23.02

Question 1

Anorexia features
most things low
G’s and C’s raised: growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia

Question 2

placenta praevia suspected in 20w scan, rescan at

Answer 2

32 weeks

Question 3

Use ________ to treat AF if there is coexistent heart failure, first onset AF or an obvious reversible cause

Answer 3

rhythm control

Question 4

Focal seizures: 1st line for both genders

Answer 4

lamotrigine or levetiracetam are first-line

Question 5

Thick and thin blood smears is the gold standard for

Answer 5

malaria

Question 6

best way to test for TB?

Answer 6

sputum culture

Question 7

NSTEMI management: unstable patients should have

Answer 7

immediate coronary angiography

Question 8

Mx of hip fractures
1. Intracapsular, undisplaced
2. intracapsular, displaced
3. extracapsular

Answer 8

1. Intracapsular, undisplaced
   - internal fixation
   - if unfit, hemiarthroplasty
2. intracapsular, displaced
   - hip replacement (arthroplasty)/hemiarthroplasty
   - total hip replacement favoured in Pts are fit
3. extracapsular
   - dynamic hip screw if intertrochanteric
   - if oblique/transverse/subtrochanteric: intramedullary devicy

Question 9

MoA of statin

Answer 9

inhibits HMG-CoA reductase, the rate-limiting step in cholesterol synthesis

Question 10

Examining of the fundi reveals a boat-shaped retinal haemorrhage
with a pale centre. What is this called?

Answer 10

Roth’s spot

Question 11

octreotide is used to Tx

Answer 11

• acromegaly
• carcinoid tumours