15/2

Question 1

Normal temp range

Answer 1

36.1-38

Question 2

What type of pneumonia are u predisposed to if you had flu beforehand?

Answer 2

Staph aureus

Question 3

Alcohol Withdrawl

Features and how to manage them

Answer 3

1. Long acting bentos - diazepam (start at max dose and reduce over 7-10days)

• Delirium tremens (48-72hrs post withdrawal)
• agitation
• confusion
• visual and auditory hallucinations
• Seizures

For both seizures and delirium -> lorazepam

Wernicke’s encephalopaty
Triad
- Opthamalegia
- Ataxia
- Confusion

Thiamine infusion (give oral thiamine to reduce the risk)

Question 4

Explain the screening pathways for AAA

Answer 4

Men get screened with abdominal USS at 65 yo

<3cm - no further screening
3-4.4- every 12 months
4.5-5.4 - every 3 months
>5.5cm - urgent 2 week referral to vascula

Question 5

If a patient is suffering from severe urticaria that is not improving with antihistamines what should be added?

Answer 5

Short course oral steroid

Question 6

How is legionella best diagnosed

Answer 6

Urinary sample

Question 7

What makes AAA likely to rupture and requiring urgent referral for elective repair?

Answer 7

• > 5.5cm
• growing >1cm/year
• symptomatic

Question 8

What is nailbed pulisitation a sign of?

Answer 8

Nailbed pulsitation = aortic regurgitation

Question 9

Early diastolic vs mid-late diastolic

Answer 9

Early - aortic regurg
Mid-late - mitral stenosis