14/03/20

Question 1

What is bifascicular block?

Answer 1

RBBB + LAD

Question 2

What ECG sign does hypercalcamia cause?

Answer 2

Short QT

Question 3

Signs of SBO

Answer 3

Valvulae connniventes all the way across

Central and multiple loops

Question 4

What does sail sign indicate?

Answer 4

Left lower lobe collapse

Question 5

Which was does the trachea deviate in an effusion?

Answer 5

Away

Question 6

What is becks triad?

Answer 6

Muffled heart sounds
Increased JVP
Low BP

Question 7

What would you suspect if there is an obscured left heart border but clear left hemidiaphragm>

Answer 7

Left lingual consolidation

Question 8

What lobe is affected if right heart border is obscured?

Answer 8

Right middle lobe

Question 9

How is SCFE diagnosed and managed?

Answer 9

Need AP and lateral XR hip

Mx = internal fixation

Question 10

What should you always do in females with abdo pain?

Answer 10

Preg test to rule out ectopic

Question 11

Risk factors for hernias

Answer 11

Chronic cough
Obesity
HEAVY LIFTING
SPORTS

Question 12

Haemorrhoid Ix

Answer 12

FBC
Protoscopy
Sigmoidoscopy

Question 13

Non-surgical mx of haemorrhoids

Answer 13

Increase fluid and fibre intake
Analgesia
Topical anaesthetic and steroids

Question 14

How would you manage acute mesenteric ischaemia prior to surgery?

Answer 14

Fluids
Abx
LMWH

Question 15

Sign of splenectomy on blood film

Answer 15

Howell-Jolly bodies

Question 16

Ix for PVD

Answer 16

ABPI
HAnd held doppler
Duplex USS
CT/MRI

Question 17

How to assess PAD

Answer 17

Rest pain
Palp pulses
Doppler USS
Sensory and motor deficit
Skin temp,colour, cap refill
Muscle tenderness

Question 18

Ix and mx for spinal stenosis

Answer 18

MRI and posiible laminectomy

Question 19

What is felty syndrome?

Answer 19

RA, splenomegaly and neutroapenia

Question 20

Causes of HAP

Answer 20

E.coli, klebsiella, pseudomonas, MRSA

Question 21

What is caplan syndrome?

Answer 21

Triad of coal exposure, pneumoconiosis and rheumatoid arthrits

Question 22

Types of lung Ca

Answer 22

Small cell

Adenocarcinoma, squamous, large cell

Question 23

Two drugs used to help smoking cessation

Answer 23

vareniciline

buproprion

Question 24

Mx sarcoidosis

Answer 24

Bed rest and NSAIDs

steroids

Question 25

Which two patient groups does klebsiella mainly affect?

Answer 25

Alcohol

Diabetes

Question 26

Blood test results in legionella

Answer 26

Lymphopenia with leucoocytosis
Hyponatraemia
Hypoalbuminaemia
Deranged LFTs

Question 27

Define HAP

Answer 27

Pneumonia beyond 2 days of hospital stay

Question 28

Features of Lofgren syndrome

Answer 28

BHL
erythema nodosum
Arthralgia
Fever

Question 29

What eye disease is associated with sarcoidosis?

Answer 29

Anterior uveitis

Question 30

Questionnaire for osa

Answer 30

Epworth sleepiness scale

Question 31

ix for bladder cancer

Answer 31

cystoscopy with biopsy
urine microscopy and cytology
ct urogram
(mri)

Question 32

What histology are prostate cancers most commonly?

Answer 32

Adenocarcinoma

Question 33

Where do renal stones get stuck?

Answer 33

Pelviureteric junction
Pelvic Brim
Vesicoureteric junction

Question 34

What score is used to risk stratify newly diagnosed PE patients?

Answer 34

PESI score