2022 Formative

Question 1

Which type of anaemia is common with rheumatoid arthritis?

Answer 1

Normocytic anaemia

Question 2

What is the cut off for a Well’s Score DVT?

Answer 2

• >= 2 DVT likely
  
  • Doppler ultrasound
• <2 DVT less likely
  
  • D-dimer

Question 3

What is a major risk factor for bladder cancer in the Middle East?

Answer 3

Schistosomiasis

Squamous cell carcinoma

Question 4

What is the first line investigation for urinary outflow obstruction?

Answer 4

Urinary flow studies

Question 5

What would urinary voiding studies show in outflow obstruction?

Answer 5

Hypertrophic detrusor muscle (increased power), reduced urinary outflow

Question 6

What is the management of perforated GI ulcer?

Answer 6

Drip, suck and save

• IV fluids
• Aspiration via NG tube
• Broad spectrum antibiotics

Question 7

What is the best imaging modality for diverticulitis diagnosis?

Answer 7

CT abdomen

Question 8

What can a palpable mass with the background of diverticulitis suggest?

Answer 8

Abscess

Question 9

What is the definition of toxic megacolon?

Answer 9

Colon >6cm with a background of colitis

Question 10

What is choledocholithiasis?

Answer 10

Gallstones in the CBD

Question 11

What is the management of pelvic abscess?

Answer 11

CT guided incision and drainage and IV antibiotics

Question 12

What is Courvousier’s law?

Answer 12

Painless palpable RUQ mass in the presence of jaundice is likely pancreatic cancer

Question 13

What symptom could indicate a blocked catheter?

Answer 13

Abdominal pain

Question 14

What is the most common causative organism of osteomyelitis in the UK?

Answer 14

Staphylococcus aureus

Question 15

Which causative organism for osteomyelitis are IVDU vulnerable to?

Answer 15

Pseudomonas aeruginosa

Question 16

Which organism is likely to cause osteomyelitis in patients with haemoglobinopathies?

Answer 16

Salmonella

Question 17

What is the inheritance pattern of haemochromatosis?

Answer 17

Autosomal recessive

Question 18

What is the management of TIA?

Answer 18

300mg Aspirin and urgent referral to stroke consultant within 24 hours if the event occured within the last week

Question 19

What is the definition of subarachnoid haemorrhage?

Answer 19

Acute onset occipital headache peaking in pain at 5 minutes and lasting over an hour

Question 20

What are the investigations for SAH?

Answer 20

1. Urgent CT head
2. Lumbar puncture after 12 hours if CT head causes doubt

Question 21

What is the first line management for Wernicke’s encephalopathy?

Answer 21

IV thiamine

Question 22

Which organism are IVDUs susceptible for in infective endocarditis?

Answer 22

Staphylococcus aureus

Question 23

What is the first line management for an unconscious patient with hypoglycaemia?

Answer 23

IM glucagon, then IV glucose

Question 24

What is seen on biopsy for ulcerative colitis?

Answer 24

• Mucosal ulcers
• Crypt abscesses
• Goblet cell hyperplasia
• Epithelial cell atrophy

Question 25

Which medications can’t be given with macrolides?

Answer 25

Statins, combination can lead to rhabdomyolisis

Question 26

What are the signs of pleural effusion on examination?

Answer 26

• Dullness to percussion
• Reduced breath sounds
• Reduced vocal fremitus

Question 27

What are the signs of GI perforation?

Answer 27

• Rigidity and guarding
• Rebound tenderness
• Haemodynamic instability

Question 28

What is the first line investigation for GI perforation?

Answer 28

Urgent erect chest x-ray