pancreatic ducts