20/2

Question 1

ipatropium MOA

Answer 1

SAMA

Question 2

tiotropium MOA

Answer 2

LAMA

Question 3

salmeterol MOA

Answer 3

LABA

Question 4

M rule - PBC

Answer 4

IgM
anti-mitochondrial ab, M2 subtype
middle aged females

Question 5

PSC - associated

Answer 5

UC

Question 6

migraine

• prophylaxis
• acute

Answer 6

proph - topimarate or propanolol

acute - triptan, NSAID OR paracetamol

Question 7

multiple system atrophy - presentation

Answer 7

parkinsonism with autonomic disturbance e.g. atonic bladder, postural hypotension

Question 8

progressive supranuclear palsy - presentation

Answer 8

parkinsonism with opthalmoplegia

Question 9

olivopontocerebellar atrophy - presentation

Answer 9

parkinsonism and cerebellar signs

Question 10

metabolic ketoacidosis + normal or low glucose

Answer 10

alcoholic ketoacidosis

Question 11

UC disease flare-up

• mild
• mod
• severe

Answer 11

mild - < 4stools/day, no systemic, normal ESR/CRP
mod - 4-6 stools/day, minimal systemic disturbance
severe - >6/day, tachycardia/ fever/ abdo tender/ abdo distention/ De bowel sounds/ anaemia/ hypoalbuminaemia

Question 12

UC vs CD

Answer 12

UC - crypt abscesses, goblet cell depletion, mucosal inflam

CD - transmural inflam, lymphoid hyperplasia, granuloma

Question 13

meningitis - CSF

• bacterial
• viral
• TB
• fungal

Answer 13

bact - cloudy, low glucose, high protein, 10-5000 polymorphs
viral - clear/ cloudy, 60-80% plasma glucose, normal/ raised protein, 12-1,000 lymphocytes
TB - slight cloudy/ fibrin web, low glucose, high protein, 10-1,000 lymphocytes
fungal - cloudy, low glucose, high protein, 20-200 lymphocytes