2015 specialites mock

Question 1

thalassemia + trait mcv

Answer 1

low mcv - thalassemia
normal mcv - thalassemia trait

Question 2

Cervical screening

Answer 2

Cervical screening
Rotate brush 5 times
cervical insufficiency

Cervical screening

Colposcopy and send off biopsy to see if it’s CIN 1/2/3

CIN 1 - don’t treat, but redo colposcopy in 1 year
CIN 2 - can treat, can also wait and follow up every 6 months

CIN refers to third of thickness of cervix that is affected

Question 3

leading cause of mortality in uk

Answer 3

VTE

Question 4

Noctural enuresis in kids

Answer 4

Problematic only after 5 years

If after 5 years, screen for diabetes or UTI
Limit fluid intake
Encourage regular toileting patterns
Reward charts for going to the toilet
Enuresis alarm

Desmopressin for short term (ADH)

Question 5

ODD/CD/anti social PD

Answer 5

ODD - in kids under 10, more to do with tantrums
CD - adolescents
Antisocial personality disorder - more likely to get it if you had ODD/CD

Question 6

Mx of Conduct disorder

Answer 6

Refer to CAMHS if comorbidities
Family education
Family therapy
Parent management training
Talking therapy for kid

Question 7

Hand preference age

Answer 7

2- 4 years

Question 8

LD iqs

Answer 8

Mild - 70
Moderate - under 50
Severe - under 35

Question 9

Lithium - when and how do you measure

Answer 9

measure levels 12 hours after dose
measure weekly until stabilised
then every 3 months for lithium levels

TFTS and Us and Es every 6 months

Question 10

Lithium toxicity side effects

Answer 10

GI - NV
Renal failure
Neuro - coarse

Question 11

Specific lithium SE

Answer 11

Hypothyroidism
Nephrogenic diabetic inspidus

Question 12

Lithium in pregnancy

Answer 12

Ebstein’s anomaly