23/02/22

Question 1

What is the 2nd line treatment for a patient with COPD with a history of atopy?

Answer 1

Add a LABA and inhaled corticosteroid

Question 2

What are features of multiple system atrophy?

Answer 2

Parkinsons- tremor, rigidity
Autonomic disturbance e.g. erectile dysfunction, urinary incontinence, postural hypotension
Cerebellar signs

Question 3

What are features of thyroid storm?

Answer 3

Pyrexia
Tachycardia
Liver abnormalities e.g. jaundice 
Confusion 
N&V
Heart failure HTN

Question 4

What is the treatment of thyroid storm?

Answer 4

Beta blockers and thryoid medication e.g. PTU

Question 5

What are features of Klinefelter syndrome?

Answer 5

Taller than average
Lack of secondary sexual characteristics
Small firm testes
Infertile
Gynaecomastia
Elevated LH and FSH but low testosterone

Question 6

What is a raised GGT indicative of?

Answer 6

Excessive alcohol consumption

Question 7

What is the initial management of any intracerebral haemorrhage?

Answer 7

Stop any anti coagulents and control BP

Question 8

What is the 2nd line management of COPD if there are no features of atopy?

Answer 8

If on SAMA switch to SABA

Add LAMA and LABA

Question 9

What are features of allergic bronchopulmonary aspergillosis?

Answer 9

Bronchoconstriction- wheeze, cough

Bronchiectasis

Question 10

What is found on investigation of bronchopulmonary aspergillosis?

Answer 10

Eosinophilia
Fitting CXR changes
Raised IgE

Question 11

What is the management of allergic bronchopulmonary aspergillosis?

Answer 11

Steroids

Itraconazole can be added 2nd line