24th November Cards

Question 1

Which drug is commonly associated with elevated serum amylase and pancreatitis?

Answer 1

Sodium valproate

Question 2

Which causes more cases of pancreatitis between mesalazine and sulfasalazine?

Answer 2

Mesalazine

Question 3

What is the mnemonic for causes of acute pancreatitis?

Answer 3

GET SMASHED

Question 4

What condition is the faecal immunochemical test appropriate for?

Answer 4

Suspected colorectal Cancer

Question 5

What are the locations for the anal cushions?

Answer 5

3, 7, and 11 o’clock position

Question 6

What is the most common symptom of hemorrhoid?

Answer 6

Painless rectal bleeding

Question 7

What is the failure rate of male sterilisation?

Answer 7

1 in 2,000

Question 8

Which is more effective, male or female sterilisation?

Answer 8

Male sterilisation

Question 9

How many times should semen examination be performed after vasectomy to confirm effectiveness?

Answer 9

Twice (at 16 and 20 weeks)

Question 10

What is the success rate of vasectomy reversal?

Answer 10

55% if done within 10 years
25% after more than 10 years

Question 11

When should congenital inguinal hernias be repaired?

Answer 11

Promptly. As soon as identified, refer to pediatric surgery

Question 12

Is bowel strangulation more common in femoral or inguinal hernias?

Answer 12

Femoral hernia

Question 13

Which of the hernias is commoner in females?

Answer 13

Femoral hernias

Question 14

Is obturator hernia commoner in males or females?

Answer 14

Females

Question 15

Which of the forms of dementia presents with fluctuating cognition?

Answer 15

Lewy body dementia

Question 16

Which imaging study is highly sensitive and specific for Lewy body dementia?

Answer 16

SPECT

Question 17

Which imaging study is highly sensitive and specific for Lewy body dementia?

Answer 17

SPECT (commercially called DaTscan)

Question 18

Which drugs should be avoided in suspected Lewy body dementia for risk of deterioration?

Answer 18

Neuroleptics/antipsychotics (can cause irreversible parkinsonism) or deterioration

Question 19

What are the contraindications/precautions to Donepezil use(used in dementia)?

Answer 19

Bradycardia and cardiac abnormalities generally

Question 20

What are the possible and concerning side effects of Donepezil?

Answer 20

Bradycardia and AV node block, insomnia

Question 21

Which drugs are used for mgt of Alzheimer’s?

Answer 21

Acetylcholinesterase inhibitors including Donepezil, Galantamine, and Rivastigmine