18/03

Question 1

What is 1st line HTN management in afro-caribbeans with T2DM?

Answer 1

ACEi or ARB

Question 2

How can serum osmolality be calculated?

Answer 2

Sodium x 2 + Urea + glucose

Question 3

What drugs can cause prolonged QT syndrome?

Answer 3

Erythromycin
Haloperidol
Ondanestron 
TCA
SSRI
Amiodarone

Question 4

What is the management of obstructive sleep apnoea?

Answer 4

Weight loss
Sleep hygiene- let partner sleep first, sleep on side, avoid alcohol or caffeine before bed
CPAP- to keep airways open
Intra oral devices if CPAP not tolerated

Question 5

What does a raised ALP in context with normal LFTs indicate?

Answer 5

Malignancy particularly bone mets

Question 6

What are complications of meningitis?

Answer 6

Sensorineural hearing loss (most common)
Seizures
Focal neurological deficit 
Sepsis
Hydrocephalus
Brain abscess

Question 7

What are electrolyte causes of prolonged QT syndrome?

Answer 7

Hypocalcaemia
Hypokalaemia
Hypomagnesia

Question 8

What is the management of primary biliary cirrhosis?

Answer 8

Ursodeoxycholic acid= 1st line
Cholestyramine for itching
Fat soluble vitamin supplementation