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Question 1

How do you assess for delusions/hallucinations?

Answer 1

Feel like you are being followed/someone is out to get you?

Feel like you are special compared to other people?

See/hear things that other people can’t

For every symptom SOCRATES it

Question 2

What crystal formation and XR findings are associated with psuedogout?

How is it managed?

Answer 2

Calcium pyrophosphate crystals - rhomoboid shaped and positively birefringent of polarised light

XR - chonedrocalcinosis

Same acute management as gout

Question 3

If a patient is both folate and B12 deficient what should be managed first?

Answer 3

B12 - prevent subacute combined degeneration of spinal cord

Question 4

Why is sigmoidoscopy preferred mode of acute flare assessment in UC?

Answer 4

Sigmoid vs colonoscopy

Sigmoid is more flexible and can be used without bowel prep - reduced risk of perforation

Question 5

What should be prescribed on initiation of allopurinol - gout prevention therapy?

Answer 5

NSAID

Should be given as cover as the imitation of allopurinol can trigger a flare up

Question 6

Describe the time frame in which alcohol withdrawal symptoms will occur

Answer 6

Symptoms - 6-12hrs
Seizures - 36hrs
Delirium tremens - 72hrs

Question 7

Management of reactive arthritis

Answer 7

NSAIDs

Question 8

Drug Management of supra ventricular tachycardia vs ventricular tachycardia

Answer 8

SVT = adenoSine (S = Svt)

Ventricular = aMiodarone (M looks like two Vs)