12/3

Question 1

pulmonary stenosis murmur

Answer 1

ejection systolic louder on inspiration

Question 2

AS louder on

Answer 2

expiration

Question 3

mitral or tricuspid regurg

Answer 3

louder on inspiration

pansystolic

Question 4

ank spond - xray

Answer 4

sacroiliac - subchondral sclerosis, erosions
square lumbar vertebrae
bamboo spine
syndesmophytes
apica fibrosis - cxr

Question 5

L5 radiculopathy

Answer 5

weakness hip abduction
foot drop
no reflex loss

Question 6

HNPCC can cause

Answer 6

colorectal cancer
endometrial
stomach
ovarian
pancreatic
prostate
urinary tract
liver
kidney
bile duct

Question 7

minimal change disease prognosis

Answer 7

1/3 just one episide
1/3 infrequent relapses
1/3 relapses stop before adulthood - frequent

Question 8

mx of minimal change disease

Answer 8

80% steroid responsive

cyclophosphamide

Question 9

mx of wolf parkinson white

Answer 9

accessoyr pathway ablation

Question 10

witnessed cardiac arrest

Answer 10

giove up to 3 shocks

Question 11

sinus discharging pus in breast indicates

Answer 11

periductal mastitis

Question 12

mx hyperkalaemia

Answer 12

10ml 10% calcium carbonate - stabilise heart mm
- repeat at 5 min intervals until max 3 doses/ normal ECG
50ml 50% glucose with 10 units actrapid into large vv over 30mins
10mg neb salb

Question 13

TURP syndrome

Answer 13

cause - large vols of glycine that is hypoosmolar (watery) causing hyponatraemia

Question 14

anion gap equation

Answer 14

(Na + K+) - (Cl- + HCO3-)

Question 15

osmolality calculation

Answer 15

2(na+) + glucose + urea

Question 16

mx hypercalcaemia

Answer 16

pamidronate

Question 17

smoking protective in
UC
CD

Answer 17

protective in UC

Question 18

dx phaeochromocytoma

Answer 18

urine metanephrines

Question 19

gardener classification

Answer 19

1 - incomplete fracture
2 - complete fracture
3 - complete and slight displaced
4 - complete and cpmpletely displaced

Question 20

mx of gardener classification

Answer 20

1-2 - screw

3-4 - more

Question 21

ask about what with NOF

Answer 21

fall hx

ix - cxr, ecg, echo etc

Question 22

post-op review

Answer 22

IMPOTENCE
intro
medication
pain
obs
thromboprophylaxis
eating and bowels
neurovasc status
cut - look at dressing 
exercise - mobilisation

Question 23

r/o __ after sx or fracture

Answer 23

infection

take blood cultures

Question 24

SPIKES

Answer 24

Set up
perception - what they are expecting
information - do you want to know the result of the scan and do you want anyone with you
warning shot - would you like anyone with you, unfortunately its not what we had hoped for wth
knowledge - heard of this before
emotion
summary

Question 25

ms - inherited?

Answer 25

not inherited

Question 26

pain killers for NOF

Answer 26

volume block - pain killing due to volume of fluid on nerves

femoral block