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Question 1

sIADH vs diabetes insipidus

Answer 1

sIADH - too much ADH

diabetes insipidus - not enough ADH

Question 2

MsM - offered what vaccine

Answer 2

hep A

Question 3

?ACL injury

Answer 3

sudden pop during sports, knee pain, swelling, instability

Question 4

specialist tests - ACL injury

Answer 4

anterior drawer test

lachman test - knee at 20-30 degrees

Question 5

stages of AKI

Answer 5

1 - Cr 1.5-1.9 baseline, <0.5ml/kg/hr for 6 hrs
2 - Cr 2-2.9 baseline, <0.5ml/kg/hr for 12hrs
3 - cr >3x baseline, <0.3ml/kg/hr for >23hrs or anuric for 12hr

Question 6

takayasu’s arteritis - present

Answer 6

asian
20-40yrs
intermittent limb claudication
absent or weak peripheral pulses

Question 7

subclinical hypothyroidism - mx

Answer 7

TsH 4-10

• watch and wait in over 80s
• <65yr + symptoms - trial of levothyroxine
• asymptomatic - repeat TFTs in 6months

TsH>10
- start levothyroxine <70yrs
>80yrs - watch and and wait

Question 8

first line test for acromegaly

Answer 8

serum IGf-1

Question 9

plt transfusion threshold - active bleeding

Answer 9

for pt with severe bleeding, bleeding at critical sites - 90x109

clinically sig bleed - 30x109

Question 10

plt transfusion threshold - prophylactic before invasive procedure

Answer 10

> 50x109 - most
50-75 - high risk bleed
100 - surgery at crit site

Question 11

plt transfusion threshold - no bleeding or planned procedure

Answer 11

10 x109

Question 12

grey turner sign

Answer 12

bruising in flanks

Question 13

psoas strech sign

Answer 13

pain on R hip extension - retroperitnoeal and retrocaecal appendix

Question 14

obturator sign

Answer 14

pain on internal rotation of R hip - pelvic appendix

Question 15

renal transplant + infection ?

Answer 15

CMV (seen from week 4 post-op)

Question 16

IE of COPD mx

Answer 16

amoxicillin, tetracycline or clarithromycin

Question 17

mx of acute pyelonephritis

Answer 17

broad spec cephalosporin or quinolone

Question 18

acute prostatitis mx

Answer 18

quinolone or trimethoprime

Question 19

mastitis mx

Answer 19

flucloxacillin

Question 20

campyllobacter mx

Answer 20

clarithromycin

Question 21

salmonella mx

Answer 21

ciprofloxacin

Question 22

shigellosis

Answer 22

ciprofloxacin

Question 23

mx sIADH

Answer 23

fluid restriction (esp if hyponatraemic)

Question 24

features of small cell lung caner

Answer 24

SCLC

• SIADH
• cushings
• lambert eaton
• cerebellar dysfunction

smokers

Question 25

SAH associated with what other condition

Answer 25

PCKD

Question 26

champagne bottle legs classical for

Answer 26

charcot marie tooth type 1

Question 27

atonic seizures

Answer 27

sudden loss of muscle tone causing pt to fall to floor

retain consciousness