18/08/21 Flashcards
Which patient is most likely to benefit from long term (life-long) anticoagulation after a DVT in the following circumstances?
Choose one of the following answers.
30 year old man after a long walk
30 year old woman during pregnancy
30 year old woman on COCP
60 year old man after flying from Kuala Lumpur
75 year old man after hip replacement
Which patient is most likely to benefit from long term (life-long) anticoagulation after a DVT in the following circumstances?
Choose one of the following answers.
X 30 year old man after a long walk
30 year old woman during pregnancy
30 year old woman on COCP
60 year old man after flying from Kuala Lumpur
75 year old man after hip replacement
A 40 year old man is found to have a pulmonary embolism. What is the most appropriate first line of treatment? Choose one of the following answers. Aspirin 600mg stat Compression stockings Fresh frozen plasma Low molecular weight heparin Warfarin
A 40 year old man is found to have a pulmonary embolism. What is the most appropriate first line of treatment? Choose one of the following answers. Aspirin 600mg stat Compression stockings Fresh frozen plasma X Low molecular weight heparin Warfarin
A 67 year man presents with DVT. He is anticoagulated with apixaban but also has a 3 month history of weight loss. What is the most appropriate next step? Choose one of the following answers. Perform an abdo-pelvic CT Reverse anticoagulation Supplement his diet with vitamin K Switch to Low molecular weight heparin Switch to warfarin
A 67 year man presents with DVT. He is anticoagulated with apixaban but also has a 3 month history of weight loss. What is the most appropriate next step? Choose one of the following answers. X Perform an abdo-pelvic CT Reverse anticoagulation Supplement his diet with vitamin K Switch to Low molecular weight heparin Switch to warfarin
Which of the following is plant-based vitamin D? Choose one of the following answers. 1, 25 dihydroxy cholecalciferol Calcitriol Cholecalciferol Ergocalciferol One alpha calcidol
Which of the following is plant-based vitamin D? Choose one of the following answers. 1, 25 dihydroxy cholecalciferol Calcitriol Cholecalciferol X Ergocalciferol One alpha calcidol
Which has the lowest calcium? Choose one of the following answers. Breast cancer Osteoporosis Pagets disease of the bone Primary hyperparathyroidism Secondary hyperparathyroidism
Which has the lowest calcium? Choose one of the following answers. Breast cancer Osteoporosis Pagets disease of the bone Primary hyperparathyroidism X Secondary hyperparathyroidism
Severe childhood onset SLE with normal levels of C3 and C4 occurs in which of the following:
Choose one of the following answers.
C1q deficiency (c)
C3 deficiency with presence of a nephritic factor
C9 deficiency
MBL (Mannose-binding lectin) deficiency
Nephrotic syndrome
Severe childhood onset SLE with normal levels of C3 and C4 occurs in which of the following:
Choose one of the following answers.
X C1q deficiency (c)
C3 deficiency with presence of a nephritic factor
C9 deficiency
MBL (Mannose-binding lectin) deficiency
Nephrotic syndrome
Which of these is the commonest cancer seen in the liver? Choose one of the following answers. Cholangiocarcinoma Liver cell (hepatocellular) carcinoma Metastatic adenocarcinoma Metastatic sarcoma Oat cell carcinoma
Which of these is the commonest cancer seen in the liver? Choose one of the following answers. Cholangiocarcinoma Liver cell (hepatocellular) carcinoma X Metastatic adenocarcinoma Metastatic sarcoma Oat cell carcinoma
A patient with liver disease is found to have palmar erythema, dupuytrens contracture, spider naevi and gynaecomastia. What do these signify? Choose one of the following answers. Chronic stable liver disease Hepatitis Liver failure Obstruction of the bile ducts Portal hypertension
A patient with liver disease is found to have palmar erythema, dupuytrens contracture, spider naevi and gynaecomastia. What do these signify? Choose one of the following answers. X Chronic stable liver disease Hepatitis Liver failure Obstruction of the bile ducts Portal hypertension
Some years later the same patient is found to have ascites, and you notice a visible vein on the anterior abdominal wall. What do these signify? Choose one of the following answers. Chronic stable liver disease Hepatitis Liver failure Obstruction of the bile ducts Portal hypertension
Some years later the same patient is found to have ascites, and you notice a visible vein on the anterior abdominal wall. What do these signify? Choose one of the following answers. Chronic stable liver disease Hepatitis Liver failure Obstruction of the bile ducts X Portal hypertension
What else are you likely to find on careful abdominal examination. Choose one of the following answers. A palpable bladder An enlarged prostate gland on PR Bilateral palpable kidneys Hepatomegaly Splenomegaly
What else are you likely to find on careful abdominal examination. Choose one of the following answers. A palpable bladder An enlarged prostate gland on PR Bilateral palpable kidneys Hepatomegaly X Splenomegaly
A 30 year old patient decides to go on a strict weight losing diet, and succeeds in losing weight from 68kg down to 60kg in 2 months. A fasting blood test gave the following results:
serum albumin 40g/L (37–49)
serum globulin 25g/L (24–27)
serum total bilirubin 52µmol/L (1–22)
serum alanine aminotransferase 30U/L (5–35)
serum aspartate aminotransferase 20U/L (1–31)
serum alkaline phosphatase 45U/L (45–105)
serum gamma glutamyl transferase 30U/L (4–35)
What is the likely cause of the results above?
Gilbert’s syndrome
