2a Mock 3

Question 1

What is the definitive management of STEMI?

Answer 1

PCI within 2 hours of onset

OR

Fibrinolysis with IV tenecteplase within 12 hours

Question 2

What are the signs of hyperkalaemia on ECG?

Answer 2

Go, Go long, Go wide, Go tall = gonner

Absent p waves
Long PR interval
Qide QRS
Tall tented T waves

Question 3

What are U waves seen in?

Answer 3

Hypokalaemia

Question 4

What kind of pulse would you see in septic shock?

Answer 4

Bounding pulse

Question 5

What type of chest pain is seen in pericarditis?

Answer 5

Pleuritic, sharp chest pain which is classically worse on lying down and relieved by leaning forwards

Question 6

What investigation should be done in suspected AAA?

Answer 6

USS of aorta

Question 7

What is the gold standard test for acromegaly?

Answer 7

OGTT

Question 8

What is the most common cause of secondary hypoadrenalism?

Answer 8

Long term corticosteroid use

Question 9

What is the test for Addisons disease?

Answer 9

Synacthen test

Question 10

What would be your immediate management for a patient with suspected Carcinoid Syndrome?

Answer 10

Somatostatin analogue (octreotide)

Question 11

What is the most common cause of small bowel obstruction?

Answer 11

Surgical adhesions

Question 12

What is used to treat mild UC?

Answer 12

Mesalazine

Question 13

What is used to treat moderate UC?

Answer 13

Oral prednisolone

Question 14

What is used to treat severe UC?

Answer 14

IV hydrocortisone

Question 15

What is the drug class of mesalazine?

Answer 15

5-ASA

Question 16

What disease would you see Auer rods in blast cells on bone marrow biopsy?

Answer 16

AML

Question 17

What does MGUS predispose to the development of?

Answer 17

Myeloma/Multiple myeloma

Question 18

What are the symptoms of myeloma?

Answer 18

CRAB
Calcium (raised due to bone resorption)
Renal impairment 
Anaemia 
Bone (osteoporosis)

Question 19

What is PCV?

Answer 19

A condition in which the bone marrow overproduced blood cells - usually associated with a JAK2 mutation

Question 20

What type of hypersensitivity reaction is hypersensitivity pneumonitis?

Answer 20

type 3