25/02

Question 1

What is the most common organism found in central line infections?

Answer 1

Staph epidermis

Question 2

What are CSF findings of bacterial meningitis?

Answer 2

Cloudy appearance
Low glucose
High protein >1g/l
Pleomorphs present

Question 3

What are CSF findings of viral meningitis?

Answer 3

Clear/cloudy
Slightly low glucose
Normal or raised protein
12-1000 lymphocytes

Question 4

A 60 year old man with Chronic Hep B infection presents with weight loss, RUQ pain and jaundice. He is ayprexial, what is the most likely cause of his presentation?

Answer 4

Hepatocellular carcinoma

Question 5

What organisms causes pneumonia post flu infection?

Answer 5

Staph aureus

Question 6

What are symptoms of post thrombotic syndrome?

Answer 6

Painful heavy calves
Swelling
Ulcers
Pruritis 
Varicose veins
Venous ulcer

Question 7

What is the management of post thrombotic syndrome?

Answer 7

Comrpession stockings

Question 8

What is the initial management of hypercalcaemia?

Answer 8

IV 0.9% saline 3-4L per day

Bisphosphanates can be used later

Question 9

How is anion gap calculated

Answer 9

Sodium + potassium
MINUS
Chloride plus bicarbonate

Normal anion gap is 10-18

Question 10

What is teh cause of metabolic acidosis with normal anion gap?

Answer 10

Diarrhoea
Addisons disease
Acetozolamide

Question 11

What is the cause of metabolic acidosis with raised anion gap?

Answer 11

DKA
Salicylate poisoning
Shock

Question 12

How long can a cluster headache episode last?

Answer 12

15mins-2hrs

Question 13

What are features of essential tremor?

Answer 13

Bilateral tremor
Worse if arms outstretched
Relieved by alcohol and rest