22/04/18

Question 1

Where does the transverse sinus lie?

Answer 1

attached margin of tentorium cerebelli to skull

Question 2

Where does the straight sinus lie?

Answer 2

junction between tentorium cerebelli and flax cerebri

Question 3

What ligaments form the lesser omentum?

Answer 3

hepatoduodenal ligament and hepatogastric ligament

Question 4

What type of bilirubin is fat soluble?

Answer 4

unconjugated

Question 5

How is the diagnosis of hereditary spherocytosis confirmed?

Answer 5

osmotic fragility test

Question 6

What is seen in complex regional pain syndrome?

Answer 6

localised/diffuse pain; swelling; trpohic changes and vasomotor disturbance

Question 7

How would hypokalaemia or hypomagnesaemia cause abdominal distension?

Answer 7

paralytic ileus or pseudo-obstruction

Question 8

What is the found in the retropubic space?

Answer 8

retroperitoneal fat

Question 9

What does gynaecomastia and a testicular tumour suggest?

Answer 9

raised HCG

Question 10

What is the treatment for whooping cough?

Answer 10

erythromycin

Question 11

What is the typical frequency of the resting tremor in Parkinsons?

Answer 11

4Hz

Question 12

What type of refractive issue increases the risk of retinal detachment?

Answer 12

myopic

Question 13

What are the fat soluble vitamins?

Answer 13

ADEK

Question 14

What transporter is required for water absorption?

Answer 14

chloride exchanger

Question 15

What is volvulus?

Answer 15

rotation of an organ around its mesentery

Question 16

When should a second dose of BZD in status be given?

Answer 16

after 5 minutes of no improvement

Question 17

What nerve is most at risk during breast surgery?

Answer 17

long thoracic nerve

Question 18

What is assayed in CF newborn screening program?

Answer 18

immunoreactive trypsinogen

Question 19

What is the function of the medullary respiratory centre?

Answer 19

sets inherent rhythmicity of breathing

Question 20

What happens if the apenustic centre in the lwoer pons is divided from the upper brain stem?

Answer 20

inspiratory gasps occur

Question 21

What is the function of pneumotaxic centre in the upper pons?

Answer 21

inhibts inspiration after it has reached a certain point

Question 22

What is the mechinism of fibrates?

Answer 22

increased action of lipopotein lipase

Question 23

What causes the prothrombotic tendency in nephrotic syndrome?

Answer 23

loss of antithrombin III in urine

Question 24

What SE is trazadone associated with?

Answer 24

priapism trazabone

Question 25

What are the 3 Cs of TCAs?

Answer 25

coma; cardiotoxicity and anti-cholinergic

Question 26

What is the treatmetn for akathisia?

Answer 26

beta blocker

Question 27

Where does the dorsal colum decussate?

Answer 27

medulla- medial lemniscus

Question 28

What type of sign will you get with al esion of the anteiror horn?

Answer 28

LMN

Question 29

What part of the CST does not decussate in the medulla?

Answer 29

anteiror CST

Question 30

Where does loss of pain and temperature happen in relation to the segment of hte injury?

Answer 30

2-3 segments below injury level

Question 31

What is the lissauers tract?

Answer 31

carries lateral spinothalamic tract up a couple of segments before decussates