17th

Question 1

preferred drug for type 2 diabetic hypertension afro cariebean

Answer 1

arb- losartan

Question 2

acute graft v host disease

Answer 2

within 100 days post transplant
triad of gi symptoms, liver dysfunction and painful maculopapular rash over soles, palms and neck

Question 3

negative rinnes test meaning

Answer 3

conductive hearing loss

Question 4

how long should prochlorperazine be given for

Answer 4

acute phase only due to delay in recovery

Question 5

risk fcator for retinal detachment

Answer 5

myopia as it is assoc with elongated eyeball so increases tension on retina

Question 6

Sensory loss anterior aspect of knee and medial malleolus
Weak knee extension and hip adduction
Reduced knee reflex
Positive femoral stretch test

Answer 6

L4 nerve compression

Question 7

what is the medial plantar nerve a branch off

Answer 7

tibial nerve

Question 8

calc for serum osmolality

Answer 8

2 x sodium + glucose + urea

Question 9

mode of inheritance of mody

Answer 9

autosomal dominant

Question 10

colles fracture mneumonic

Answer 10

dorsally displaced distal radius fracture
dinner fork deformity

Question 11

what diseases is vitilgo assoc with

Answer 11

autoimmune thyroid disorders, t1d, addisons

Question 12

another name for reactive arthritis

Answer 12

reiters syndrome

Question 13

risk factors for biceps rupture

Answer 13

steroids
heavy overhead activities
smoking
shoulder overuse

Question 14

characteristics of biceps rupturwe

Answer 14

pain on supination
popeye deformity
audible pop

muscle bulk resulting in middle bulge of upper arm

Question 15

nodule in subacute de quervains

Answer 15

sore to touch- tender

Question 16

ewings sarcoma characterisitcs

Answer 16

painful lump
usually on pelvis/ long bones
onion skin appearance
children and adolescents
fine needle aspirate

Question 17

TEN characteritics

Answer 17

nikolsksy sign posiitve
electrolyte derangement

Question 18

scaly papular rash two weeks post upper rti

Answer 18

guttate

Question 19

target home blood pressure diabetics

Answer 19

<135/85

Question 20

circular discoid raised scaly

Answer 20

discoid luous erythematosus

Question 21

muscle causing bloq out fracture

Answer 21

inferior rectus muscle

Question 22

what can occur in post op open reduction intrnal fixation in the hip

Answer 22

trochanteric bursitis due to metalwork

Question 23

what causes bacterial otitis media

Answer 23

haemophilus influenza

Question 24

management of allergic conjunctivitis

Answer 24

topical antihistamines

Question 25

what should be done after being on alendornate for 5 years

Answer 25

reasses using frax risk

Question 26

common cause of knee pain particularlu in runners

Answer 26

iliotibila band syndrome

Question 27

what is addisonian crisis chategorised by

Answer 27

hyperkalemic metabolic acidosis

Question 28

first line for acute urticaria

Answer 28

non sedating- loratadine

Question 29

is chlorpheramine sedating or non

Answer 29

sedating

Question 30

treatment of ramsay hunt

Answer 30

oral aciclovir and steroids

Question 31

what is a thyroid storm treated with

Answer 31

beta blockers, propylthiouracil and hydrocortisone

Question 32

what often appear at sites of trauma

Answer 32

pyogenic granulomas

Question 33

what may reach a considerable size and slough off and scar

Answer 33

keratocanthoma

Question 34

fracture healing

Answer 34

inflammation, soft callus, hard callus, remodelling

Question 35

what can supracondylar fractures impose on

Answer 35

compress the brachial artery and median nerve

Question 36

purpose of immoblising a fracture

Answer 36

to allow callus formation and prevent further injury

Question 37

what causes bronchiolitis

Answer 37

RSV

Question 38

what makes das-28

Answer 38

tender joint count inflammatory markers- esr swollen joint count patient global assessment

Question 39

macule

Answer 39

colour <1cm

Question 40

patch

Answer 40

localised flat colour change >1cm

Question 41

papule

Answer 41

localised raised lesion <0.5cm

Question 42

nodule

Answer 42

localised raised lesion >0.5cm

Question 43

gap-1 inhib example

Answer 43

dulaglutide

Question 44

use of glp-1 inhib

Answer 44

for weight loss

Question 45

what way does hirschbrung light go

Answer 45

opposite of strabismus so if have esotropia then will go temporally

Question 46

what is raised in primary hypo

Answer 46

tsh

Question 47

if t3 and t4 ate low and tsh is normal what is the problem

Answer 47

secondary hypo

Question 48

thiazolidines moa

Answer 48

ppar gamma agonists to improve insulin sensitivity

Question 49

does articular cartilage have a blood supply

Answer 49

no

Question 50

cells in COPD

Answer 50

goblet cells

Question 51

what produces mucus

Answer 51

goblet cells

Question 52

where are enterochromaffin cells

Answer 52

gi tract

Question 53

3 steps in drug metabolism

Answer 53

oxidation, reduction , hydrolysis

Question 54

cause of accomodastive esotropia in kids

Answer 54

hypermetropia

Question 55

primary cell source of testosterone

Answer 55

leydig cells

Question 56

autonomic neuropathy effects

Answer 56

postural hypotension erectile dysfunction incompetence

Question 57

pigeon toed gait

Answer 57

when feet point inward instead of outward when walking or running

Question 58

what might pigeon toed gait be seen in

Answer 58

interal tibial torsion / rickets toddlers 1-3 resolves by 5/8

Question 59

sandpaper looking rash

Answer 59

scarlet fever

Question 60

key diagnostic marker for gca on us

Answer 60

halo sign

Question 61

treatment for ankylosing

Answer 61

infliximab

Question 62

features characteristic of recurrent gout

Answer 62

well defined punched out erosions and subchondral sclerosis

Question 63

is gynaecomastia seen in kallmans or klinefelters

Answer 63

klinefleters

Question 64

atopic exzema explanation

Answer 64

geentic defect in skim barrier

Question 65

single most trigger for developing erythema multiforme

Answer 65

hsv

Question 66

fibrinogen levels in dic

Answer 66

decreased

Question 67

d dimer levels in dic

Answer 67

increased as they are a fibrin degradation product, fibrin is being broken down quicker

Question 68

cant dorsiflex

Answer 68

L5

Question 69

cant plantarflex

Answer 69

s1